{"id":4080,"date":"2018-09-02T23:41:12","date_gmt":"2018-09-02T16:41:12","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/02\/nhung-chong-chi-dinh-nuoi-con-bang-sua-me\/"},"modified":"2024-03-04T13:50:43","modified_gmt":"2024-03-04T06:50:43","slug":"nhung-chong-chi-dinh-nuoi-con-bang-sua-me","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/nhung-chong-chi-dinh-nuoi-con-bang-sua-me\/","title":{"rendered":"Nh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9"},"content":{"rendered":"

C\u00f3 1 s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh b\u00fa m\u1eb9. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh bao g\u1ed3m c\u1ea3 c\u00e1c s\u1eeda \u0111\u1ed5i c\u1ee7a vi\u1ec7n H\u00e0n l\u00e2m Nhi Khoa Hoa K\u00ec v\u00e0o n\u0103m 2012 v\u1ec1 v\u1ea5n \u0111\u1ec1 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 v\u00e0 s\u1eed d\u1ee5ng s\u1eefa m\u1eb9 (\u0111\u01b0\u1ee3c t\u00f3m t\u1eaft trong b\u1ea3ng).<\/p>\n

Nh\u1eefng nhi\u1ec5m tr\u00f9ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9.<\/h2>\n

HIV<\/h3>\n

Nh\u1eefng ph\u1ee5 n\u1eef s\u1ed1ng \u1edf c\u00e1c n\u01b0\u1edbc gi\u00e0u n\u00ean \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n kh\u00f4ng cho con b\u00fa n\u1ebfu h\u1ecd b\u1ecb nhi\u1ec5m HIV. T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi (WHO) khuy\u1ebfn c\u00e1o nh\u1eefng ph\u1ee5 n\u1eef nhi\u1ec5m HIV tr\u00e1nh cho con b\u00fa n\u1ebfu nh\u1eefng th\u1ee9c \u0103n thay th\u1ebf c\u00f3 gi\u00e1 c\u1ea3 ph\u1ea3i ch\u0103ng, kh\u1ea3 thi, ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c, b\u1ec1n v\u1eefng v\u00e0 an to\u00e0n n\u1ebfu th\u1ee9c \u0103n thay th\u1ebf kh\u00f4ng c\u00f3 s\u1eb5n th\u00ec m\u1edbi b\u00fa m\u1eb9<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c n\u01b0\u1edbc ngh\u00e8o v\u00e0 \u0111ang ph\u00e1t tri\u1ec3n khi ngu\u1ed3n th\u1ee9c \u0103n thay th\u1ebf kh\u00f4ng s\u1eb5n c\u00f3 th\u00ec vi\u1ec7c cho con b\u00fa m\u1eb9 c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 nhi\u1ec5m HIV v\u00e0 c\u00e1c b\u1ec7nh t\u1eadt nh\u01b0 suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m tr\u00f9ng kh\u00e1c t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng, b\u00e0 m\u1eb9 v\u00e0\/ ho\u1eb7c \u0111\u1ee9a b\u00e9 c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p thu\u1ed1c kh\u00e1ng HIV \u0111\u1ec3 gi\u1ea3m s\u1ef1 l\u00e2y truy\u1ec1n. (xem th\u00eam b\u00e0i ph\u00f2ng ng\u1eeba l\u00e2y truy\u1ec1n HIV th\u00f4ng qua b\u00fa m\u1eb9 \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n.[2])<\/p>\n

HTLV type 1 ho\u1eb7c 2<\/h3>\n

Nh\u1eefng ph\u1ee5 n\u1eef d\u01b0\u01a1ng t\u00ednh v\u1edbi HTLV type 1 ho\u1eb7c 2 (HTLV l\u00e0 vi\u1ebft t\u1eaft c\u1ee7a t\u1eeb Human T -cell Lymphotropic Virus – t\u1ea1m d\u1ecbch l\u00e0 virus g\u00e2y u lympho T \u1edf ng\u01b0\u1eddi) ho\u1eb7c b\u1ecb b\u1ec7nh Brucellosis kh\u00f4ng \u0111i\u1ec1u tr\u1ecb th\u00ec kh\u00f4ng n\u00ean cho con b\u00fa ho\u1eb7c cung c\u1ea5p s\u1eefa cho con.<\/p>\n

T\u1ed5n th\u01b0\u01a1ng v\u00fa<\/h3>\n

Nh\u1eefng ph\u1ee5 n\u1eef \u0111ang c\u00f3 t\u1ed5n th\u01b0\u01a1ng v\u00fa ti\u1ebfn tri\u1ec3n kh\u00f4ng n\u00ean cho con b\u00fa b\u00ean v\u00fa b\u1ecb \u1ea3nh h\u01b0\u1edfng cho \u0111\u1ebfn khi t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft, b\u1edfi v\u00ec s\u1ef1 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 truy\u1ec1n virus herpes simplex cho em b\u00e9.<\/p>\n

C\u00e1c b\u00e0 m\u1eb9 n\u00ean v\u1ec7 sinh tay s\u1ea1ch s\u1ebd v\u00e0 che ch\u1eafn v\u00f9ng v\u00fa b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi em b\u00e9. C\u00e1c b\u00e0 m\u1eb9 c\u00f3 th\u1ec3 h\u00fat s\u1eefa ra v\u00e0 cho tr\u1ebb d\u00f9ng s\u1eefa n\u00e0y.<\/p>\n

Th\u1ee7y \u0111\u1eadu<\/h3>\n

Nh\u1eefng ph\u1ee5 n\u1eef b\u1ec7nh th\u1ee7y \u0111\u1eadu trong v\u00f2ng 5 ng\u00e0y tr\u01b0\u1edbc sinh cho t\u1edbi 2 ng\u00e0y sau sinh th\u00ec n\u00ean c\u00e1ch ly kh\u1ecfi em b\u00e9. s\u1eefa h\u00fat ra v\u1eabn c\u00f3 th\u1ec3 cho b\u00e9 u\u1ed1ng<\/p>\n

Lao<\/h3>\n

C\u00e1c b\u00e0 m\u1eb9 b\u1ecb b\u1ec7nh lao ti\u1ebfn tri\u1ec3n kh\u00f4ng n\u00ean cho con b\u00fa tr\u1eeb phi kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng l\u00e2y lao n\u1eefa (th\u01b0\u1eddng l\u00e0 sau 2 tu\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng lao) tuy nhi\u00ean s\u1eefa h\u00fat ra v\u1eabn c\u00f3 th\u1ec3 cho tr\u1ebb u\u1ed1ng.<\/p>\n

H1N1<\/h3>\n

Nh\u1eefng b\u00e0 m\u1eb9 b\u1ecb c\u00fam H1N1 n\u00ean c\u00e1ch ly kh\u1ecfi \u0111\u1ee9a b\u00e9 cho \u0111\u1ebfn khi h\u1ebft s\u1ed1t. M\u1eb9 c\u00f3 th\u1ec3 v\u1eaft s\u1eefa v\u00e0 s\u1eefa \u0111\u00f3 con c\u00f3 th\u1ec3 u\u1ed1ng \u0111\u01b0\u1ee3c.<\/p>\n

CMV<\/h3>\n

Nguy c\u01a1 l\u00e2y truy\u1ec1n virus CMV th\u00f4ng qua vi\u1ec7c cho con b\u00fa l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn tr\u1eeb nh\u1eefng s\u01a1 sinh r\u1ea5t nh\u1eb9 c\u00e2n, nh\u1eefng tr\u1ebb n\u00e0y c\u00f3 nguy c\u01a1 nhi\u1ec5m CMV kh\u00f4ng tri\u1ec7u ch\u1ee9ng. \u1edf nh\u1eefng tr\u1ebb n\u00e0y, gi\u1eef s\u1eefa \u1edf nhi\u1ec7t \u0111\u1ed9 62.5 \u0111\u1ed9 trong 30 ph\u00fat ho\u1eb7c 72 \u0111\u1ed9 C trong 5 ph\u00fat c\u00f3 th\u1ec3 l\u00e0m b\u1ea5t ho\u1ea1t CMV.<\/p>\n

B\u00e0 m\u1eb9 l\u1ea1m d\u1ee5ng ch\u1ea5t<\/h2>\n

Nh\u1eefng b\u00e0 m\u1eb9 l\u1ec7 thu\u1ed9c opioid nh\u01b0ng \u0111ang d\u00f9ng methadone theo ch\u01b0\u01a1ng tr\u00ecnh v\u00e0 \u00e2m t\u00ednh v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc HIV v\u00e0 c\u00e1c thu\u1ed1c b\u1ea5t h\u1ee3p ph\u00e1p kh\u00e1c th\u00ec c\u00f3 th\u1ec3 cho con b\u00fa.<\/p>\n

Tuy nhi\u00ean, vi\u1ec7c cho b\u00fa b\u1ecb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eb9 \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c nh\u01b0 l\u00e0 phencyclidine, cocaine, cannabis v\u00ecc\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00e2u d\u00e0i t\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a \u0111\u1ee9a tr\u1ebb.<\/p>\n

R\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ph\u1ea3n \u1ee9ng prolactin \u0111\u1ed1i v\u1edbi vi\u1ec7c b\u00fa s\u1eefa m\u1eb9 v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n s\u1ef1 v\u1eadn \u0111\u1ed9ng c\u1ee7a tr\u1ebb s\u01a1 sinh<\/p>\n

M\u1eb7c d\u00f9 b\u00e0 m\u1eb9 h\u00fat thu\u1ed1c l\u00e1 kh\u00f4ng ph\u1ea3i ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i cho con b\u00fa nh\u01b0ng n\u00ean c\u1ea3nh c\u00e1o m\u1ea1nh m\u1ebd v\u00ec l\u00e0m gia t\u0103ng nguy c\u01a1 \u0111\u1ed9t t\u1eed v\u00e0 d\u1ecb \u1ee9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ee7a tr\u1ebb<\/p>\n

C\u00e1c b\u00e0 m\u1eb9 ph\u1ea3i d\u00f9ng thu\u1ed1c<\/h2>\n

N\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 ho\u1eb7c tham kh\u1ea3o t\u1eeb ngu\u1ed3n d\u1eef li\u1ec7u [3] \u0111\u1ec3 tr\u00e1nh cho con b\u00fa v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c. Tr\u1ebb b\u1ecb b\u1ec7nh Galactosemia: l\u00e0 m\u1ed9t b\u1ec7nh chuy\u1ec3n h\u00f3a b\u1ea9m sinh, \u0111\u00e2y l\u00e0 1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i vi\u1ec7c b\u00fa s\u1eefa m\u1eb9.<\/p>\n

C\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a<\/h2>\n

C\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a kh\u00e1c nh\u01b0 phenylketon ni\u1ec7u c\u00f3 th\u1ec3 b\u00fa m\u1eb9 m\u1ed9t ph\u1ea7n nh\u01b0ng c\u1ea7n theo d\u00f5i s\u00e1t v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 duy tr\u00ec ng\u01b0\u1ee1ng an to\u00e0n.<\/p>\n

B\u00e0 m\u1eb9 \u0111ang ph\u1ea3i ho\u00e1 hay x\u1ea1 tr\u1ecb<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
    \n
  1. https:\/\/www.facebook.com\/diendannhikhoa\/posts\/711058999091623?__tn__=K-R<\/a><\/li>\n
  2. uptodate.com\/\u2026\/prevention-of-hiv-transmission-during-breast\u2026<\/a><\/li>\n
  3. https:\/\/toxnet.nlm.nih.gov\/newtoxnet\/lactmed<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Vi\u1ec7c cho con b\u00fa m\u1eb9 c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 nhi\u1ec5m HIV v\u00e0 c\u00e1c b\u1ec7nh t\u1eadt nh\u01b0 suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m tr\u00f9ng kh\u00e1c t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n","protected":false},"author":14,"featured_media":4082,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5672,4186],"series":[3454],"coauthors":[2652],"acf":[],"yoast_head":"\nNh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c cho con b\u00fa m\u1eb9 c\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa nguy c\u01a1 nhi\u1ec5m HIV v\u00e0 c\u00e1c b\u1ec7nh t\u1eadt nh\u01b0 suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m tr\u00f9ng kh\u00e1c t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng.\" \/>\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\/nhung-chong-chi-dinh-nuoi-con-bang-sua-me\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nh\u1eefng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 - 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