{"id":10372,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/oxytocin-thuoc-dung-trong-san-khoa\/"},"modified":"2024-03-17T02:34:51","modified_gmt":"2024-03-16T19:34:51","slug":"oxytocin-thuoc-dung-trong-san-khoa","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/oxytocin-thuoc-dung-trong-san-khoa\/","title":{"rendered":"Oxytocin &#8211; Thu\u1ed1c d\u00f9ng trong s\u1ea3n khoa"},"content":{"rendered":"<div class=\"entry-content\">\n<h2 id=\"ten-chung-quoc-te-oxytocin\">     T\u00ean chung qu\u1ed1c t\u1ebf Oxytocin    <\/h2>\n<p>     Oxytocin    <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-oxytocin\">     D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Oxytocin    <\/h2>\n<p style=\"text-align: center;\">     <img decoding=\"async\" alt=\"Oxytocin - Thu\u1ed1c d\u00f9ng trong s\u1ea3n khoa\" src=\"\/\/yhoccongdong.org\/Documents\/1331_oxytocin-thuoc-dung-trong-san-khoa.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/p>\n<p style=\"text-align: center;\">     H\u00ecnh:    <\/p>\n<p>     \u1ed1ng ti\u00eam 1 ml 5 IU v\u00e0 10 IU.    <\/p>\n<h2 id=\"chi-dinh-oxytocin\">     Ch\u1ec9 \u0111\u1ecbnh Oxytocin    <\/h2>\n<p>     <em>      Tr\u01b0\u1edbc khi \u0111\u1ebb     <\/em>    : G\u00e2y chuy\u1ec3n d\u1ea1 cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n ch\u1ee7 \u0111\u1ed9ng \u1edf c\u00e1c thai ngh\u00e9n c\u00f3 nguy c\u01a1 m\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i m\u1ed5 nh\u01b0 thai qu\u00e1 ng\u00e0y sinh, nhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n, thai ch\u1ebft l\u01b0u, thai d\u1ecb d\u1ea1ng; chuy\u1ec3n d\u1ea1 \u0111\u1ebb ti\u1ebfn tri\u1ec3n b\u1ea5t th\u01b0\u1eddng (\u1ed1i v\u1ee1 non, \u1ed1i v\u1ee1 s\u1edbm, c\u01a1n co th\u01b0a, chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i&#8230;).    <\/p>\n<p>     <em>      Sau khi \u0111\u1ebb     <\/em>    : \u0110\u1ec1 ph\u00f2ng ch\u1ea3y m\u00e1u trong giai \u0111o\u1ea1n 3 c\u1ee7a chuy\u1ec3n d\u1ea1, sau khi thai \u0111\u00e3 x\u1ed5, trong m\u1ed5 l\u1ea5y thai sau khi \u0111\u00e3 l\u1ea5y thai ra; \u0111i\u1ec1u tr\u1ecb ch\u1ea3y m\u00e1u sau \u0111\u1ebb; ch\u1ea3y m\u00e1u sau s\u1ea3y thai, sau n\u1ea1o h\u00fat thai.    <\/p>\n<h2 id=\"chong-chi-dinh-oxytocin\">     Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Oxytocin    <\/h2>\n<p>     C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebb \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o: b\u1ea5t c\u00e2n x\u1ee9ng thai nhi v\u00e0 khung ch\u1eadu, ng\u00f4i b\u1ea5t th\u01b0\u1eddng, kh\u1ed1i u ti\u1ec1n \u0111\u1ea1o; t\u1eed cung c\u00f3 s\u1eb9o m\u1ed5 c\u0169; c\u01a1n co c\u01b0\u1eddng t\u00ednh; rau ti\u1ec1n \u0111\u1ea1o; rau bong non; suy thai c\u1ea5p t\u00ednh v\u00e0 m\u1ea1n t\u00ednh; kh\u00f4ng c\u00f3 ph\u00f2ng m\u1ed5, b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ph\u1eabu thu\u1eadt.    <\/p>\n<h2 id=\"than-trong-oxytocin\">     Th\u1eadn tr\u1ecdng Oxytocin    <\/h2>\n<p>     G\u00e2y chuy\u1ec3n d\u1ea1 khi c\u00f3 t\u1ef7 l\u1ec7 \u0111\u1ea7u thai nhi, khung ch\u1eadu \u1edf m\u1ee9c gi\u1edbi h\u1ea1n (n\u1ebfu m\u1ea5t c\u00e2n \u0111\u1ed1i r\u00f5, n\u00ean tr\u00e1nh); b\u1ec7nh tim ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p nh\u1eb9 v\u00e0 v\u1eeba do mang thai; s\u1ea3n ph\u1ee5 tr\u00ean 35 tu\u1ed5i; b\u1ec7nh s\u1eed m\u1ed5 l\u1ea5y thai b\u1ee5ng d\u01b0\u1edbi; tr\u00e1nh g\u00e2y chuy\u1ec3n d\u1ea1 th\u00f4 b\u1ea1o n\u1ebfu thai ch\u1ebft ho\u1eb7c n\u01b0\u1edbc \u1ed1i c\u00f3 ph\u00e2n su (nguy c\u01a1 ngh\u1ebdn m\u1ea1ch n\u01b0\u1edbc \u1ed1i); ng\u1ed9 \u0111\u1ed9c \u1ee9 n\u01b0\u1edbc v\u00e0 gi\u1ea3m natri m\u00e1u (tr\u00e1nh ti\u00eam truy\u1ec1n nhi\u1ec1u d\u1ecbch v\u00e0 h\u1ea1n ch\u1ebf \u0111\u01b0a d\u1ecbch v\u00e0o c\u01a1 th\u1ec3); g\u00e2y t\u00ea khoang c\u00f9ng (nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng do t\u0103ng t\u00e1c d\u1ee5ng co m\u1ea1ch c\u1ee7a c\u00e1c thu\u1ed1c gi\u1ed1ng giao c\u1ea3m);    <\/p>\n<h2 id=\"tuong-tac-thuoc-oxytocin\">     T\u01b0\u01a1ng t\u00e1c thu\u1ed1c Oxytocin    <\/h2>\n<p>     (Ph\u1ee5 l\u1ee5c 1).    <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-oxytocin\">     Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Oxytocin    <\/h2>\n<\/p>\n<p>     C\u00e1ch d\u00f9ng:\u00a0G\u00e2y ho\u1eb7c th\u00fac \u0111\u1ebb chuy\u1ec3n d\u1ea1 ph\u1ea3i do c\u00e1c th\u1ea7y thu\u1ed1c chuy\u00ean khoa s\u1ea3n t\u1eeb tuy\u1ebfn huy\u1ec7n tr\u1edf l\u00ean ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf b\u1ec7nh vi\u1ec7n c\u00f3 \u0111\u1ee7 trang thi\u1ebft b\u1ecb \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1c \u0111\u1ed9 ti\u00eam truy\u1ec1n v\u00e0 s\u1eb5n s\u00e0ng \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c tai bi\u1ebfn n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra do oxytocin. Tuy\u1ebfn x\u00e3 ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh oxytocin \u0111\u1ec3 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t huy\u1ebft sau khi x\u1ed5 nhau thai. Thu\u1ed1c c\u00f3 th\u1ec3 ti\u00eam b\u1eafp, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch ch\u1eadm b\u1eb1ng b\u01a1m truy\u1ec1n t\u1ef1 \u0111\u1ed9ng. Th\u01b0\u1eddng d\u00f9ng dung d\u1ecbch ch\u1ee9a 5 IU, pha trong 500 ml dung d\u1ecbch natri clorid 0,9% ho\u1eb7c dung d\u1ecbch Ringer lactat ho\u1eb7c dung d\u1ecbch glucose 5%. T\u1ed1c \u0111\u1ed9 truy\u1ec1n ban \u0111\u1ea7u 6 ml\/gi\u1edd dung d\u1ecbch pha nh\u01b0 tr\u00ean, cung c\u1ea5p 0,001 IU\/ph\u00fat. T\u1ed1c \u0111\u1ed9 t\u1edbi 0,006 IU\/ph\u00fat cho n\u1ed3ng \u0111\u1ed9 oxytocin huy\u1ebft t\u01b0\u01a1ng gi\u1ed1ng nh\u01b0 chuy\u1ec3n d\u1ea1 \u0111\u1ebb t\u1ef1 nhi\u00ean. Trong khi truy\u1ec1n, c\u1ea7n ph\u1ea3i gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd t\u1ea7n s\u1ed1 tim thai v\u00e0 c\u01a1n co t\u1eed cung (t\u1ed1i \u0111a 3 &#8211; 4 c\u01a1n co t\u1eed cung trong 10 ph\u00fat).    <\/p>\n<p>     Li\u1ec1u l\u01b0\u1ee3ng:    <\/p>\n<p>     <em>      G\u00e2y chuy\u1ec3n d\u1ea1     <\/em>     , ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch b\u1eb1ng b\u01a1m truy\u1ec1n t\u1ef1 \u0111\u1ed9ng, ng\u01b0\u1eddi l\u1edbn, ban \u0111\u1ea7u 0,001 &#8211; 0,002 IU\/ph\u00fat, c\u1ee9 kho\u1ea3ng 30 ph\u00fat l\u1ea1i t\u0103ng l\u00ean 0,001 &#8211; 0,002 IU\/ph\u00fat, cho t\u1edbi khi t\u1ed1i \u0111a c\u00f3 3 &#8211; 4 c\u01a1n co t\u1eed cung trong 10 ph\u00fat; t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a khuy\u1ebfn c\u00e1o 0,02 IU\/ph\u00fat; kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 5 \u0111\u01a1n v\u1ecb trong 24 gi\u1edd. Kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c ti\u00eam t\u0129nh m\u1ea1ch c\u1ea3 li\u1ec1u trong khi g\u00e2y chuy\u1ec3n d\u1ea1 \u0111\u1ebb.    <\/p>\n<p>     <em>      D\u1ef1 ph\u00f2ng xu\u1ea5t huy\u1ebft sau \u0111\u1ebb     <\/em>     , m\u1ed5 \u0111\u1ebb, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 5 IU ngay sau khi l\u1ea5y nhau ra (n\u1ebfu \u0111\u00e3 ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch \u0111\u1ec3 g\u00e2y chuy\u1ec3n d\u1ea1 \u0111\u1ebb ho\u1eb7c th\u00fac chuy\u1ec3n d\u1ea1, t\u0103ng t\u1ed1c \u0111\u1ed9 truy\u1ec1n trong giai \u0111o\u1ea1n 3 v\u00e0 trong 1 v\u00e0i gi\u1edd sau). C\u00f3 th\u1ec3 ti\u00eam b\u1eafp ergometrin thay cho oxytocin n\u1ebfu kh\u00f4ng c\u1ea7n t\u00e1c d\u1ee5ng nhanh.    <\/p>\n<p>     <em>      \u0110i\u1ec1u tr\u1ecb ch\u1ea3y m\u00e1u sau \u0111\u1ebb (\u0111\u00e3 x\u1ed5 nhau thai),     <\/em>     ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 5 &#8211; 10 IU ho\u1eb7c ti\u00eam b\u1eafp 10 IU; trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, truy\u1ec1n t\u0129nh m\u1ea1ch ti\u1ebfp, t\u1ed5ng li\u1ec1u 40 IU, ph\u1ea3i truy\u1ec1n v\u1edbi t\u1ed1c \u0111\u1ed9 0,02 &#8211; 0,04 IU\/ph\u00fat.    <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-oxytocin\">     T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Oxytocin    <\/h2>\n<p>     Nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n do truy\u1ec1n nhanh ho\u1eb7c truy\u1ec1n trong th\u1eddi gian l\u00e2u; tim \u0111\u1eadp nhanh; gi\u00e3n m\u1ea1ch h\u1ea1 huy\u1ebft \u00e1p; n\u1ed5i m\u1ea9n \u1edf da.    <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-oxytocin\">     Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Oxytocin    <\/h2>\n<\/p>\n<p>     C\u01a1n co c\u01b0\u1eddng t\u00ednh: Do n\u1ed3ng \u0111\u1ed9 oxytocin \u0111\u01b0a v\u00e0o qu\u00e1 li\u1ec1u l\u00e0m cho c\u01a1n co tr\u1edf n\u00ean mau, m\u1ea1nh g\u00e2y \u0111au qu\u00e1 m\u1ee9c, g\u00e2y co c\u1ee9ng t\u1eed cung k\u00e9o d\u00e0i l\u00e0m cho c\u1ed5 t\u1eed cung tr\u1edf n\u00ean co th\u1eaft h\u01a1n, kh\u00f4ng m\u1edf th\u00eam; d\u1ecda v\u1ee1 t\u1eed cung v\u00e0 v\u1ee1 t\u1eed cung, \u0111\u00e2y l\u00e0 tai bi\u1ebfn r\u1ea5t nghi\u00eam tr\u1ecdng, \u1ea3nh h\u01b0\u1edfng t\u00ednh m\u1ea1ng m\u1eb9 v\u00e0 con; suy thai c\u1ea5p do c\u01a1n co t\u1eed cung qu\u00e1 m\u1ee9c; ng\u1ed9 \u0111\u1ed9c n\u01b0\u1edbc v\u00e0 gi\u1ea3m natri m\u00e1u m\u1eb9 v\u00e0 thai nhi.    <\/p>\n<p>     <em>      X\u1eed tr\u00ed:     <\/em>     Ng\u1eebng ngay oxytocin; cho thu\u1ed1c gi\u1ea3m co, cho s\u1ea3n ph\u1ee5 th\u1edf oxy. Trong tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c \u1ee9 n\u01b0\u1edbc, \u0111i\u1ec1u tr\u1ecb theo tri\u1ec7u ch\u1ee9ng; c\u1ea7n gi\u1ea3m \u0111\u01b0a n\u01b0\u1edbc v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i.    <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-oxytocin\">     \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Oxytocin    <\/h2>\n<p>     B\u1ea3o qu\u1ea3n trong bao b\u00ec k\u00edn, \u1edf nhi\u1ec7t \u0111\u1ed9 15 &#8211; 30\u00b0C.    <\/p>\n<\/p>\n<p>     http:\/\/nidqc.org.vn\/duocthu\/654\/    <\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>T\u00ean chung qu\u1ed1c t\u1ebf Oxytocin Oxytocin D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Oxytocin H\u00ecnh: \u1ed1ng ti\u00eam 1 ml 5 IU v\u00e0 10 IU. Ch\u1ec9 \u0111\u1ecbnh Oxytocin Tr\u01b0\u1edbc khi \u0111\u1ebb : G\u00e2y chuy\u1ec3n d\u1ea1 cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea7n \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n ch\u1ee7 \u0111\u1ed9ng \u1edf c\u00e1c thai ngh\u00e9n c\u00f3 nguy c\u01a1 m\u00e0 kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i [&hellip;]<\/p>\n","protected":false},"author":143,"featured_media":10373,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5316,5533,5395,5317],"tags":[],"series":[],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Oxytocin - Thu\u1ed1c d\u00f9ng trong s\u1ea3n khoa - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Oxytocin - Thu\u1ed1c d\u00f9ng trong s\u1ea3n khoa - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/oxytocin-thuoc-dung-trong-san-khoa\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Oxytocin - 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