{"id":3778,"date":"2018-08-20T14:27:33","date_gmt":"2018-08-20T07:27:33","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/20\/suy-ho-hap-do-sinh-mo-chua-chuyen-da\/"},"modified":"2024-03-04T13:50:13","modified_gmt":"2024-03-04T06:50:13","slug":"suy-ho-hap-do-sinh-mo-chua-chuyen-da","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/suy-ho-hap-do-sinh-mo-chua-chuyen-da\/","title":{"rendered":"Suy h\u00f4 h\u1ea5p do sinh m\u1ed5 ch\u01b0a chuy\u1ec3n d\u1ea1"},"content":{"rendered":"<h2>\u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p>S\u01a1 sinh \u0111\u01b0\u1ee3c sinh m\u1ed5 khi ch\u01b0a chuy\u1ec3n d\u1ea1 (m\u1ed5 ch\u1ee7 \u0111\u1ed9ng, ch\u1ecdn ng\u00e0y \u0111\u1eb9p&#8230;) c\u00f3 nguy c\u01a1 b\u1ecb suy h\u00f4 h\u1ea5p sau sinh cao h\u01a1n tr\u1ebb \u0111\u01b0\u1ee3c sinh m\u1ed5 khi \u0111\u00e3 kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1 v\u00e0 cao h\u01a1n so v\u1edbi tr\u1ebb sinh th\u01b0\u1eddng \u1edf c\u00f9ng tu\u1ed5i thai v\u00e0 c\u00e2n n\u1eb7ng.<\/p>\n<h2>Sinh l\u00fd b\u1ec7nh<\/h2>\n<ul>\n<li>Thai kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i qua ng\u00e3 \u00e2m \u0111\u1ea1o, l\u1ed3ng ng\u1ef1c tr\u1ebb kh\u00f4ng \u0111\u01b0\u1ee3c \u00e9p c\u01a1 h\u1ecdc trong qu\u00e1 tr\u00ecnh di chuy\u1ec3n do \u0111\u00f3 c\u00e1c ch\u1ea5t d\u1ecbch ch\u01b0a trong ph\u1ebf nang kh\u00f4ng tho\u00e1t ra \u0111\u01b0\u1ee3c, l\u00e0m gi\u1ea3m th\u1ec3 t\u00edch ph\u1ed5i, g\u00e2y c\u1ea3n tr\u1edf trao \u0111\u1ed5i kh\u00ed, d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p.<\/li>\n<li>Thi\u1ebfu 1 s\u1ed1 n\u1ed9i ti\u1ebft t\u1ed1 s\u1ea3n sinh trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 : Prostaglandine I2, E2, NO, stress hormon&#8230;c\u00e1c ch\u1ea5t n\u00e0y gi\u00fap t\u0103ng b\u00e0i ti\u1ebft ch\u1ea5t ho\u1ea1t di\u1ec7n ph\u1ed5i (surfactan), gi\u00fap t\u00e1i h\u1ea5p thu d\u1ecbch ph\u1ebf nang, gi\u1ea3m cao \u00e1p ph\u1ed5i, ngo\u00e0i ra c\u00e1c ch\u1ea5t n\u00e0y c\u00f2n gi\u00fap tr\u1ebb ch\u1ed1ng la\u1ecb stress v\u00e0i gi\u1edd trong v\u00e0 sau sinh.<\/li>\n<\/ul>\n<h2>V\u00ec sao l\u1ea1i ch\u1ecdn m\u1ed5 l\u1ea5y thai d\u00f9 ch\u01b0a chuy\u1ec3n d\u1ea1?<\/h2>\n<p>Th\u01b0\u1eddng l\u00e0 c\u00e1c l\u00ed do sau:<\/p>\n<ul>\n<li>S\u1eb9o m\u1ed5 tr\u00ean t\u1eed cung c\u1ee7a m\u1eb9, n\u1ebfu \u0111\u1ee3i chuy\u1ec3n d\u1ea1 nguy c\u01a1 b\u1ecb v\u1ee1 t\u1eed cung.<\/li>\n<li>Con qu\u00fd hi\u1ebfm, m\u1eb9 l\u1edbn tu\u1ed5i.<\/li>\n<li>Do thai k\u00ec b\u1ea5t th\u01b0\u1eddng: nhau ti\u1ec1n \u0111\u1ea1o, ng\u00f4i b\u1ea5t th\u01b0\u1eddng , thai qu\u00e1 ng\u00e0y&#8230;<\/li>\n<li>M\u1eb9 b\u1ecb b\u1ec7nh: b\u1ec7nh tim , basedow, s\u1ea3n gi\u1eadt , ti\u1ec3u \u0111\u01b0\u1eddng&#8230;<\/li>\n<li>Nguy\u00ean nh\u00e2n t\u00e2m l\u00ed x\u00e3 h\u1ed9i: ch\u1ecdn ng\u00e0y gi\u1edd t\u1ed1t , s\u1ee3 \u0111au, tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng sinh d\u1ee5c ngo\u00e0i, l\u1ee3i nhu\u1eadn&#8230;<\/li>\n<\/ul>\n<h2>Ch\u1ea9n \u0111o\u00e1n suy h\u00f4 h\u1ea5p sau sinh \u1edf tr\u1ebb<\/h2>\n<ul>\n<li>Tr\u1ebb \u0111\u1ee7 th\u00e1ng ho\u1eb7c g\u1ea7n \u0111\u1ee7 th\u00e1ng, sau m\u1ed5 l\u1ea5y thai m\u00e0 ch\u01b0a c\u00f3 chuy\u1ec3n d\u1ea1:\n<ul>\n<li>Tr\u1ebb kh\u00f4ng t\u1ef1 th\u1edf, c\u1ea7n h\u1ed3i s\u1ee9c ngay t\u1ea1i ph\u00f2ng sinh<\/li>\n<li>Ho\u1eb7c ngay sau sinh v\u00e0i gi\u1edd xu\u1ea5t hi\u1ec7n suy h\u00f4 h\u1ea5p: Th\u1edf nhanh, th\u1edf r\u00ean, co l\u00f5m ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, t\u00edm.<\/li>\n<\/ul>\n<\/li>\n<li>C\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi tim b\u1ea9m sinh c\u00f3 t\u00edm v\u00e0 vi\u00eam ph\u1ed5i b\u1ea9m sinh.<\/li>\n<\/ul>\n<h2>X\u1eed tr\u00ed<\/h2>\n<ul>\n<li>H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p t\u00f9y thu\u1ed9c b\u1ec7nh c\u1ea3nh n\u00e0o n\u1ed5i b\u1eadt.<\/li>\n<li>X\u1eed tr\u00ed h\u1ea1 huy\u1ebft \u00e1p trong b\u1ec7nh c\u1ea3nh suy h\u00f4 h\u1ea5p.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh m\u00e0ng trong (n\u1ebfu c\u00f3): d\u00f9ng surfactan.<\/li>\n<li>Gi\u00e3n m\u1ea1ch m\u00e1u ph\u1ed5i n\u1ebfu c\u00f3 cao \u00e1p ph\u1ed5i t\u1ed3n t\u1ea1i.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n (n\u1ebfu c\u00f3 hay nghi ng\u1edd).<\/li>\n<\/ul>\n<h2>Khuy\u1ebfn c\u00e1o m\u1ed5 l\u1ea5y thai khi ch\u01b0a chuy\u1ec3n d\u1ea1<\/h2>\n<ul>\n<li>Tr\u1eeb tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i ch\u1ea5m d\u1ee9t thai k\u00ec kh\u1ea9n c\u1ea5p do thai k\u00ec b\u1ea5t th\u01b0\u1eddng (s\u1ea3n gi\u1eadt n\u1eb7ng) ho\u1eb7c m\u1eb9 c\u00f3 b\u1ec7nh l\u00fd, c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ed5 l\u1ea5y thai n\u00ean tu\u00e2n th\u1ee7 1 s\u1ed1 khuy\u1ebfn c\u00e1o sau \u0111\u00e2y \u0111\u1ec3 gi\u1ea3m t\u1ec9 l\u1ec7 suy h\u00f4 h\u1ea5p sau sinh ho\u1eb7c gi\u1ea3m \u0111\u1ed9 n\u1eb7ng c\u1ee7a suy h\u00f4 h\u1ea5p:\n<ul>\n<li>\u0110\u00fang ch\u1ec9 \u0111\u1ecbnh.<\/li>\n<li>\u0110\u00e3 kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1 ( t\u1ef1 nhi\u00ean ho\u1eb7c can thi\u1ec7p )\/ v\u1ee1 \u1ed1i.<\/li>\n<li>Tu\u1ed5i thai \u0111\u1ebfn 39 tu\u1ea7n.<\/li>\n<li>C\u1ea7n chu\u1ea9n b\u1ecb h\u1ed3i s\u1ee9c sau sinh t\u1ea1i ph\u00f2ng sinh.<\/li>\n<li>\u00a0Theo d\u00f5i s\u00e1t tr\u1ebb sau sinh m\u1ed5 , ph\u00e1t hi\u1ec7n s\u1edbm suy h\u00f4 h\u1ea5p sau sinh, s\u1eed d\u1ee5ng NCPAP (Th\u1edf \u00e1p l\u1ef1c d\u01b0\u01a1ng) s\u1edbm khi c\u00f3 suy h\u00f4 h\u1ea5p.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li>K\u1ef9 n\u0103ng x\u1eed tr\u00ed s\u01a1 sinh ph\u1ea7n chuy\u00ean s\u00e2u &#8211; BV Nhi \u0110\u1ed3ng 1<\/li>\n<li><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/884189598445228\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/884189598445228<\/a><\/li>\n<li><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/454681041396088\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/454681041396088<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>S\u01a1 sinh \u0111\u01b0\u1ee3c sinh m\u1ed5 khi ch\u01b0a chuy\u1ec3n d\u1ea1 (m\u1ed5 ch\u1ee7 \u0111\u1ed9ng, ch\u1ecdn ng\u00e0y \u0111\u1eb9p&#8230;) c\u00f3 nguy c\u01a1 b\u1ecb suy h\u00f4 h\u1ea5p sau sinh cao h\u01a1n tr\u1ebb \u0111\u01b0\u1ee3c sinh m\u1ed5 khi \u0111\u00e3 kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1 v\u00e0 cao h\u01a1n so v\u1edbi tr\u1ebb sinh th\u01b0\u1eddng \u1edf c\u00f9ng tu\u1ed5i thai v\u00e0 c\u00e2n n\u1eb7ng.<\/p>\n","protected":false},"author":14,"featured_media":3779,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5533,5534,5535,5536,5537,5538],"series":[3454],"coauthors":[2652],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Suy h\u00f4 h\u1ea5p do sinh m\u1ed5 ch\u01b0a chuy\u1ec3n d\u1ea1 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"S\u01a1 sinh \u0111\u01b0\u1ee3c sinh m\u1ed5 khi ch\u01b0a chuy\u1ec3n d\u1ea1 c\u00f3 nguy c\u01a1 b\u1ecb suy h\u00f4 h\u1ea5p sau sinh cao h\u01a1n tr\u1ebb \u0111\u01b0\u1ee3c sinh m\u1ed5 khi \u0111\u00e3 kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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