{"id":3933,"date":"2018-08-23T18:19:58","date_gmt":"2018-08-23T11:19:58","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/23\/giai-ma-ve-blw-phuong-phap-an-dam-be-chi-huy\/"},"modified":"2024-03-04T13:50:26","modified_gmt":"2024-03-04T06:50:26","slug":"giai-ma-ve-blw-phuong-phap-an-dam-be-chi-huy","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/giai-ma-ve-blw-phuong-phap-an-dam-be-chi-huy\/","title":{"rendered":"Gi\u1ea3i m\u00e3 v\u1ec1 BLW (ph\u01b0\u01a1ng ph\u00e1p \u0103n d\u1eb7m b\u00e9 ch\u1ec9 huy)"},"content":{"rendered":"

Trong v\u00e0i n\u0103m tr\u1edf l\u1ea1i \u0111\u00e2y, ph\u01b0\u01a1ng ph\u00e1p \u0103n d\u1eb7m b\u00e9 ch\u1ec9 huy (BLW<\/a>) \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1ee5 huynh bi\u1ebft t\u1edbi, nh\u01b0ng th\u1ef1c s\u1ef1 s\u1ed1 l\u01b0\u1ee3ng gia \u0111\u00ecnh \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u01b0a nhi\u1ec1u do r\u1ea5t nhi\u1ec1u c\u1ea3n tr\u1edf.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u t\u1ed5ng quan h\u1ec7 th\u1ed1ng l\u1ea5y d\u1eef li\u1ec7u t\u1eeb nhi\u1ec1u nghi\u00ean c\u1ee9u kh\u00e1c nhau \u1edf th\u01b0 vi\u1ec7n Cochrane v\u00e0 DARE (Database of Abstract of Reviews of Effects), EMBASE v\u00e0 MEDLINE trong giai \u0111o\u1ea1n t\u1eeb 2010- 2018 (c\u1eadp nh\u1eadt \u0111\u1ebfn ng\u00e0y 1 th\u00e1ng 5 (s\u1ebd cho ch\u00fang ta c\u00e1i nh\u00ecn to\u00e0n di\u1ec7n, khoa h\u1ecdc v\u00e0 c\u1eadp nh\u1eadt v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y).<\/p>\n

Trong b\u00e0i vi\u1ebft n\u00e0y t\u00f4i ch\u1ec9 t\u1ed5ng h\u1ee3p nh\u1eefng \u0111i\u1ec3m m\u1ea5u ch\u1ed1t, \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t b\u00e0i vi\u1ebft v\u1ec1 c\u00e1ch th\u1ee9c nu\u00f4i \u0103n. B\u00e0i n\u00e0y ch\u1ec9 \u0111\u1ec3 cung c\u1ea5p ki\u1ebfn th\u1ee9c v\u00e0 thay \u0111\u1ed5i th\u00e1i \u0111\u1ed9, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n h\u00e0nh vi \u0111\u00fang \u0111\u1eafn, c\u00f2n th\u1ef1c h\u00e0nh c\u1ee5 th\u1ec3 vui l\u00f2ng theo d\u00f5i nh\u1eefng b\u00e0i ti\u1ebfp theo.<\/p>\n

D\u1eef li\u1ec7u t\u1eeb b\u00e0i \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb 12 b\u00e0i b\u00e1o, 10 nghi\u00ean c\u1ee9u quan s\u00e1t c\u1eaft ngang v\u00e0 2 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng.<\/p>\n

C\u00e1c c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0103n d\u1eb7m b\u00e9 ch\u1ec9 huy – BLW<\/h2>\n

Ch\u00fang ta s\u1ebd t\u1eadp trung gi\u1ea3i quy\u1ebft 8 c\u00e2u h\u1ecfi l\u1edbn sau, \u0111\u00e2y c\u0169ng l\u00e0 nh\u1eefng b\u1eadn t\u00e2m c\u1ee7a ph\u1ee5 huynh c\u0169ng nh\u01b0 c\u00e1c b\u00e1c s\u0129 nhi khoa khi l\u1ea7n \u0111\u1ea7u ti\u1ebfp c\u1eadn BLW<\/p>\n

    \n
  1. BLW c\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ngh\u1eb9t th\u1edf (choking) hay kh\u00f4ng?<\/li>\n
  2. BLW c\u00f3 c\u0169ng c\u1ea5p \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng v\u00e0 gi\u00fap tr\u1ebb t\u0103ng tr\u01b0\u1edfng b\u00ecnh th\u01b0\u1eddng kh\u00f4ng?<\/li>\n
  3. BLW c\u00f3 g\u00e2y ra t\u00ecnh tr\u1ea1ng thi\u1ebfu s\u1eaft dinh d\u01b0\u1ee1ng kh\u00f4ng?<\/li>\n
  4. BLW t\u00e1c \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o l\u00ean c\u1ea3m gi\u00e1c th\u1ecfa m\u00e3n v\u00e0 tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 tr\u1ebb?<\/li>\n
  5. BLW c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1edf th\u00edch v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng b\u1eefa \u0103n kh\u00f4ng?<\/li>\n
  6. BLW c\u00f3 c\u1ea3i thi\u1ec7n quan h\u1ec7 gi\u1eefa c\u00e1c th\u00e0nh vi\u00ean gia \u0111\u00ecnh li\u00ean quan \u0111\u1ebfn chuy\u1ec7n \u0103n u\u1ed1ng kh\u00f4ng?<\/li>\n
  7. Nh\u1eefng b\u00e0 m\u1eb9 l\u1ef1a ch\u1ecdn BLW c\u00f3 kh\u00e1c c\u00e1c b\u00e0 m\u1eb9 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p nu\u00f4i truy\u1ec1n th\u1ed1ng v\u1ec1 th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u \u0103n d\u1eb7m kh\u00f4ng?<\/li>\n
  8. BLW C\u00f3 t\u00e1c \u0111\u1ed9ng t\u00edch c\u1ef1c \u0111\u1ebfn c\u1ea3m x\u00fac v\u00e0 th\u00e1i \u0111\u1ed9 c\u1ee7a b\u00e0 m\u1eb9 l\u00ean vi\u1ec7c cho con \u0103n d\u1eb7m hay kh\u00f4ng ?<\/li>\n<\/ol>\n

    \"Gi\u1ea3i<\/p>\n

    BLW c\u00f3 l\u00e0m t\u0103ng nguy c\u01a1 ngh\u1eb9n kh\u00f4ng?<\/h3>\n

    C\u00f3 th\u1ec3 n\u00f3i m\u1ed1i lo l\u1eafng b\u1eadn t\u1eadm nh\u1ea5t c\u1ee7a c\u00e1c b\u1eadc ph\u1ee5 huynh ch\u00ednh l\u00e0 vi\u1ec7c li\u1ec7u b\u00e9 c\u00f2n nh\u1ecf nh\u01b0 v\u1eady m\u00e0 cho \u0103n \u0111\u1ed3 th\u00f4 s\u1edbm th\u1ebf c\u00f3 d\u1eabn \u0111\u1ebfn ngh\u1eb9n kh\u00f4ng khi h\u1ecd th\u1ea5y tr\u1ebb cho \u0111\u1ed3 \u0103n v\u00e0o mi\u1ec7ng v\u00e0 th\u1ec9nh tho\u1ea3ng l\u1ea1i c\u00f3 \u0111\u1ed9ng t\u00e1c \u1ecde \u1ecde ho\u1eb7c th\u1eadm ch\u00ed \u00f3i ra, \u0111i\u1ec1u \u0111\u00f3 khi\u1ebfn h\u1ecd th\u1ef1c s\u1ef1 s\u1ee3 h\u00e3i.<\/p>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    M\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t nh\u1ecf ph\u00e1t hi\u1ec7n ra r\u1eb1ng, kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t<\/strong>\u00a0v\u1ec1 t\u1ec9 l\u1ec7 b\u1ecb s\u1eb7c ngh\u1eb9n gi\u1eefa BLW v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u00fat mu\u1ed7ng truy\u1ec1n th\u1ed1ng. Trong quan s\u00e1t n\u00e0y, ng\u01b0\u1eddi ta th\u1ea5y \u1edf 199 tr\u1ebb \u0103n theo ph\u01b0\u01a1ng ph\u00e1p BLW, 30 % s\u1ed1 tr\u1ebb c\u00f3 \u00edt nh\u1ea5t 1 \u0111\u1ee3t \u2018\u2019ngh\u1eb9n\u2019\u2019, t\u1ec9 l\u1ec7 n\u00e0y c\u00f3 v\u1ebb cao nh\u01b0ng ch\u01b0a lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng ph\u1ee5 huynh kh\u00f4ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c s\u1eb7c ngh\u1eb9n th\u1ef1c s\u1ef1 (choking) v\u1edbi ch\u1ee9ng \u1ecde (gagging).<\/p>\n

    K\u1ebft qu\u1ea3 t\u01b0\u01a1ng t\u1ef1 c\u0169ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1edfi nghi\u00ean c\u1ee9u quan s\u00e1t 1151 tr\u1ebb em th\u1ef1c hi\u1ec7n b\u1edfi Brown et al. Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 \u00edt nh\u1ea5t 1 \u0111\u1ee3t ngh\u1eb9n (choking) x\u1ea3y ra \u1edf 11.9 % tr\u1ebb \u0103n BLW v\u1edbi th\u1ee9c \u0103n c\u1ee9ng, 15,5 % v\u1edbi tr\u1ebb \u0103n BLW v\u1edbi th\u1ee9c \u0103n l\u1ecfng v\u00e0 11.6 % \u0111\u1ed1i v\u1edbi tr\u1ebb \u0103n \u0111\u00fat truy\u1ec1n th\u1ed1ng. S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c nh\u00f3m kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea<\/strong>.
    \nNhi\u1ec1u nghi\u00ean c\u1ee9u kh\u00e1c c\u0169ng ch\u1ec9 ra r\u1eb1ng, kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 x\u00e1c su\u1ea5t s\u1eb7c ngh\u1eb9n gi\u1eefa 2 nh\u00f3m tr\u1ebb \u0103n BLW v\u00e0 \u0103n truy\u1ec1n th\u1ed1ng.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    B\u1ea1n c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n y\u00ean t\u00e2m r\u1eb1ng, BLW kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 s\u1eb7c ngh\u1eb9n th\u1ee9c \u0103n so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111\u00fat mu\u1ed7ng truy\u1ec1n th\u1ed1ng.<\/p>\n

    BLW c\u00f3 cung c\u1ea5p \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng v\u00e0 gi\u00fap tr\u1ebb t\u0103ng tr\u01b0\u1edfng b\u00ecnh th\u01b0\u1eddng kh\u00f4ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    C\u00e1c k\u1ebft qu\u1ea3 t\u1eeb 1 nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Townsend et al. cho th\u1ea5y r\u1eb1ng nh\u00f3m tr\u1ebb nhi\u1ec1u \u0103n BLW c\u00f3 c\u00e2n n\u1eb7ng th\u1ea5p h\u01a1n tr\u1ebb \u0103n \u0111\u00fat truy\u1ec1n th\u1ed1ng.<\/p>\n

    M\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t kh\u00e1c b\u00e1o c\u00e1o r\u1eb1ng c\u00e1c b\u00e0 m\u1eb9 nu\u00f4i con BLW cho r\u1eb1ng con h\u1ecd u\u1ed1ng nhi\u1ec1u s\u1eefa h\u01a1n l\u00e0 \u0103n th\u00f4 h\u01a1n so v\u1edbi tr\u1ebb \u0111\u01b0\u1ee3c cho \u0103n theo ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn t\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng c\u00e2n \u0111\u1ed1i cho tr\u1ebb tr\u00ean 6 th\u00e1ng.<\/p>\n

    G\u1ea7n \u0111\u00e2y, Morison v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o r\u1eb1ng t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng nh\u1eadp v\u00e0o gi\u1eefa 2 nh\u00f3m \u0103n BLW v\u00e0 \u0111\u00fat mu\u1ed7ng truy\u1ec1n th\u1ed1ng l\u00e0 nh\u01b0 nhau. Nh\u00f3m \u0103n BLW ti\u00eau thu ch\u1ea5t b\u00e9o to\u00e0n ph\u1ea7n v\u00e0 acid b\u00e9o b\u00e3o h\u00f2a nhi\u1ec1u h\u01a1n l\u00e0 tr\u1ebb \u0111\u01b0\u1ee3c ho \u0103n theo ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng.<\/p>\n

    C\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn gi\u1eefa nghi\u00ean c\u1ee9u quan s\u00e1t c\u1ee7a Morison v\u00e0 c\u1ed9ng s\u1ef1, v\u00e0 th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u1ee7a Taylor l\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng nh\u1eadp v\u00e0o m\u1ed7i ng\u00e0y gi\u1eefa 2 ph\u01b0\u01a1ng ph\u00e1p cho \u0103n.<\/p>\n

    Ngo\u00e0i ra kh\u00f4ng c\u00f3 tr\u1ebb n\u00e0o trong nh\u00f3m BLW b\u1ecb ch\u1eadm t\u0103ng tr\u01b0\u1edfng.<\/p>\n

    Trong nghi\u00ean c\u1ee9u c\u1ee7a Taylor v\u00e0 c\u1ed9ng s\u1ef1, h\u1ecd \u0111\u00e3 tr\u1ef1c ti\u1ebfp c\u00e2n \u0111o tr\u1ebb trong khi \u1edf c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc c\u00e2n n\u1eb7ng c\u1ee7a tr\u1ebb l\u00e0 do cha m\u1eb9 cung c\u1ea5p. Th\u00eam v\u00e0o \u0111\u00f3 taylor \u0111\u00e3 khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng nh\u1eefng th\u1ef1c ph\u1ea9m nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng h\u01a1n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ch\u1eadm t\u0103ng tr\u01b0\u1edfng.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    N\u1ebfu b\u1ea1n nu\u00f4i con theo BLW con b\u1ea1n c\u00f3 th\u1ec3 nh\u1eb9 c\u00e2n h\u01a1n nh\u1eefng b\u00e9 \u0111\u01b0\u1ee3c cho \u0103n \u0111\u00fat kh\u00e1c.<\/p>\n

    L\u00ed do l\u00e0 tr\u1ebb \u0103n BLW ch\u1ec9 \u0103n \u0111\u1ee7 l\u01b0\u1ee3ng tr\u1ebb c\u1ea7n, trong khi tr\u1ebb \u0103n \u0111\u00fat c\u00f3 xu h\u01b0\u1edbng b\u1ecb cho \u0103n nhi\u1ec1u h\u01a1n nhu c\u1ea7u v\u00ec tr\u1ebb kh\u00f4ng ch\u1ee7 \u0111\u1ed9ng \u0103n.<\/p>\n

    Th\u00eam n\u1eefa n\u1ebfu ch\u1ecdn BLW h\u00e3y ch\u1ecdn cho tr\u1ebb nh\u1eefng th\u1ee9c \u0103n c\u00f3 n\u0103ng l\u01b0\u1ee3ng cao nh\u01b0ng \u00edt ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a.<\/p>\n

    BLW c\u00f3 l\u00e0m tr\u1ebb b\u1ecb thi\u1ebfu s\u1eaft kh\u00f4ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    T\u1eeb 6 th\u00e1ng tu\u1ed5i tr\u1edf \u0111i, b\u00fa m\u1eb9 kh\u00f4ng c\u00f2n cung c\u1ea5p \u0111\u1ee7 nhu c\u1ea7u s\u1eaft c\u1ee7a tr\u1ebb. S\u1eaft s\u1ebd \u0111\u01b0\u1ee3c b\u1ed5 sung b\u1eb1ng \u0111\u1ed3 \u0103n d\u1eb7m. BLW c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 tr\u1ebb b\u1ecb thi\u1ebfu s\u1eaft v\u00ec l\u01b0\u1ee3ng s\u1eaft trong c\u00e1c th\u1ef1c ph\u1ea9m kh\u00f4ng \u1ed5n \u0111\u1ecbnh cho tr\u1ebb t\u1ef1 \u0103n, th\u00eam v\u00e0o \u0111\u00f3 nh\u1eefng th\u1ef1c ph\u1ea9m d\u1ec5 c\u1ea7m n\u1eafm \u0111\u1ec3 cho \u0103n theo ki\u1ec3u BLW nh\u01b0 tr\u00e1i c\u00e2y hay rau h\u1ea5p ch\u00edn c\u00f3 th\u1ec3 ch\u1ee9a s\u1eaft th\u1ea5p.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    BLW c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u0103ng nguy c\u01a1 thi\u1ebfu s\u1eaft \u1edf tr\u1ebb do b\u1ea3n ch\u1ea5t th\u1ee9c \u0103n v\u00e0 tr\u1ebb c\u00f3 xu h\u01b0\u1edbng d\u00f9ng s\u1eefa nhi\u1ec1u h\u01a1n. v\u1eady th\u00ec h\u00e3y gi\u1edbi thi\u1ec7u nh\u1eefng lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u1ea7u s\u1eaft cho con khi b\u1ea1n ch\u1ecdn BLW .<\/p>\n

    Ph\u01b0\u01a1ng ph\u00e1p BLW c\u00f3 t\u00e1c \u0111\u1ed9ng th\u1ebf n\u00e0o \u0111\u1ebfn tr\u1ecdng l\u01b0\u1ee3ng v\u00e0 \u0111\u00e1p \u1ee9ng th\u1ecfa m\u00e3n c\u1ee7a tr\u1ebb?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    Cho t\u1edbi nay, c\u00f3 3 nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u01b0c hi\u1ec7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nu\u00f4i \u0103n l\u00ean k\u1ebft c\u1ee5c s\u1ee9c kh\u1ecfe. Ch\u00fang th\u00f4ng qua c\u00e1c ch\u1ec9 s\u1ed1 nh\u01b0 BMI v\u00e0 t\u1ec9 l\u1ec7 b\u00e9o ph\u00ec.<\/p>\n

    Townsend v\u00e0 Pitchford th\u1ea5y r\u1eb1ng So v\u1edbi \u0103n \u0111\u00fat c\u00f3 t\u1ea7n su\u1ea5t cao h\u01a1n tr\u1ebb nh\u1eb9 c\u00e2n trong nh\u00f3m BLW (3\/63) trong khi nh\u00f3m \u0103n \u0111\u00fat mu\u1ed7ng l\u1ea1i gia t\u0103ng t\u1ec9 l\u1ec7 b\u00e9o ph\u00ec.<\/p>\n

    Trong m\u1ed9t nghi\u00ean c\u1ee9u c\u1eaft ngang l\u1edbn h\u01a1n, Brown v\u00e0 Lee kh\u00f4ng th\u1ea5y c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa ph\u01b0\u01a1ng ph\u00e1p cho \u0103n (BLW v\u00e0 truy\u1ec1n th\u1ed1ng( v\u1edbi tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 do cha m\u1eb9 b\u00e1o c\u00e1o.<\/p>\n

    C\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c ch\u1ec9 ra r\u1eb1ng, nh\u00f3m tr\u1ebb BLW th\u00ec \u0103n m\u1ed9t l\u01b0\u1ee3ng \u00edt h\u01a1n, nh\u01b0ng l\u1ea1i d\u1ec5 th\u1ecfa m\u00e3n h\u01a1n, \u0103n u\u1ed1ng \u00edt c\u1ea7u k\u00ec h\u01a1n so v\u1edbi nh\u00f3m cho \u0103n \u0111\u00fat truy\u1ec1n th\u1ed1ng. Nh\u1eefng \u0111\u1ee9a tr\u1ebb trong nh\u00f3m BLW \u1edf \u0111\u1ed9 tu\u1ed5i 12 th\u00e1ng \u2013 3 tu\u1ed5i th\u00ec c\u00f3 c\u00e2n n\u1eb7ng trung b\u00ecnh th\u1ea5p h\u01a1n so v\u1edbi tr\u1ebb \u0103n truy\u1ec1n th\u1ed1ng .<\/p>\n

    C\u00e1c k\u1ebft qu\u1ea3 c\u0169ng t\u01b0\u01a1ng t\u1ef1 trong m\u1ed9t th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean ti\u1ebfn h\u00e0nh b\u1edfi Taylor v\u00e0 c\u1ed9ng s\u1ef1. Ch\u1ec9 c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t l\u00e0 BMI c\u1ee7a tr\u1ebb t\u1eeb 12- 24 th\u00e1ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa 2 ph\u01b0\u01a1ng ph\u00e1p cho \u0103n.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    BLW gi\u00fap tr\u1ebb tho\u1ea3i m\u00e3i v\u00e0 d\u1ec5 th\u1ecfa m\u00e3n h\u01a1n, tuy nhi\u00ean tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 tr\u1ebb c\u00f3 khuynh h\u01b0\u1edbng nh\u1eb9 h\u01a1n c\u00e1c tr\u1ebb nu\u00f4i theo ki\u1ec3u \u0103n \u0111\u00fat. \u0111i\u1ec1u n\u00e0y d\u1ec5 hi\u1ec3u do tr\u1ebb \u0103n \u0111\u00fat c\u00f3 xu h\u01b0\u1edbng \u0103n nhi\u1ec1u h\u01a1n nhu c\u1ea7u b\u1ea3n th\u00e2n .<\/p>\n

    BLW c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1edf th\u00edch v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng b\u1eefa \u0103n kh\u00f4ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    Trong nghi\u00ean c\u1ee9u quan s\u00e1t c\u1ee7a .Morison BJ v\u00e0 c\u1ed9ng s\u1ef1. th\u1ea5y r\u1eb1ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 s\u1edf th\u00edch \u0103n u\u1ed1ng gi\u1eefa 2 nh\u00f3m.
    \nM\u1ed9t th\u1ef1c t\u1ebf kh\u00e1c l\u00e0, n\u1ebfu nh\u00f3m tr\u1ebb BLW \u0111\u01b0\u1ee3c cho \u0103n nh\u1eefng th\u1ee9c \u0103n gi\u1ed1ng ng\u01b0\u1eddi l\u1edbn, ch\u00fang c\u00f3 xu h\u01b0\u1edbng ti\u00eau th\u1ee5 mu\u1ed1i, \u0111\u01b0\u1eddng nhi\u1ec1u h\u01a1n v\u00e0 \u0111i\u1ec1u n\u00e0y l\u00e0 kh\u00f4ng h\u1ee3p l\u00fd v\u1edbi tr\u1ebb .<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    N\u1ebfu ch\u1ecdn BLW b\u1ea1n c\u1ea7n nghi\u00ean c\u1ee9u k\u0129 v\u00e0 n\u00ean \u0111\u01b0\u1ee3c b\u00e1c s\u0129 dinh d\u01b0\u1ee1ng t\u01b0 v\u1ea5n v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n c\u1ee7a ch\u00ednh gia \u0111\u00ecnh b\u1ea1n t\u1ecfng \u0111\u00f3 c\u00f3 con b\u1ea1n, \u0111\u1ec3 tr\u00e1nh cho tr\u1ebb ti\u00eau th\u1ee5 qu\u00e1 nhi\u1ec1u \u0111\u01b0\u1eddng v\u00e0 mu\u1ed1i \u2013 c\u00e1i \u0111\u01b0\u1ee3c cho l\u00e0 s\u1ebd \u1ea3nh h\u01b0\u1edfng kh\u00f4ng t\u1ed1t l\u00ean s\u1ee9c kh\u1ecfe v\u1ec1 sau .<\/p>\n

    BLW c\u00f3 gi\u00fap c\u1ea3i thi\u1ec7n quan h\u1ec7 gi\u1eefa c\u00e1c th\u00e0nh vi\u00ean gia \u0111\u00ecnh li\u00ean quan t\u1edbi \u0103n u\u1ed1ng hay kh\u00f4ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    BLW \u0111\u01b0\u1ee3c cho r\u1eb1ng tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c tham gia v\u00e0o b\u1eefa \u0103n chung v\u1edbi gia \u0111\u00ecnh m\u1ed9t c\u00e1ch d\u1ec5 d\u00e0ng h\u01a1n so v\u1edbi \u0103n \u0111\u00fat mu\u1ed7ng truy\u1ec1n th\u1ed1ng<\/a> b\u1edfi v\u00ec ch\u00fang s\u1ebd \u0103n chung th\u1ef1c ph\u1ea9m v\u1edbi gia \u0111\u00ecnh, c\u0169ng nh\u01b0 tr\u1ebb BLW s\u1ebd kh\u00f4ng bao gi\u1edd b\u1ecb \u00e9p \u0103n do \u0111\u00f3 c\u1ea3m x\u00fac gi\u1eefa c\u00e1c th\u00e0nh vi\u00ean c\u0169ng s\u1ebd tho\u1ea3i m\u00e1i h\u01a1n.
    \nTuy nhi\u00ean 1 nghi\u00ean c\u1ee9u \u0111\u01a1n l\u1ebb c\u1eaft ngang kh\u00f4ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng l\u1ea1i cho r\u1eb1ng BLW kh\u00f4ng gi\u00fap c\u1ea3i thi\u1ec7n phong c\u00e1ch \u0103n u\u1ed1ng c\u1ee7a gia \u0111\u00ecnh.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    \u1ede Vi\u1ec7t Nam, BLW c\u00f3 th\u1ec3 g\u00e2y m\u00e2u thu\u1eabn gi\u1eefa c\u00e1c th\u00e0nh vi\u00ean gia \u0111\u00ecnh nhi\u1ec1u h\u01a1n l\u00e0 t\u1ea1o n\u00ean s\u1ef1 tho\u1ea3i m\u00e1i. Do nhi\u1ec1u th\u1ebf h\u1ec7 c\u00f9ng s\u1ed1ng chung c\u00f3 quan \u0111i\u1ec3m r\u1ea5t kh\u00e1c nhau v\u1ec1 cho \u0103n, c\u0169ng nh\u01b0 \u00f4ng\/ b\u00e0 c\u00f3 quy\u1ec1n l\u1ef1c qu\u00e1 l\u1edbn s\u1ebd l\u00e0 tr\u1edf ng\u1ea1i c\u1ef1c k\u00ec c\u1ee7a BLW .<\/p>\n

    C\u00e1c b\u00e0 m\u1eb9 cho con \u0103n ki\u1ec3u BLW ch\u1ecdn th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u cho \u0103n c\u00f3 kh\u00e1c c\u00e1c b\u00e0 m\u1eb9 nu\u00f4i con truy\u1ec1n th\u1ed1ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    Theo c\u00e1c d\u1eef li\u1ec7u t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t, c\u00e1c b\u00e0 m\u1eb9 chon BLW th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u l\u00fac tr\u1ebb \u0111\u01b0\u1ee3c 6 th\u00e1ng tu\u1ed5i.
    \nC\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y n\u1ebfu cho tr\u1ebb \u0103n th\u00f4 s\u1edbm tr\u01b0\u1edbc 6 th\u00e1ng s\u1ebd gia t\u0103ng t\u1ec9 l\u1ec7 qu\u00e1 c\u00e2n.<\/p>\n

    C\u1ea7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n \u0111\u1ec3 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    Theo \u00fd ki\u1ebfn c\u00e1 nh\u00e2n t\u00f4i, con s\u1ed1 v\u1ec1 th\u00e1ng tu\u1ed5i kh\u00f4ng n\u00ean l\u00e0 d\u1ea5u m\u1ed1c \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh b\u1eaft \u0111\u1ea7u BLW. Th\u1eddi \u0111i\u1ec3m h\u1ee3p l\u00ed c\u00f3 l\u1ebd l\u00e0 khi b\u00e9 \u0111\u00e3 t\u1ef1 ng\u1ed3i v\u1eefng v\u00e0ng kh\u00f4ng c\u1ea7n tr\u1ee3 gi\u00fap v\u00e0 tr\u1ebb bi\u1ebft v\u1edbi c\u1ea7m \u0111\u1ed3 \u0103n cho l\u00ean mi\u1ec7ng.B\u1ea1n c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u BLW c\u00f3 th\u1ec3 l\u00fac 7 th\u00e1ng, 8 th\u00e1ng, hay 9 th\u00e1ng. Trong kho\u1ea3ng th\u1eddi gian ch\u1edd con s\u1eb5n s\u00e0ng BLW b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 cho \u0111\u00fat mu\u1ed7ng truy\u1ec1n th\u1ed1ng.<\/p>\n

    BLW c\u00f3 t\u00e1c \u0111\u1ed9ng t\u00edch c\u1ef1c \u0111\u1ebfn c\u1ea3m x\u00fac v\u00e0 th\u00e1i \u0111\u1ed9 c\u1ee7a b\u00e0 m\u1eb9 l\u00ean vi\u1ec7c cho con \u0103n d\u1eb7m hay kh\u00f4ng?<\/h3>\n

    C\u00e1c nghi\u00ean c\u1ee9u<\/h4>\n

    Trong nghi\u00ean c\u1ee9u quan s\u00e1t c\u1ee7a Brown v\u00e0 c\u1ed9ng s\u1ef1, c\u00e1c b\u00e0 m\u1eb9 b\u00e1o c\u00e1o r\u1eb1ng h\u1ecd \u00edt lo l\u1eafng h\u01a1n, \u0111i\u1ec3m s\u1ed1 v\u1ec1 c\u00e1c r\u1ed1i lo\u1ea1n \u00e1m \u1ea3nh c\u01b0\u1ee1ng ch\u1ebf c\u0169ng th\u1ea5p h\u01a1n, v\u00e0 h\u1ecd t\u1eadn t\u00e2m h\u01a1n v\u1edbi vi\u1ec7c cho con \u0103n.<\/p>\n

    Tuy nhi\u00ean, c\u0169ng c\u1ea7n l\u01b0u \u00fd r\u1eb1ng c\u00f3 th\u1ec3 c\u00e1c b\u00e0 m\u1eb9 hay lo \u00e2u, c\u0103ng th\u1eb3ng ch\u1ee7 \u0111\u1ed9ng t\u00ecm \u0111\u1ebfn ph\u01b0\u01a1ng ph\u00e1p nu\u00f4i \u0103n truy\u1ec1n th\u1ed1ng, c\u00f2n c\u00e1c b\u00e0 m\u1eb9 tho\u1ea3i m\u00e1i t\u1ef1 tin l\u1ea1i cho \u0103n ki\u1ec3u BLW ch\u1ee9 ch\u01b0a ch\u1eafc BLW \u0111em l\u1ea1i c\u1ea3m x\u00fac t\u00edch c\u1ef1c cho c\u00e1c b\u00e0 m\u1eb9.<\/p>\n

    C\u1ea7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n.<\/p>\n

    K\u1ebft lu\u1eadn<\/h4>\n

    M\u1ed9t khi c\u1ea3 m\u1eb9 v\u00e0 con \u0111\u00e3 thu\u1ea7n th\u1ee5c BLW th\u00ec c\u1ea3m x\u00fac t\u00edch c\u1ef1c s\u1ebd \u0111\u1ebfn v\u1edbi c\u1ea3 2. Tuy nhi\u00ean th\u1eddi gian \u0111\u1ea7u c\u00f3 th\u1ec3 m\u1ea5t \u0111\u1ebfn 2 th\u00e1ng, b\u00e0 m\u1eb9 c\u00f3 th\u1ec3 s\u1ebd c\u1ea3m th\u1ea5y stress do tr\u1ebb kh\u00f4ng nhai nu\u1ed1t m\u00e0 l\u1ea1i qu\u1eb3ng th\u1ee9c \u0103n v\u01b0\u01a1ng v\u00e3i kh\u1eafp nh\u00e0.<\/p>\n

    K\u1ebft lu\u1eadn chung<\/h2>\n
      \n
    1. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0o c\u0169ng c\u00f3 \u01b0u \u2013 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang. Ph\u01b0\u01a1ng ph\u00e1p cho \u0103n l\u00fd t\u01b0\u1edfng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c k\u00ec v\u1ecdng:\n