{"id":13707,"date":"2018-08-07T14:49:50","date_gmt":"2018-08-07T07:49:50","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/nhung-dieu-can-biet-ve-tre-sinh-non\/"},"modified":"2024-03-17T04:27:51","modified_gmt":"2024-03-16T21:27:51","slug":"nhung-dieu-can-biet-ve-tre-sinh-non","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/nhung-dieu-can-biet-ve-tre-sinh-non\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 tr\u1ebb sinh non"},"content":{"rendered":"<p>Tr\u1ebb sinh non l\u00e0 tr\u1ebb sinh tr\u01b0\u1edbc 37 tu\u1ea7n. Tr\u1ebb c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe, v\u00e0 c\u1ea7n n\u1eb1m vi\u1ec7n l\u00e2u h\u01a1n nh\u1eefng tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng.<\/p>\n<p>H\u00e0ng n\u0103m, t\u1ef7 l\u1ec7 tr\u1ebb sinh non \u1edf Hoa K\u1ef3 l\u00e0 1\/10. Tr\u1ebb sinh non c\u00f3 th\u1ec3 c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i, \u1ea3nh h\u01b0\u1edfng t\u1edbi cu\u1ed9c s\u1ed1ng sau n\u00e0y. Tr\u1ebb sinh ra c\u00e0ng non th\u00e1ng th\u00ec c\u00e0ng c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe. M\u1ed9t s\u1ed1 tr\u1ebb sinh non ph\u1ea3i n\u1eb1m \u1edf \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c s\u01a1 sinh (NICU) \u2013 l\u00e0 n\u01a1i ch\u0103m s\u00f3c nh\u1eefng tr\u1ebb m\u1edbi sinh c\u00f3 b\u1ec7nh l\u00fd. Nh\u1edd s\u1ef1 ti\u1ebfn b\u1ed9 trong ch\u0103m s\u00f3c y t\u1ebf, ngay c\u1ea3 tr\u1ebb sinh r\u1ea5t non th\u00e1ng c\u0169ng c\u00f3 c\u01a1 h\u1ed9i s\u1ed1ng h\u01a1n tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n<pre>Xem th\u00eam b\u00e0i <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chuyen-da-sinh-non-va-sinh-non\/#Nhung-tre-sinh-non-nao-se-co-nguy-co-cao-nhat-ve-suc-khoe\" target=\"_blank\" rel=\"noopener\">Chuy\u1ec3n\u00a0d\u1ea1\u00a0sinh\u00a0non\u00a0v\u00e0\u00a0sinh\u00a0non<\/a><\/pre>\n<h2>Tr\u1ebb sinh non c\u00f3 th\u1ec3 g\u1eb7p nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe n\u00e0o?<\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-13257 aligncenter\" src=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2017\/06\/kiem-tra-suc-khoe-cho-tre-sinh-non.jpg\" alt=\"Ki\u1ec3m tra s\u1ee9c kh\u1ecfe cho tr\u1ebb sinh non\" width=\"300\" height=\"200\" \/><\/p>\n<p>V\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf tr\u1ebb sinh non bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>Ng\u01b0ng th\u1edf<\/strong>: l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ng\u01b0ng ho\u1ea1t \u0111\u1ed9ng h\u00f4 h\u1ea5p k\u00e9o d\u00e0i tr\u00ean 20 gi\u00e2y. Tr\u1ebb sinh non \u0111\u00f4i khi x\u1ea3y ra ng\u01b0ng th\u1edf v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nh\u1ecbp ch\u1eadm xoang.<\/li>\n<li><strong>H\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p (RDS)<\/strong>: l\u00e0 v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb sinh tr\u01b0\u1edbc 34 tu\u1ea7n thai k\u1ef3. Tr\u1ebb b\u1ecb suy h\u00f4 h\u1ea5p do thi\u1ebfu surfactant, l\u00e0m cho c\u00e1c ph\u1ebf nang trong ph\u1ed5i x\u1eb9p l\u1ea1i.<\/li>\n<li><strong>Xu\u1ea5t huy\u1ebft n\u00e3o th\u1ea5t (IVH)<\/strong>: l\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u trong n\u00e3o. N\u00f3 th\u01b0\u1eddng x\u1ea3y ra g\u1ea7n c\u00e1c n\u00e3o th\u1ea5t \u1edf trung t\u00e2m nhu m\u00f4 n\u00e3o. N\u00e3o th\u1ea5t l\u00e0 kho\u1ea3ng tr\u1ed1ng trong n\u00e3o ch\u1ee9a \u0111\u1ea7y d\u1ecbch n\u00e3o t\u1ee7y.<\/li>\n<li><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/con-ong-dong-mach\/\" target=\"_blank\" rel=\"noopener\">C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch<\/a> (PDA)<\/strong>: l\u00e0 v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch x\u1ea3y ra \u1edf v\u00f9ng n\u1ed1i th\u00f4ng gi\u1eefa 2 m\u1ea1ch m\u00e1u l\u1edbn g\u1ea7n tim (c\u00f2n g\u1ecdi l\u00e0 \u1ed1ng \u0111\u1ed9ng m\u1ea1ch). N\u1ebfu \u1ed1ng n\u00e0y kh\u00f4ng \u0111\u00f3ng \u0111\u00fang l\u00fac sau sinh, tr\u1ebb c\u00f3 th\u1ec3 g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p ho\u1eb7c suy tim. Suy tim l\u00e0 t\u00ecnh tr\u1ea1ng ho\u1ea1t \u0111\u1ed9ng tim kh\u00f4ng th\u1ec3 t\u1ed1ng \u0111\u1ee7 m\u00e1u \u0111i nu\u00f4i to\u00e0n b\u1ed9 c\u01a1 th\u1ec3.<\/li>\n<li><strong>Vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed (NEC)<\/strong>: l\u00e0 v\u1ea5n \u0111\u1ec1 \u1edf ru\u1ed9t c\u1ee7a tr\u1ebb, l\u00e0m thay \u0111\u1ed5i ti\u00eau h\u00f3a, b\u1ee5ng c\u0103ng l\u00ean v\u00e0 ti\u00eau ch\u1ea3y. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra 2-3 tu\u1ea7n sau sinh.<\/li>\n<li><strong>B\u1ec7nh v\u00f5ng m\u1ea1c \u1edf tr\u1ebb sinh non (ROP)<\/strong>: l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u00e1c m\u1ea1ch m\u00e1u \u1edf m\u1eaft, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi m\u00f9 m\u1eaft.<\/li>\n<li><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/vang-da-o-tre-so-sinh\/\" target=\"_blank\" rel=\"noopener\">V\u00e0ng da<\/a>:<\/strong> l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng m\u1eaft v\u00e0 da tr\u1ebb c\u00f3 m\u00e0u v\u00e0ng. Tr\u1ebb b\u1ecb v\u00e0ng da do gan ch\u01b0a ph\u00e1t tri\u1ec3n \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng ch\u01b0a t\u1ed1t.<\/li>\n<li><strong>Thi\u1ebfu m\u00e1u:<\/strong> l\u00e0 khi tr\u1ebb kh\u00f4ng c\u00f3 \u0111\u1ee7 h\u1ed3ng c\u1ea7u tr\u01b0\u1edfng th\u00e0nh \u0111\u1ec3 v\u1eadn chuy\u1ec3n oxy kh\u1eafp c\u01a1 th\u1ec3.<\/li>\n<li><strong>Lo\u1ea1n s\u1ea3n ph\u1ebf qu\u1ea3n \u2013 ph\u1ed5i (BPD)<\/strong>: c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u1ebb sinh non c\u0169ng nh\u01b0 tr\u1ebb \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng m\u00e1y th\u1edf. Tr\u1ebb b\u1ecb lo\u1ea1n s\u1ea3n ph\u1ebf qu\u1ea3n \u2013 ph\u1ed5i \u0111\u00f4i khi t\u0103ng l\u01b0\u1ee3ng d\u1ecbch trong ph\u1ed5i, g\u00e2y h\u1ea1i v\u00e0 t\u1ed5n th\u01b0\u01a1ng cho ph\u1ed5i.<\/li>\n<li><strong>Nhi\u1ec5m tr\u00f9ng:<\/strong> Tr\u1ebb sinh non th\u01b0\u1eddng g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c ch\u1ed1ng l\u1ea1i c\u00e1c m\u1ea7m b\u1ec7nh, v\u00ec h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a tr\u1ebb ch\u01b0a ho\u00e0n thi\u1ec7n. Nhi\u1ec5m tr\u00f9ng x\u1ea3y ra \u1edf tr\u1ebb sinh non bao g\u1ed3m: vi\u00eam ph\u1ed5i, nhi\u1ec5m tr\u00f9ng ph\u1ed5i; nhi\u1ec5m \u0111\u1ed9c, nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 vi\u00eam m\u00e0ng n\u00e3o, nhi\u1ec5m tr\u00f9ng d\u1ecbch n\u00e3o t\u1ee7y.<\/li>\n<\/ul>\n<h2>C\u00e1ch ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho tr\u1ebb sinh non?<\/h2>\n<p>Trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb. Tr\u1ebb c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n n\u1ebfu \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe, ho\u1eb7c c\u1ea7n \u1edf l\u1ea1i NICU \u0111\u1ec3 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t. Tr\u1ebb ch\u1eafc ch\u1eafn \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n khi:<\/p>\n<ul>\n<li>C\u00e2n n\u1eb7ng tr\u00ean 1800 gram (&gt; 1,8 kg).<\/li>\n<li>C\u00f3 th\u1ec3 t\u1ef1 \u0111i\u1ec1u h\u00f2a th\u00e2n nhi\u1ec7t, kh\u00f4ng c\u1ea7n n\u1eb1m l\u1ed3ng \u1ea5p. L\u1ed3ng \u1ea5p l\u00e0 v\u1eadt k\u00edn, gi\u00fap gi\u1eef th\u00e2n nhi\u1ec7t cho tr\u1ebb sinh non.<\/li>\n<li>C\u00f3 th\u1ec3 b\u00fa ho\u1eb7c u\u1ed1ng s\u1eefa b\u00ecnh.<\/li>\n<li>C\u00e2n n\u1eb7ng t\u0103ng \u0111\u1ec1u (14 gram \u0111\u1ebfn 28 gram).<\/li>\n<li>T\u1ef1 th\u1edf \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n<p>Tr\u1ebb c\u00f3 th\u1ec3 c\u1ea7n c\u00e1c thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t, \u0111i\u1ec1u tr\u1ecb ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c sau khi xu\u1ea5t vi\u1ec7n. B\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn s\u1ea3n ph\u1ee5 ch\u0103m s\u00f3c tr\u1ebb nh\u01b0 th\u1ebf n\u00e0o, ho\u1eb7c c\u00f3 th\u1ec3 gi\u00fap s\u1ea3n ph\u1ee5 t\u00ecm nh\u00f3m h\u1ed7 tr\u1ee3 v\u00e0 ngu\u1ed3n l\u1ef1c kh\u00e1c xung quanh n\u01a1i \u1edf, \u0111\u1ec3 gi\u00fap s\u1ea3n ph\u1ee5 ch\u0103m s\u00f3c tr\u1ebb.<\/p>\n<pre>Xem th\u00eam b\u00e0i <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cham-soc-tre-sinh-non\/\" target=\"_blank\" rel=\"noopener\">C\u00e1ch ch\u0103m s\u00f3c tr\u1ebb sinh non<\/a><\/pre>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.marchofdimes.org\/complications\/premature-babies.aspx\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">http:\/\/www.marchofdimes.org\/complications\/premature-babies.aspx<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u1ebb sinh non l\u00e0 tr\u1ebb sinh tr\u01b0\u1edbc 37 tu\u1ea7n. Tr\u1ebb sinh non c\u00f3 th\u1ec3 g\u1eb7p nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe n\u00e0o? C\u00e1ch ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho tr\u1ebb sinh non?<\/p>\n","protected":false},"author":327,"featured_media":13708,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5288,6002,6001],"tags":[7362,7363,5656,7364,7365,6133,6736,7366,7367],"series":[6134],"coauthors":[7361],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 tr\u1ebb sinh non - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Tr\u1ebb sinh non l\u00e0 tr\u1ebb sinh tr\u01b0\u1edbc 37 tu\u1ea7n. 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