{"id":19455,"date":"2021-10-18T21:52:48","date_gmt":"2021-10-18T14:52:48","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/xet-nghiem-sang-loc-truoc-sinh\/"},"modified":"2021-10-18T21:52:48","modified_gmt":"2021-10-18T14:52:48","slug":"xet-nghiem-sang-loc-truoc-sinh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/xet-nghiem-sang-loc-truoc-sinh\/","title":{"rendered":"X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh"},"content":{"rendered":"<h2><strong>X\u00e9t nghi\u1ec7m di truy\u1ec1n tr\u01b0\u1edbc sinh<\/strong><\/h2>\n<p>X\u00e9t nghi\u1ec7m di truy\u1ec1n tr\u01b0\u1edbc sinh cung c\u1ea5p cho b\u1ed1 m\u1eb9 th\u00f4ng tin li\u1ec7u thai nhi c\u00f3 c\u00e1c r\u1ed1i lo\u1ea1n v\u1ec1 di truy\u1ec1n hay kh\u00f4ng.<\/p>\n<h2><strong>R\u1ed1i lo\u1ea1n di truy\u1ec1n l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>R\u1ed1i lo\u1ea1n di truy\u1ec1n\u00a0 x\u1ea3y ra do s\u1ef1 bi\u1ebfn \u0111\u1ed5i c\u1ee7a gen ho\u1eb7c nhi\u1ec5m s\u1eafc th\u1ec3 \u1edf ng\u01b0\u1eddi.\u0110\u1ed9t bi\u1ebfn l\u1ec7ch b\u1ed9i l\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu ho\u1eb7c th\u1eeba nhi\u1ec5m s\u1eafc th\u1ec3. Th\u1ec3 tam nhi\u1ec5m l\u00e0 khi c\u00f3 th\u1eeba m\u1ed9t NST, c\u00f2n \u1edf th\u1ec3 \u0111\u01a1n nhi\u1ec5m l\u00e0 thi\u1ebfu \u0111i m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3. B\u1ea5t th\u01b0\u1eddng di truy\u1ec1n do s\u1ef1 bi\u1ebfn \u0111\u1ed5i c\u1ee7a gen g\u1ecdi l\u00e0 \u0111\u1ed9t bi\u1ebfn gene. \u0110\u1ed9t bi\u1ebfn gene c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-xo-nang-sang-loc-va-chan-doan-truoc-sinh\/\" target=\"_blank\" rel=\"noopener\">b\u1ec7nh x\u01a1 nang (CF)<\/a>, b\u1ec7nh Tay &#8211; Sachs v\u00e0 nhi\u1ec1u b\u1ec7nh kh\u00e1c. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, c\u1ea3 b\u1ed1 m\u1eb9 \u0111\u1ec1u mang gene b\u1ec7nh.<\/p>\n<h2><strong>Hai lo\u1ea1i x\u00e9t nghi\u1ec7m di truy\u1ec1n tr\u01b0\u1edbc sinh ch\u00ednh<\/strong><\/h2>\n<p>C\u00f3 hai lo\u1ea1i x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh cho c\u00e1c r\u1ed1i lo\u1ea1n di truy\u1ec1n:<\/p>\n<ul>\n<li><strong>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh:<\/strong> Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 cho b\u1ea1n bi\u1ebft kh\u1ea3 n\u0103ng thai nhi m\u1eafc \u0111\u1ed9t bi\u1ebfn l\u1ec7ch b\u1ed9i v\u00e0 m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n di truy\u1ec1n kh\u00e1c. C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p n\u00e0y t\u1eadp trung v\u00e0o c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y.<\/li>\n<li><strong>X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh:<\/strong> Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y cho bi\u1ebft thai nhi c\u00f3 th\u1ef1c s\u1ef1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd di truy\u1ec1n hay kh\u00f4ng c\u00f3 m\u1eafc c\u00e1c b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n \u0111\u01b0\u1ee3c g\u1ee3i \u00fd sau s\u00e0ng l\u1ecdc). C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean t\u1ebf b\u00e0o xu\u1ea5t ph\u00e1t t\u1eeb thai ho\u1eb7c b\u00e1nh nhau th\u00f4ng qua ch\u1ecdc \u1ed1i ho\u1eb7c sinh thi\u1ebft gai nhau (CVS).<\/li>\n<\/ul>\n<p>T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef mang thai \u0111\u1ec1u c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n.<\/p>\n<h2><strong>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc khi sinh bao g\u1ed3m nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0o?<\/strong><\/h2>\n<p>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 cho b\u1ea1n bi\u1ebft nguy c\u01a1 con b\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ea5t \u0111\u1ecbnh.<\/p>\n<p>Bao g\u1ed3m:<\/p>\n<ul>\n<li><strong>X\u00e9t nghi\u1ec7m th\u1ec3 mang:<\/strong> \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean b\u1ed1 m\u1eb9 (ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u00fd \u0111\u1ecbnh l\u00e0m b\u1ed1 m\u1eb9) b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1eabu m\u00e1u ho\u1eb7c m\u1eabu m\u00f4 \u0111\u01b0\u1ee3c qu\u00e9t \u1edf m\u1eb7t trong m\u00e1. Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m x\u00e1c \u0111\u1ecbnh c\u00f3 gene g\u00e2y b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n kh\u00f4ng. X\u00e9t nghi\u1ec7m th\u1ec3 mang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc ho\u1eb7c trong thai k\u1ef3.<\/li>\n<li><strong>S\u00e0ng l\u1ecdc di truy\u1ec1n tr\u01b0\u1edbc sinh:<\/strong> x\u00e9t nghi\u1ec7m m\u00e1u c\u1ee7a thai ph\u1ee5 v\u00e0 ghi nh\u1eadn t\u1eeb si\u00eau \u00e2m c\u00f3 th\u1ec3 s\u00e0ng l\u1ecdc \u0111\u1ed9t bi\u1ebfn l\u1ec7ch b\u1ed9i c\u1ee7a thai; d\u1ecb t\u1eadt n\u00e3o v\u00e0 c\u1ed9t s\u1ed1ng c\u00f2n g\u1ecdi l\u00e0 d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh (NTDs) v\u00e0 m\u1ed9t s\u1ed1 d\u1ecb t\u1eadt kh\u00e1c v\u1ec1 b\u1ee5ng, tim, v\u00e0 c\u00e1c b\u1ed9 ph\u1eadn tr\u00ean m\u1eb7t. C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p n\u00e0y t\u1eadp trung v\u00e0o c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y.C\u00e1c x\u00e9t nghi\u1ec7m bao g\u1ed3m s\u00e0ng l\u1ecdc qu\u00fd I, s\u00e0ng l\u1ecdc qu\u00fd II, k\u1ebft h\u1ee3p s\u00e0ng l\u1ecdc qu\u00fd I v\u00e0 II v\u1edbi x\u00e9t nghi\u1ec7m DNA t\u1ef1 do ngo\u1ea1i b\u00e0o (cfDNA).<\/li>\n<\/ul>\n<h2><strong>S\u00e0ng l\u1ecdc qu\u00fd I<\/strong><\/h2>\n<p>S\u00e0ng s\u00e0ng l\u1ecdc qu\u00fd I bao g\u1ed3m x\u00e9t nghi\u1ec7m m\u00e1u c\u1ee7a thai ph\u1ee5 v\u00e0 si\u00eau \u00e2m. C\u1ea3 hai x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng l\u00fac t\u1eeb tu\u1ea7n th\u1ee9 11 \u0111\u1ebfn tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 14 c\u1ee7a thai k\u1ef3:<\/p>\n<ul>\n<li>X\u00e9t nghi\u1ec7m hai ch\u1ea5t Beta hCG v\u00e0 PAPP-A<\/li>\n<li>Si\u00eau \u00e2m \u0111o \u0111\u1ed9 m\u1edd c\u1ee7a da g\u00e1y, t\u1ee9c l\u00e0 \u0111o \u0111\u1ed9 d\u00e0y c\u1ee7a kho\u1ea3ng tr\u1ed1ng \u1edf v\u00f9ng sau g\u00e1y c\u1ee7a thai nhi. K\u1ebft qu\u1ea3 b\u1ea5t th\u01b0\u1eddng c\u00f3 ngh\u0129a l\u00e0 thai nhi c\u00f3 nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng Down (trisomy 21) ho\u1eb7c m\u1ed9t \u0111\u1ed9t bi\u1ebfn l\u1ec7ch b\u1ed9i kh\u00e1c. N\u00f3 c\u0169ng li\u00ean quan \u0111\u1ebfn c\u00e1c d\u1ecb t\u1eadt v\u1ec1 h\u00ecnh th\u00e1i c\u1ee7a tim, th\u00e0nh b\u1ee5ng v\u00e0 khung x\u01b0\u01a1ng<\/li>\n<\/ul>\n<h2><strong>S\u00e0ng l\u1ecdc qu\u00fd II<\/strong><\/h2>\n<p>S\u00e0ng l\u1ecdc qu\u00fd II bao g\u1ed3m c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/p>\n<ul>\n<li>Quad test: l\u00e0 x\u00e9t nghi\u1ec7m ki\u1ec3m tra 4 y\u1ebfu t\u1ed1 t\u1eeb m\u00e1u c\u1ee7a b\u1ea1n (AFP, hCG, estriol, inhibin-A) nh\u1eb1m s\u00e0ng l\u1ecdc h\u1ed9i ch\u1ee9ng Down, h\u1ed9i ch\u1ee9ng Edwards (trisomy 18) v\u00e0 khi\u1ebfm khuy\u1ebft \u1ed1ng th\u1ea7n kinh\u2026[1]. X\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong kho\u1ea3ng t\u1eeb tu\u1ea7n th\u1ee9 15 \u0111\u1ebfn tu\u1ea7n th\u1ee9 22 c\u1ee7a thai k\u1ef3.<\/li>\n<li>Si\u00eau \u00e2m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb kho\u1ea3ng tu\u1ea7n th\u1ee9 18 \u0111\u1ebfn tu\u1ea7n th\u1ee9 22 c\u1ee7a thai k\u1ef3 \u0111\u1ec3 t\u00ecm c\u00e1c d\u1ecb t\u1eadt l\u1edbn v\u1ec1 h\u00ecnh th\u00e1i \u1edf n\u00e3o v\u00e0 c\u1ed9t s\u1ed1ng, m\u1eb7t, b\u1ee5ng, tim v\u00e0 tay ch\u00e2n<\/li>\n<\/ul>\n<h2><strong>Ph\u1ed1i h\u1ee3p s\u00e0ng l\u1ecdc qu\u00fd I v\u00e0 qu\u00fd II l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>K\u1ebft qu\u1ea3 t\u1eeb x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc qu\u00fd I v\u00e0 qu\u00fd II c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p trong c\u00e1c c\u00e1ch kh\u00e1c nhau. K\u1ebft qu\u1ea3 s\u00e0ng l\u1ecdc k\u1ebft h\u1ee3p ch\u00ednh x\u00e1c h\u01a1n k\u1ebft qu\u1ea3 s\u00e0ng l\u1ecdc \u0111\u01a1n l\u1ebb. N\u1ebfu b\u1ea1n l\u1ef1a ch\u1ecdn s\u00e0ng l\u1ecdc k\u1ebft h\u1ee3p, h\u00e3y nh\u1edb r\u1eb1ng k\u1ebft qu\u1ea3 cu\u1ed1i c\u00f9ng c\u1ee7a x\u00e9t nghi\u1ec7m th\u01b0\u1eddng kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb cho t\u1edbi giai \u0111o\u1ea1n qu\u00fd II c\u1ee7a thai k\u1ef3.<\/p>\n<h2><strong>X\u00e9t nghi\u1ec7m DNA t\u1ef1 do ngo\u1ea1i b\u00e0o l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>DNA t\u1ef1 do ngo\u1ea1i b\u00e0o (cfDNA) l\u00e0 m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf DNA \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch t\u1eeb nhau thai v\u00e0o m\u00e1u c\u1ee7a m\u1eb9. DNA\u00a0\u00a0 t\u1ef1 do ngo\u1ea1i b\u00e0o trong m\u1eabu m\u00e1u c\u1ee7a thai ph\u1ee5 c\u00f3 th\u1ec3 s\u00e0ng l\u1ecdc \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ee9ng Down, h\u1ed9i ch\u1ee9ng Patau (tam nhi\u1ec5m 13), h\u1ed9i ch\u1ee9ng Edwards v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh. X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb tu\u1ea7n th\u1ee9 10 c\u1ee7a thai k\u1ef3.M\u1ea5t kho\u1ea3ng 1 tu\u1ea7n \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m DNA t\u1ef1 do ngo\u1ea1i b\u00e0o d\u01b0\u01a1ng t\u00ednh ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n b\u1edfi x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n x\u00e2m l\u1ea5n nh\u01b0 ch\u1ecdc \u1ed1i ho\u1eb7c sinh thi\u1ebft gai nhau (CVS).<\/p>\n<h2><strong>C\u00e1c k\u1ebft qu\u1ea3 kh\u00e1c nhau c\u1ee7a x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh c\u00f3 \u00fd ngh\u0129a g\u00ec?<\/strong><\/h2>\n<p>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc l\u1ec7ch b\u1ed9i tr\u01b0\u1edbc sinh ch\u1ec9 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 m\u1eafc b\u1ec7nh:<\/p>\n<ul>\n<li>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u1ecb t\u1eadt d\u01b0\u01a1ng t\u00ednh c\u00f3 ngh\u0129a l\u00e0 thai nhi c\u1ee7a b\u1ea1n c\u00f3 nguy c\u01a1 b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n cao h\u01a1n so v\u1edbi c\u1ed9ng \u0111\u1ed3ng. \u0110i\u1ec1u \u0111\u00f3 kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 thai nhi c\u1ee7a b\u1ea1n ch\u1eafc ch\u1eafn b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n.<\/li>\n<li>K\u1ebft qu\u1ea3 \u00e2m t\u00ednh c\u00f3 ngh\u0129a l\u00e0 thai nhi c\u1ee7a b\u1ea1n c\u00f3 nguy c\u01a1 b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n th\u1ea5p h\u01a1n so v\u1edbi c\u1ed9ng \u0111\u1ed3ng. Nh\u01b0ng c\u0169ng kh\u00f4ng lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng thai nhi c\u1ee7a b\u1ea1n b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n.<\/li>\n<\/ul>\n<p>X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n x\u00e2m l\u1ea5n b\u1eb1ng sinh thi\u1ebft gai nhau CVS ho\u1eb7c ch\u1ecdc \u1ed1i cho k\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n<p>B\u00e1c s\u0129 s\u1ea3n khoa ho\u1eb7c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe kh\u00e1c, nh\u01b0 l\u00e0 c\u00e1c nh\u00e0 t\u01b0 v\u1ea5n di truy\u1ec1n, s\u1ebd gi\u1ea3i th\u00edch \u00fd ngh\u0129a k\u1ebft qu\u1ea3 s\u00e0ng l\u1ecdc c\u1ee7a b\u1ea1n v\u00e0 h\u1ed7 tr\u1ee3 b\u1ea1n quy\u1ebft \u0111\u1ecbnh c\u00e1c b\u01b0\u1edbc ti\u1ebfp theo.<\/p>\n<h2><strong>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc di truy\u1ec1n tr\u01b0\u1edbc khi sinh ch\u00ednh x\u00e1c nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>V\u1edbi b\u1ea5t k\u1ef3 lo\u1ea1i x\u00e9t nghi\u1ec7m n\u00e0o, \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 v\u00e0 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3. M\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc cho th\u1ea5y c\u00f3 b\u1ea5t th\u01b0\u1eddng nh\u01b0ng tr\u00ean th\u1ef1c t\u1ebf l\u00e0 kh\u00f4ng c\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3. M\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc cho th\u1ea5y kh\u00f4ng c\u00f3 g\u00ec b\u1ea5t th\u01b0\u1eddng nh\u01b0ng tr\u00ean th\u1ef1c t\u1ebf l\u00e0 c\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3. Chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe\u00a0\u00a0 c\u00f3 th\u1ec3 cung c\u1ea5p cho b\u1ea1n th\u00f4ng tin v\u1ec1 t\u1ef7 l\u1ec7 k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 v\u00e0 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3 cho m\u1ed7i x\u00e9t nghi\u1ec7m.<\/p>\n<h2><strong>B\u1ea1n n\u00ean c\u00e2n nh\u1eafc \u0111i\u1ec1u g\u00ec khi quy\u1ebft \u0111\u1ecbnh l\u00e0m x\u00e9t nghi\u1ec7m di truy\u1ec1n tr\u01b0\u1edbc khi sinh?<\/strong><\/h2>\n<p>\u0110\u00f3 l\u00e0 l\u1ef1a ch\u1ecdn c\u1ee7a b\u1ea1n c\u00f3 n\u00ean x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh hay kh\u00f4ng. Ni\u1ec1m tin v\u00e0 kinh t\u1ebf l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh.<\/p>\n<p>X\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh c\u00f2n \u0111\u1ecbnh h\u01b0\u1edbng trong ch\u1eafm s\u00f3c s\u1ee9c kh\u1ecfe thai k\u00ec. H\u00e3y nh\u1edb r\u1eb1ng x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u01b0\u01a1ng t\u00ednh ch\u1ec9 cho b\u1ea1n bi\u1ebft r\u1eb1ng b\u1ea1n c\u00f3 nguy c\u01a1 sinh con m\u1eafc h\u1ed9i ch\u1ee9ng Down ho\u1eb7c m\u1eafc d\u1ecb t\u1eadt kh\u00e1c cao h\u01a1n. M\u1ed9t x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n n\u1ebfu b\u1ea1n mu\u1ed1n bi\u1ebft m\u1ed9t k\u1ebft qu\u1ea3 ch\u1eafc ch\u1eafn h\u01a1n.<\/p>\n<p>M\u1ed9t s\u1ed1 cha m\u1eb9 mu\u1ed1n bi\u1ebft tr\u01b0\u1edbc r\u1eb1ng li\u1ec7u con h\u1ecd sinh ra \u00a0c\u00f3 b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n hay kh\u00f4ng. \u0110i\u1ec1u n\u00e0y gi\u00fap cho cha m\u1eb9 c\u00f3 th\u1eddi gian \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 b\u1ea5t th\u01b0\u1eddng n\u00e0y v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c y t\u1ebf cho b\u00e9 sau sinh. M\u1ed9t s\u1ed1 cha m\u1eb9 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh ch\u1ea5m d\u1ee9t thai k\u1ef3 trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng.<\/p>\n<p>C\u00e1c b\u1eadc cha m\u1eb9 kh\u00e1c kh\u00f4ng mu\u1ed1n bi\u1ebft th\u00f4ng tin n\u00e0y tr\u01b0\u1edbc khi tr\u1ebb \u0111\u01b0\u1ee3c sinh ra. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u1ea1n c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh kh\u00f4ng ti\u1ebfp t\u1ee5c l\u00e0m x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n n\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc l\u00e0 d\u01b0\u01a1ng t\u00ednh. Ho\u1eb7c b\u1ea1n c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh kh\u00f4ng l\u00e0m b\u1ea5t k\u1ef3 x\u00e9t nghi\u1ec7m n\u00e0o c\u1ea3. Kh\u00f4ng c\u00f3 c\u00e2u tr\u1ea3 l\u1eddi \u0111\u00fang hay sai.<\/p>\n<h2><strong>B\u1ea3ng ch\u00fa gi\u1ea3i<\/strong><\/h2>\n<h4><strong>Ch\u1ecdc d\u00f2 \u1ed1i<\/strong><\/h4>\n<p>Ch\u1ecdc \u1ed1i l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt d\u00f9ng m\u1ed9t kim nh\u1ecf v\u00e0 d\u00e0i xuy\u00ean qua l\u1edbp c\u01a1 t\u1eed cung v\u00e0o bu\u1ed3ng \u1ed1i \u0111\u1ec3 l\u1ea5y m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i v\u1eeba ph\u1ea3i v\u00e0 x\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o.<\/p>\n<h4><strong>L\u1ec7ch b\u1ed9i<\/strong><\/h4>\n<p>C\u00f3 s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec5m s\u1eafc th\u1ec3 b\u1ea5t th\u01b0\u1eddng. C\u00e1c lo\u1ea1i b\u1ea5t th\u01b0\u1eddng s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec5m s\u1eafc th\u1ec3 bao g\u1ed3m th\u1ec3 tam b\u1ed9i l\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 th\u1eeba m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 ho\u1eb7c th\u1ec3 \u0111\u01a1n b\u1ed9i l\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu \u0111i m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3,. D\u1ecb t\u1eadt c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 nhi\u1ec5m s\u1eafc th\u1ec3 n\u00e0o, bao g\u1ed3m c\u1ea3 nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh. H\u1ed9i ch\u1ee9ng Down (th\u1ec3 tam b\u1ed9i \u00a021) l\u00e0 m\u1ed9t d\u1ecb t\u1eadt th\u01b0\u1eddng g\u1eb7p. Nh\u1eefng d\u1ecb t\u1eadt kh\u00e1c l\u00e0 h\u1ed9i ch\u1ee9ng Patau (th\u1ec3 tam b\u1ed9i 13) v\u00e0 h\u1ed9i ch\u1ee9ng Edwards (th\u1ec3 tam b\u1ed9i 18).<\/p>\n<h4><strong>S\u00e0ng l\u1ecdc ng\u01b0\u1eddi l\u00e0nh mang gen b\u1ec7nh<\/strong><\/h4>\n<p>M\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c l\u00e0m tr\u00ean m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n ho\u1eb7c tri\u1ec7u ch\u1ee9ng \u0111\u1ec3\u00a0 bi\u1ebft \u0111\u01b0\u1ee3c li\u1ec7u ng\u01b0\u1eddi n\u00e0y c\u00f3 mang gen g\u00e2y \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n hay kh\u00f4ng .<\/p>\n<h4><strong>DNA t\u1ef1 do ngo\u1ea1i b\u00e0o<\/strong><\/h4>\n<p>DNA t\u1eeb nhau thai di chuy\u1ec3n t\u1ef1 do trong m\u00e1u c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef mang thai. Ph\u00e2n t\u00edch DNA n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m nh\u01b0 m\u1ed9t x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh kh\u00f4ng x\u00e2m l\u1ea5n.<\/p>\n<h4><strong>T\u1ebf b\u00e0o<\/strong><\/h4>\n<p>\u0110\u01a1n v\u1ecb c\u1ea5u tr\u00fac nh\u1ecf nh\u1ea5t c\u1ee7a c\u01a1 th\u1ec3 .T\u1ebf b\u00e0o l\u00e0 th\u00e0nh ph\u1ea7n tham gia c\u1ea5u t\u1ea1o c\u00e1c ph\u1ea7n c\u01a1 th\u1ec3.<\/p>\n<h4><strong>Sinh thi\u1ebft gai nhau<\/strong> <strong>(CVS)<\/strong><\/h4>\n<p>M\u1ed9t th\u1ee7 thu\u1eadt trong \u0111\u00f3 m\u1ed9t m\u1eabu t\u1ebf b\u00e0o nh\u1ecf \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb nhau thai v\u00e0 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m.<\/p>\n<h4><strong>Nhi\u1ec5m s\u1eafc th\u1ec3<\/strong><\/h4>\n<p>C\u00e1c c\u1ea5u tr\u00fac n\u1eb1m b\u00ean trong m\u1ed7i t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3.Ch\u00fang ch\u1ee9a c\u00e1c gen quy\u1ebft \u0111\u1ecbnh ki\u1ec3u h\u00ecnh m\u1ed9t ng\u01b0\u1eddi.<\/p>\n<h4><strong>B\u1ec7nh X\u01a1 nang (CF)<\/strong><\/h4>\n<p>M\u1ed9t b\u1ec7nh di truy\u1ec1n g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p v\u00e0 ti\u00eau h\u00f3a.<\/p>\n<h4><strong>X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n<\/strong><\/h4>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ho\u1eb7c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u00f3.<\/p>\n<h4><strong>DNA<\/strong><\/h4>\n<p>V\u1eadt ch\u1ea5t di truy\u1ec1n \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb b\u1ed1 m\u1eb9 sang con. DNA \u0111\u01b0\u1ee3c \u0111\u00f3ng g\u00f3i trong c\u00e1c c\u1ea5u tr\u00fac g\u1ecdi l\u00e0 nhi\u1ec5m s\u1eafc th\u1ec3.<\/p>\n<h4><strong>H\u1ed9i ch\u1ee9ng Down (th\u1ec3 tam nhi\u1ec5m 21)<\/strong><\/h4>\n<p>M\u1ed9t r\u1ed1i lo\u1ea1n di truy\u1ec1n g\u00e2y ra c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m b\u1ea5t th\u01b0\u1eddng c\u1ee7a khu\u00f4n m\u1eb7t v\u00e0 c\u01a1 th\u1ec3, k\u00e8m theo c\u00e1c d\u1ecb t\u1eadt kh\u00e1c nh\u01b0 d\u1ecb t\u1eadt tim v\u00e0 d\u1ecb t\u1eadt th\u1ea7n kinh. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc h\u1ed9i ch\u1ee9ng Down do th\u1eeba m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 21 (th\u1ec3 tam nhi\u1ec5m 21).<\/p>\n<h4><strong>H\u1ed9i ch\u1ee9ng Edwards (th\u1ec3 tam nhi\u1ec5m 18)<\/strong><\/h4>\n<p>M\u1ed9t b\u1ec7nh l\u00fd di truy\u1ec1n g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng: g\u00e2y t\u1eadt \u0111\u1ea7u nh\u1ecf, d\u1ecb t\u1eadt tim v\u00e0 \u0111i\u1ebfc.<\/p>\n<h4><strong>Thai nhi<\/strong><\/h4>\n<p>Giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n c\u1ee7a con ng\u01b0\u1eddi t\u1eeb tu\u1ea7n th\u1ee9 8 tr\u1edf \u0111i sau khi th\u1ee5 tinh.<\/p>\n<h4><strong>Gen<\/strong><\/h4>\n<p>C\u00e1c \u0111o\u1ea1n DNA c\u00f3 ch\u1ee9a c\u00e1c v\u1eadt ch\u1ea5t di truy\u1ec1n c\u1ea7n cho s\u1ef1 h\u00ecnh th\u00e0nh \u0111\u1eb7c \u0111i\u1ec3m ki\u1ec3u h\u00ecnh c\u1ee7a m\u1ed9t ng\u01b0\u1eddi v\u00e0 \u0111i\u1ec1u khi\u1ec3n c\u00e1c qu\u00e1 tr\u00ecnh trong c\u01a1 th\u1ec3. Gen\u00a0 l\u00e0 \u0111\u01a1n v\u1ecb c\u01a1 b\u1ea3n c\u1ee7a di truy\u1ec1n v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb cha m\u1eb9 sang con.<\/p>\n<h4><strong>Chuy\u00ean gia t\u01b0 v\u1ea5n di truy\u1ec1n<\/strong><\/h4>\n<p>M\u1ed9t chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u0111\u1eb7c bi\u1ec7t v\u1ec1 di truy\u1ec1n h\u1ecdc, ng\u01b0\u1eddi c\u00f3 th\u1ec3 cung c\u1ea5p l\u1eddi khuy\u00ean chuy\u00ean m\u00f4n v\u1ec1 c\u00e1c r\u1ed1i lo\u1ea1n di truy\u1ec1n v\u00e0 x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi sinh.<\/p>\n<h4><strong>R\u1ed1i lo\u1ea1n di truy\u1ec1n<\/strong><\/h4>\n<p>R\u1ed1i lo\u1ea1n do thay \u0111\u1ed5i trong gen ho\u1eb7c nhi\u1ec5m s\u1eafc th\u1ec3.<\/p>\n<h4><strong>R\u1ed1i lo\u1ea1n c\u00f3 t\u00ednh di truy\u1ec1n <\/strong><\/h4>\n<p>R\u1ed1i lo\u1ea1n g\u00e2y b\u1edfi m\u1ed9t thay \u0111\u1ed5i gen c\u00f3 th\u1ec3 truy\u1ec1n t\u1eeb cha m\u1eb9 sang con.<\/p>\n<h4><strong>Th\u1ec3 \u0111\u01a1n nhi\u1ec5m<\/strong><\/h4>\n<p>T\u00ecnh tr\u1ea1ng thi\u1ebfu m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3.<\/p>\n<h4><strong>\u0110\u1ed9t bi\u1ebfn<\/strong><\/h4>\n<p>Bi\u1ebfn \u0111\u1ed5i c\u00e1c gen c\u00f3 th\u1ec3 truy\u1ec1n t\u1eeb cha m\u1eb9 sang con.<\/p>\n<h4><strong>D\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh (NTDs)<\/strong><\/h4>\n<p>C\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh do s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a n\u00e3o, t\u1ee7y s\u1ed1ng ho\u1eb7c l\u1edbp bao ph\u1ee7 ch\u00fang.<\/p>\n<h4><strong>S\u00e0ng l\u1ecdc \u0111o \u0111\u1ed9 m\u1edd da g\u00e1y<\/strong><\/h4>\n<p>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh, nh\u01b0 h\u1ed9i ch\u1ee9ng Down, h\u1ed9i ch\u1ee9ng Edwards ho\u1eb7c d\u1ecb t\u1eadt tim. Vi\u1ec7c s\u00e0ng l\u1ecdc s\u1eed d\u1ee5ng si\u00eau \u00e2m \u0111\u1ec3 \u0111o d\u1ecbch \u1edf v\u00f9ng g\u00e1y c\u1ee7a thai nhi.<\/p>\n<h4><strong>B\u00e1c s\u0129 s\u1ea3n khoa<\/strong><\/h4>\n<p>M\u1ed9t b\u00e1c s\u0129 ch\u0103m s\u00f3c ph\u1ee5 n\u1eef mang thai v\u00e0 chuy\u1ec3n d\u1ea1.<\/p>\n<h4><strong>H\u1ed9i ch\u1ee9ng Patau (th\u1ec3 tam nhi\u1ec5m\u00a0 13)<\/strong><\/h4>\n<p>T\u00ecnh tr\u1ea1ng di truy\u1ec1n g\u00e2y ra v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng. Bao g\u1ed3m d\u1ecb t\u1eadt tim v\u00e0 n\u00e3o, s\u1ee9t m\u00f4i v\u00e0 h\u1edf h\u00e0m \u1ebfch, v\u00e0 th\u1eeba c\u00e1c ng\u00f3n tay v\u00e0 ng\u00f3n ch\u00e2n.<\/p>\n<h4><strong>Nhau thai<\/strong><\/h4>\n<p>M\u1ed9t c\u01a1 quan cung c\u1ea5p ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 th\u1ea3i ch\u1ea5t th\u1ea3i ra kh\u1ecfi thai nhi.<\/p>\n<h4><strong>C\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc<\/strong><\/h4>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m t\u00ecm ki\u1ebfm c\u00e1c d\u1ea5u hi\u1ec7u b\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n ho\u1eb7c tri\u1ec7u ch\u1ee9ng.<\/p>\n<h4><strong>Nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh<\/strong><\/h4>\n<p>Nhi\u1ec5m s\u1eafc th\u1ec3 x\u00e1c \u0111\u1ecbnh gi\u1edbi t\u00ednh m\u1ed9t ng\u01b0\u1eddi. \u1ede ng\u01b0\u1eddi, c\u00f3 hai nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh, X v\u00e0 Y. N\u1eef gi\u1edbi c\u00f3 hai nhi\u1ec5m s\u1eafc th\u1ec3 X v\u00e0 nam gi\u1edbi c\u00f3 m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 X v\u00e0 m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 Y.<\/p>\n<h4><strong>B\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m<\/strong><\/h4>\n<p>M\u1ed9t b\u1ec7nh l\u00fd di truy\u1ec1n trong \u0111\u00f3 c\u00e1c h\u1ed3ng c\u1ea7u c\u00f3 h\u00ecnh l\u01b0\u1ee1i li\u1ec1m, n\u00f3 g\u00e2y thi\u1ebfu m\u00e1u m\u00e3n t\u00ednh v\u00e0 c\u00e1c \u0110au \u1edf c\u00e1c c\u1ea5p \u0111\u1ed9 kh\u00e1c nhau. B\u1ec7nh xu\u1ea5t hi\u1ec7n th\u01b0\u1eddng xuy\u00ean nh\u1ea5t \u1edf Ng\u01b0\u1eddi M\u1ef9 g\u1ed1c Phi.<\/p>\n<h4><strong>B\u1ec7nh Tay-Sachs<\/strong><\/h4>\n<p>M\u1ed9t b\u1ec7nh l\u00fd di truy\u1ec1n g\u00e2y ra d\u1ecb t\u1eadt th\u1ea7n kinh, m\u00f9 l\u00f2a, co gi\u1eadt v\u00e0 t\u1eed vong, th\u01b0\u1eddng g\u1eb7p tr\u1ebb 5 tu\u1ed5i. N\u00f3 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi ph\u01b0\u01a1ng \u0110\u00f4ng ho\u1eb7c Trung \u00c2u thu\u1ed9c ng\u01b0\u1eddi Do Th\u00e1i, c\u0169ng nh\u01b0 ng\u01b0\u1eddi\u00a0 Ph\u00e1p Canada v\u00e0 ng\u01b0\u1eddi Cajun.<\/p>\n<h4><strong>Qu\u00fd <\/strong><\/h4>\n<p>Th\u1eddi gian m\u1ed7i 3 th\u00e1ng trong thai k\u1ef3 c\u00f3 th\u1ec3 l\u00e0 qu\u00fd th\u1ee9 nh\u1ea5t, th\u1ee9 hai ho\u1eb7c th\u1ee9 ba.<\/p>\n<h4><strong>Th\u1ec3 tam nhi\u1ec5m<\/strong><\/h4>\n<p>M\u1ed9t t\u00ecnh tr\u1ea1ng trong \u0111\u00f3 c\u00f3 th\u1eeba m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3.<\/p>\n<h4><strong>\u00a0Si\u00eau \u00e2m<\/strong><\/h4>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m trong \u0111\u00f3 s\u00f3ng \u00e2m thanh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra c\u00e1c b\u1ed9 ph\u1eadn b\u00ean trong c\u01a1 th\u1ec3. Khi mang thai, si\u00eau \u00e2m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra thai nhi<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#genetic-testing\" target=\"_blank\" rel=\"noopener\">What is prenatal genetic testing?<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#genetic-disorders?\" target=\"_blank\" rel=\"noopener\">What are genetic disorders?<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#types-genetic-tests\" target=\"_blank\" rel=\"noopener\">What are the two main types of prenatal genetic tests?<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#genetic-screening-tests\" target=\"_blank\" rel=\"noopener\">What are the different types of prenatal genetic screening tests?<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#first-trimester-screening\" target=\"_blank\" rel=\"noopener\">What is first-trimester screening?<\/a><\/li>\n<li><a href=\"https:\/\/www.acog.org\/Patients\/FAQs\/Prenatal-Genetic-Screening-Tests?fbclid=IwAR15tqYHOihid04i0uL6W8P26gJxxyTpcyT1Swkbh8QuPRGaLo8-IPEOHpU&amp;IsMobileSet=false#second-trimester-screening\" target=\"_blank\" rel=\"noopener\">What is second-trimester screening?<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 cho b\u1ea1n bi\u1ebft nguy c\u01a1 con b\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ea5t \u0111\u1ecbnh. H\u01a1n n\u1eefa x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc sinh c\u00f2n \u0111\u1ecbnh h\u01b0\u1edbng trong ch\u1eafm s\u00f3c s\u1ee9c kh\u1ecfe thai k\u00ec. \u00a0H\u00e3y nh\u1edb r\u1eb1ng x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u01b0\u01a1ng t\u00ednh ch\u1ec9 cho b\u1ea1n bi\u1ebft r\u1eb1ng b\u1ea1n c\u00f3 nguy c\u01a1 sinh con m\u1eafc b\u1ec7nh. M\u1ed9t s\u1ed1 cha m\u1eb9 mu\u1ed1n bi\u1ebft tr\u01b0\u1edbc r\u1eb1ng li\u1ec7u con h\u1ecd sinh ra \u00a0c\u00f3 b\u1ecb r\u1ed1i lo\u1ea1n di truy\u1ec1n hay kh\u00f4ng. \u0110i\u1ec1u n\u00e0y gi\u00fap cho cha m\u1eb9 c\u00f3 th\u1eddi gian \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 b\u1ea5t th\u01b0\u1eddng n\u00e0y v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c y t\u1ebf cho b\u00e9 sau sinh. M\u1ed9t s\u1ed1 cha m\u1eb9 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh ch\u1ea5m d\u1ee9t thai k\u1ef3 trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng.<\/p>\n","protected":false},"author":17,"featured_media":19456,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5288,5996],"tags":[9316,9317,9318],"series":[6000],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc c\u00f3 th\u1ec3 cho b\u1ea1n bi\u1ebft nguy c\u01a1 con b\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ea5t \u0111\u1ecbnh. 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H\u1ed3 Ch\u00ed Minh n\u0103m 2008 (B\u00e1c s\u0129 \u0111a khoa)","sameAs":["http:\/\/facebook.com\/phuongloan.bui.739"],"url":"https:\/\/yhoccongdong.com\/du-an-khac\/author\/bui-thi-phuong-loan\/"}]}},"_links":{"self":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/19455"}],"collection":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/comments?post=19455"}],"version-history":[{"count":0,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/posts\/19455\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media\/19456"}],"wp:attachment":[{"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/media?parent=19455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/categories?post=19455"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/tags?post=19455"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/series?post=19455"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/yhoccongdong.com\/du-an-khac\/wp-json\/wp\/v2\/coauthors?post=19455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}