{"id":2483,"date":"2018-03-18T08:25:11","date_gmt":"2018-03-18T01:25:11","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2019\/02\/12\/kep-cuong-ron-cham\/"},"modified":"2024-03-04T13:48:13","modified_gmt":"2024-03-04T06:48:13","slug":"kep-cuong-ron-cham","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/kep-cuong-ron-cham\/","title":{"rendered":"K\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm"},"content":{"rendered":"

K\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm l\u00e0 g\u00ec? <\/strong><\/h2>\n

L\u00e0 khi tr\u1ebb sinh ra, ch\u00fang ta kh\u00f4ng k\u1eb9p, c\u1eaft cu\u1ed1ng r\u1ed1n li\u1ec1n, m\u00e0 \u0111\u1ee3i m\u1ed9t th\u1eddi gian ( t\u1ed1i thi\u1ec3u 30 – 60 gi\u00e2y – theo H\u1ed9i \u0111\u1ed3ng s\u1ea3n ph\u1ee5 hoa k\u1ef3; 1 – 3 ph\u00fat theo WHO), ho\u1eb7c khi th\u1ea5y cu\u1ed1ng r\u1ed1n ng\u1eebng \u0111\u1eadp h\u1eb3n, th\u00ec m\u1edbi k\u1eb9p v\u00e0 c\u1eaft cu\u1ed1ng r\u1ed1n, t\u00e1ch b\u00e9 ra kh\u1ecfi m\u1eb9.<\/p>\n

T\u1ea1i sao n\u00ean k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm?<\/strong><\/h2>\n

V\u00ec hi\u1ec7n nay, c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y th\u1ef1c h\u00e0nh n\u00e0y mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch cho b\u00e9.<\/p>\n

    \n
  1. K\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm c\u00f3 th\u1eddi gian cho m\u00e1u t\u1eeb nhau thai ch\u1ea3y th\u00eam v\u00e0o ng\u01b0\u1eddi tr\u1ebb<\/strong>. N\u1ebfu \u0111\u1ee3i 1 ph\u00fat, tr\u1ebb nh\u1eadn th\u00eam \u0111\u01b0\u1ee3c kho\u1ea3ng 80 ml m\u00e1u. N\u1ebfu \u0111\u1ee3i 3 ph\u00fat, tr\u1ebb nh\u1eadn \u0111\u01b0\u1ee3c kho\u1ea3ng 100ml. L\u01b0\u1ee3ng m\u00e1u th\u00eam v\u00e0o n\u00e0y gi\u00fap t\u0103ng th\u1ebf t\u00edch m\u00e1u, v\u00e0 l\u00e0m t\u0103ng tr\u1eef l\u01b0\u1ee3ng s\u1eaft trong ng\u01b0\u1eddi tr\u1ebb.<\/li>\n
  2. M\u00e1u t\u1eeb nhau thai c\u00f2n gi\u00e0u c\u00e1c kh\u00e1ng th\u1ec3 immunoglobulin, v\u00e0 c\u00e1c t\u1ebf b\u00e0o g\u1ed1c, v\u00ec v\u1eady c\u0169ng c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n vi\u1ec7c ph\u1ee5c h\u1ed3i s\u1eefa ch\u1eefa c\u00e1c c\u01a1 quan v\u1ec1 sau<\/strong> \u2013 Tuy nhi\u00ean, t\u00e1c d\u1ee5ng n\u00e0y ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng.<\/strong><\/li>\n
  3. \u0110\u1ed1i v\u1edbi tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng<\/strong>, nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap tr\u1ebb c\u00f3 nhi\u1ec1u m\u00e1u h\u01a1n, nhi\u1ec1u s\u1eaft h\u01a1<\/strong>n, v\u00e0 v\u00ec v\u1eady, gi\u00fap ph\u00f2ng ng\u1eeba, gi\u1ea3m nguy c\u01a1 b\u1ecb thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft, \u0111\u1eb7c bi\u1ec7t trong n\u0103m \u0111\u1ea7u \u0111\u1eddi c\u1ee7a tr\u1ebb.<\/li>\n
  4. \u0110\u1ed1i v\u1edbi tr\u1ebb sinh non th\u00e1ng<\/strong>, nghi\u00ean c\u1ee9u cho th\u1ea5y, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap gi\u1ea3m nguy c\u01a1 huy\u1ebft \u00e1p th\u1ea5p, gi\u1ea3m nhu c\u1ea7u c\u1ea7n truy\u1ec1n m\u00e1u<\/strong>, v\u00e0 \u0111\u1eb7c bi\u1ec7t, gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 xu\u1ea5t huy\u1ebft trong n\u00e3o th\u1ea5t<\/strong> \u1edf d\u00e2n s\u1ed1 n\u00e0y.<\/li>\n
  5. M\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng c\u00f2n cho th\u1ea5y c\u00f3 gi\u1ea3m nhu c\u1ea7u h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p<\/strong>, c\u0169ng nh\u01b0 gi\u1ea3m nguy c\u01a1 c\u00e1c b\u1ec7nh vi\u00eam nhi\u1ec5m m\u00e1u, \u0111\u01b0\u1eddng ru\u1ed9t<\/strong> trong th\u1eddi gian n\u1eb1m vi\u1ec7n.<\/li>\n<\/ol>\n

    \u0110\u1ed1i v\u1edbi m\u1eb9, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u1eadt ra kh\u00f4ng cho th\u1ea5y b\u1eb1ng ch\u1ee9ng c\u00f3 \u00edch cho m\u1eb9, nh\u01b0ng c\u0169ng kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u sau sinh.<\/p>\n

    B\u1ea5t l\u1ee3i c\u1ee7a k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm? <\/strong><\/h2>\n

    Khi tr\u1ebb \u0111\u01b0\u1ee3c nh\u1eadn m\u1ed9t th\u1ec3 t\u00edch m\u00e1u th\u00eam b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, tr\u1ebb t\u0103ng h\u1ed3ng c\u1ea7u (c\u00e1c t\u1ebf b\u00e0o m\u00e1u \u0111\u1ecf). C\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u trong ng\u01b0\u1eddi tr\u1ebb, trong giai \u0111o\u1ea1n \u0111\u1ea7u sau sinh, s\u1ebd b\u1ecb ph\u00e1 h\u1ee7y \u0111\u1ec3 thay th\u1ebf b\u1eb1ng c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u tr\u01b0\u1edfng th\u00e0nh h\u01a1n, nh\u01b0 m\u1ed9t sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng l\u1ea1i t\u1ea1o n\u00ean Bilirubin, g\u00e2y v\u00e0ng da cho tr\u1ebb<\/a>. H\u1ed3ng c\u1ea7u c\u00e0ng nhi\u1ec1u, bilirubin c\u00f3 th\u1ec3 c\u00e0ng cao, l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb v\u00e0ng da nhi\u1ec1u<\/strong>, c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 xem x\u00e9t can thi\u1ec7p b\u1eb1ng vi\u1ec7c chi\u1ebfu \u0111\u00e8n. V\u00ec v\u1eady, d\u00e2n s\u1ed1 tr\u1ebb d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm, c\u00f3 t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb v\u00e0ng da c\u1ea7n can thi\u1ec7p sau sinh.<\/strong><\/p>\n

    Khi n\u00e0o n\u00ean d\u00f9ng v\u00e0 kh\u00f4ng n\u00ean d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y? <\/strong><\/h2>\n

    V\u1edbi nh\u1eefng l\u1ee3i \u00edch k\u1ec3 tr\u00ean, hi\u1ec7n nay, khuy\u1ebfn c\u00e1o ph\u01b0\u01a1ng ph\u00e1p n\u00e0y n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf t\u1ea5t c\u1ea3 m\u1ecdi tr\u01b0\u1eddng h\u1ee3p, n\u1ebfu \u0111i\u1ec1u ki\u1ec7n cho ph\u00e9p. Ngay c\u1ea3 \u1edf m\u1eb9 b\u1ecb nhi\u1ec5m HIV, l\u1ee3i \u00edch c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho th\u1ea5y \u201cn\u1eb7ng \u0111\u00f4\u201d h\u01a1n nguy c\u01a1 b\u1ecb l\u00e2y nhi\u1ec5m HIV t\u1eeb m\u1eb9 sang con, n\u00ean v\u1eabn \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch th\u1ef1c h\u00e0nh.<\/p>\n

    Xem th\u00eam b\u00e0i vi\u1ebft\u00a0B\u00e0i 27 \u2013 L\u00e0m g\u00ec khi ph\u00e1t hi\u1ec7n nhi\u1ec5m HIV khi c\u00f3 thai?<\/a><\/pre>\n
    Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t m\u00e0 c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 t\u1ef1 \u0111\u00e1nh gi\u00e1, quy\u1ebft \u0111\u1ecbnh n\u00ean d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y hay kh\u00f4ng, l\u00e0 khi vi\u1ec7c ch\u1edd \u0111\u1ee3i 1 ph\u00fat tr\u1edf l\u00ean c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh m\u1ea1ng v\u00e0 x\u1eed tr\u00ed h\u1ed3i s\u1ee9c cho m\u1eb9 ho\u1eb7c con<\/strong>. V\u00ed d\u1ee5 nh\u01b0 khi m\u1eb9 b\u1ecb xu\u1ea5t huy\u1ebft \u1ed3 \u1ea1t sau sinh, ho\u1eb7c khi tr\u1ebb sinh ra c\u00f3 t\u00ecnh tr\u1ea1ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, ng\u1ea1t, thi\u1ebfu oxy, nh\u1ecbp tim r\u1eddi r\u1ea1c, c\u1ea7n h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u ngay l\u1eadp t\u1ee9c….L\u00fac n\u00e0y, th\u00ec gia \u0111\u00ecnh kh\u00f4ng c\u00f3 quy\u1ec1n l\u1ef1a ch\u1ecdn n\u1eefa, v\u00ec c\u1ea7n \u01b0u ti\u00ean c\u1ee9u ng\u01b0\u1eddi.<\/p>\n
    N\u1ebfu mu\u1ed1n l\u1ea5y t\u1ebf b\u00e0o m\u00e1u cu\u1ed1ng r\u1ed1n \u0111\u1ec3 tr\u1eef th\u00ec c\u00f3 th\u1ec3 l\u00e0m ph\u01b0\u01a1ng ph\u00e1p k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm hay kh\u00f4ng? <\/strong><\/h2>\n
    \u0110\u00e2y l\u00e0 c\u00e2u h\u1ecfi c\u1ee7a nhi\u1ec1u m\u1eb9.<\/p>\n
    C\u00e2u tr\u1ea3 l\u1eddi l\u00e0 C\u00d3!<\/strong><\/p>\n
    B\u1ea1n c\u00f3 th\u1ec3 v\u1eeba l\u00e0m ph\u01b0\u01a1ng ph\u00e1p k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm, v\u1eeba c\u00f3 th\u1ec3 l\u1ea5y t\u1ebf b\u00e0o m\u00e1u cu\u1ed1ng r\u1ed1n \u0111\u1ec3 tr\u1eef sau \u0111\u00f3, v\u00e0 hai ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng \u1ea3nh h\u01b0\u1edfng g\u00ec nhau.<\/p>\n
    Ch\u00fang ta ch\u1ec9 c\u1ea7n 25% m\u00e1u cu\u1ed1ng r\u1ed1n \u0111\u1ec3 d\u00f9ng tr\u1eef t\u1ebf b\u00e0o g\u1ed1c. N\u1ebfu ta \u0111\u1ee3i 3 ph\u00fat r\u1ed3i k\u1eb9p cu\u1ed1n r\u1ed1n, th\u00ec ch\u1ec9 c\u00f3 50% m\u00e1u cu\u1ed1ng r\u1ed1n \u0111i v\u00e0o ng\u01b0\u1eddi tr\u1ebb, 50% v\u1eabn c\u00f2n l\u1ea1i trong cu\u1ed1ng r\u1ed1n. V\u00ec v\u1eady, sau khi l\u00e0m ph\u01b0\u01a1ng ph\u00e1p k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm, v\u1eabn c\u00f2n d\u01b0, \u0111\u1ee7 t\u1ebf b\u00e0o m\u00e1u cu\u1ed1ng r\u1ed1n \u0111\u1ec3 tr\u1eef \u0111\u00f4ng theo mong mu\u1ed1n.<\/p>\n
    V\u00ec v\u1eady, th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129, v\u00e0 v\u1edbi d\u1ecbch v\u1ee5 l\u1ea5y tr\u1eef m\u00e1u cu\u1ed1ng r\u1ed1n<\/a>, \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 chu\u1ea9n b\u1ecb t\u00e2m l\u00fd, v\u00e0 s\u1eb5n s\u00e0ng l\u00e2m tr\u1eadn!<\/p>\n
    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n
      \n
    1. Committee Opinion: Timing of Umbilical cord clamping after birth; The American College of Obstetricians and Gynecologists; Number 543, December 2012 (Reaffirmed 2014).<\/li>\n
    2. WHO Guideline: Delayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes.; 2014.<\/li>\n
    3. Frequently Asked questions; Cord Blood Banking website; America.<\/li>\n
    4. Dealyed Cord Clamping; New England Cord BLood Bank website.<\/li>\n
    5. https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/292637171123345<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
      N\u00ean k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm v\u00ec  hi\u1ec7n nay, c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y th\u1ef1c h\u00e0nh n\u00e0y mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch cho b\u00e9.<\/p>\n","protected":false},"author":14,"featured_media":2484,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6105],"tags":[4769,4770,4771,4772,4773,4774,4775,4776],"series":[2543],"coauthors":[2652],"acf":[],"yoast_head":"\nK\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"N\u00ean k\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm v\u00ec hi\u1ec7n nay, c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y th\u1ef1c h\u00e0nh n\u00e0y mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch cho b\u00e9.\" \/>\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\/nhi-khoa\/kep-cuong-ron-cham\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u1eb9p cu\u1ed1ng r\u1ed1n ch\u1eadm - 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