{"id":4448,"date":"2018-11-14T14:34:09","date_gmt":"2018-11-14T07:34:09","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2019\/07\/14\/benh-thieu-men-g6pd\/"},"modified":"2024-03-04T13:51:20","modified_gmt":"2024-03-04T06:51:20","slug":"benh-thieu-men-g6pd","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/benh-thieu-men-g6pd\/","title":{"rendered":"B\u1ec7nh thi\u1ebfu men G6PD"},"content":{"rendered":"<h2><strong>B\u1ec7nh thi\u1ebfu men G6PD<\/strong><\/h2>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00e0m c\u01a1 th\u1ec3 thi\u1ebfu men Glucose-6-phosphate dehydrogenase (G6PD), m\u1ed9t lo\u1ea1i men gi\u00fap<strong> b\u1ea3o v\u1ec7 c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u<\/strong> (lo\u1ea1i t\u1ebf b\u00e0o l\u00e0m cho m\u00e1u ch\u00fang ta c\u00f3 m\u00e0u \u0111\u1ecf). V\u00ec v\u1eady, khi thi\u1ebfu men G6PD, c\u00e1c t\u1ebf b\u00e0o m\u00e1u n\u00e0y <strong>d\u1ec5 d\u00e0ng b\u1ecb v\u1ee1<\/strong> ra khi c\u01a1 th\u1ebf ti\u1ebfp x\u00fac v\u1edbi nh\u1eefng t\u00e1c nh\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u01b0 th\u1ee9c \u0103n, m\u1ed9t s\u1ed1 lo\u1ea1i nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c.<\/p>\n<p>T\u00ecnh tr\u1ea1ng n\u00e0y g\u1ecdi l\u00e0 <strong>t\u00e1n huy\u1ebft.<\/strong><\/p>\n<p>Khi c\u00f3 m\u1ed9t \u0111\u1ee3t t\u00e1n huy\u1ebft x\u1ea3y ra, c\u01a1 th\u1ec3 s\u1ebd thi\u1ebfu m\u00e1u, g\u00e2y<strong> thi\u1ebfu oxy, v\u00e0ng da,<\/strong> l\u00e0m ng\u01b0\u1eddi b\u1ec7nh<strong> nh\u1ee3t nh\u1ea1t, v\u00e0ng m\u1eaft<\/strong> v\u00e0 <strong>m\u1ec7t m\u1ecfi.<\/strong><\/p>\n<h2>C\u01a1 ch\u1ebf b\u1ec7nh sinh b\u1ec7nh thi\u1ebfu men G6PD<\/h2>\n<p>Thi\u1ebfu men G6PD l\u00e0 m\u1ed9t <strong>b\u1ec7nh di truy\u1ec1n tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 (NST) gi\u1edbi t\u00ednh X<\/strong>. Nam c\u00f3 nhi\u1ec5m s\u1eafc th\u1ebf gi\u1edbi t\u00ednh XY v\u00e0 n\u1eef c\u00f3 nhi\u1ec5m s\u1eafc th\u1ebf gi\u1edbi t\u00ednh XX. V\u00ec v\u1eady cho n\u00ean b\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf tr\u1ebb nam v\u00e0 \u0111a s\u1ed1 l\u00e0 do gen b\u1ec7nh trong NST X di truy\u1ec1n t\u1eeb m\u1eb9. N\u1eef v\u00ec c\u00f3 NST XX n\u00ean c\u1ea7n ph\u1ea3i c\u00f3 2 X \u0111\u1ec1u mang gen b\u1ec7nh m\u1edbi b\u1ecb b\u1ec7nh, n\u00ean \u00edt th\u1ea5y x\u1ea3y ra h\u01a1n.<br \/>\nN\u1ebfu con b\u1ea1n c\u00f3 x\u00e9t nghi\u1ec7m m\u00e1u g\u00f3t ch\u00e2n ngay nh\u1eefng ng\u00e0y \u0111\u1ea7u sau sinh th\u1ea5y c\u00f3 thi\u1ebfu men G6PD, con b\u1ea1n kh\u00f4ng \u0111\u01a1n \u0111\u1ed9c. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t, tr\u00ean th\u1ebf gi\u1edbi c\u00f3 kho\u1ea3ng 400 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y. V\u00ec l\u00e0 m\u1ed9t b\u1ec7nh di truy\u1ec1n n\u00ean kh\u00f4ng c\u00f3 thu\u1ed1c ch\u1eefa h\u1ebft b\u1ec7nh n\u00e0y. \u0110i\u1ec1u t\u1ed1t l\u00e0 g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi thi\u1ebfu men G6PD \u0111\u1ec1u s\u1ed1ng, l\u1edbn l\u00ean v\u00e0 ph\u00e1t tri\u1ec3n, sinh s\u1ea3n, c\u00f3 tu\u1ed5i th\u1ecd b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u c\u1ea7n bi\u1ebft l\u00e0 c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 \u201ck\u00edch th\u00edch\u201d l\u00e0m t\u1ebf b\u00e0o m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh G6PD d\u1ec5 v\u1ee1 v\u00e0 v\u00ec v\u1eady c\u1ea7n tr\u00e1nh.<\/p>\n<h2><strong>Nh\u1eefng y\u1ebfu t\u1ed1 c\u1ea7n tr\u00e1nh khi b\u1ecb b\u1ec7nh thi\u1ebfu men G6PD<\/strong><\/h2>\n<p>Khi tr\u1ebb b\u1ecb nhi\u1ec5m tr\u00f9ng (virus ho\u1eb7c vi khu\u1ea9n) r\u1ea5t hi\u1ebfm khi x\u1ea3y ra t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch g\u00e2y v\u1ee1 h\u1ed3ng c\u1ea7u v\u00e0 t\u00e1n huy\u1ebft. Ch\u1ec9 khi x\u1ea3y ra t\u00ecnh tr\u1ea1ng t\u00e1n huy\u1ebft ch\u00fang ta m\u1edbi c\u1ea7n \u0111i\u1ec1u tr\u1ecb m\u00e0 th\u00f4i.<\/p>\n<p>Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi thu\u1ed1c, h\u00f3a ch\u1ea5t v\u00e0 th\u1ee9c \u0103n, ch\u00fang ta c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c. \u0110\u00e2y l\u00e0 m\u1ed9t danh s\u00e1ch c\u00e1c lo\u1ea1i t\u00e1c nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb v\u00e0 v\u00ec v\u1eady c\u1ea7n xem x\u00e9t tr\u00e1nh:<\/p>\n<h3><strong>Thu\u1ed1c kh\u00e1ng sinh<\/strong><\/h3>\n<ul>\n<li>Sulphonamides<\/li>\n<li>Co-trimoxazole<\/li>\n<li>Dapsone<\/li>\n<li>Chloramphenicol<\/li>\n<li>Nitrofurantoin<\/li>\n<li>Nalidixic acid<\/li>\n<\/ul>\n<h3><strong>Thu\u1ed1c kh\u00e1ng s\u1ed1t r\u00e9t<\/strong><\/h3>\n<ul>\n<li>Chloroquine<\/li>\n<li>Hydroxychloroquine<\/li>\n<li>Primaquine<\/li>\n<li>Quinine<\/li>\n<li>Mepacrine<\/li>\n<\/ul>\n<h3><strong>C\u00e1c h\u00f3a ch\u1ea5t<\/strong><\/h3>\n<ul>\n<li>Methylene blue<\/li>\n<li>Napthalene (vi\u00ean b\u0103ng phi\u1ebfn)<\/li>\n<\/ul>\n<h3><strong>Th\u1ee9c \u0103n<\/strong><\/h3>\n<ul>\n<li>\u0110\u1eadu Fava (Fava beans\/ Vicia Fava) \u2013 \u0111\u1eadu r\u0103ng ng\u1ef1a, hay c\u00f2n g\u1ecdi l\u00e0 t\u00e0u k\u00ea, \u0111\u1eadu t\u1eb1m \u2013 \u0111\u00e2y l\u00e0 th\u1ee9c \u0103n duy nh\u1ea5t c\u1ea7n tr\u00e1nh!<\/li>\n<\/ul>\n<h3><strong>C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c:<\/strong><\/h3>\n<ul>\n<li>Sulphasalazine<\/li>\n<li>Methyldopa<\/li>\n<li>Vitamin C li\u1ec1u cao<\/li>\n<li>Hydralazine<\/li>\n<li>Procainamide<\/li>\n<li>Quinidine<\/li>\n<li>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/li>\n<li>Aspirin (li\u1ec1u cao)<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">V\u00ec v\u1eady, n\u1ebfu con b\u1ea1n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n thi\u1ebfu men G6PD n\u00ean n\u00f3i cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb bi\u1ebft \u0111\u1ec3 c\u00e2n nh\u1eafc l\u1ef1a ch\u1ecdn thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cho con b\u1ea1n. N\u1ebfu b\u1ea1n mua thu\u1ed1c kh\u00f4ng c\u00f3 toa b\u00e1c s\u0129, n\u00ean ki\u1ec3m tra k\u1ef9 th\u00e0nh ph\u1ea7n thu\u1ed1c tr\u01b0\u1edbc khi cho con u\u1ed1ng. N\u1ebfu b\u1ea1n mu\u1ed1n cho con u\u1ed1ng c\u00e1c lo\u1ea1i thu\u1ed1c t\u1eeb th\u1ea3o d\u01b0\u1ee3c, c\u0169ng n\u00ean ki\u1ec3m tra k\u1ef9 th\u00e0nh ph\u1ea7n th\u1ef1c s\u1ef1 b\u00ean trong. \u0110i\u1ec1u n\u00e0y n\u00ean \u00e1p d\u1ee5ng v\u1edbi ng\u01b0\u1eddi l\u1edbn b\u1ecb thi\u1ebfu men G6PD n\u1eefa.<\/p>\n<pre>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/thieu-men-g6pd-nhung-cau-hoi-thuong-gap\/\" target=\"_blank\" rel=\"noopener\">Thi\u1ebfu men G6PD \u2013 Nh\u1eefng c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/a><\/pre>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong><\/h2>\n<ol>\n<li>Kids Health Info: G6PD Deficiency; The Royal Children\u2019s Hospital, Melbourne, Australia.<\/li>\n<li><a href=\"https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/621969591523433\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/huyenthao.bacsi\/posts\/621969591523433<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thi\u1ebfu men G6PD l\u00e0 b\u1ec7nh di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi. M\u1ed9t tin m\u1eebng l\u00e0 h\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 tr\u1ebb thi\u1ebfu men G6PD \u0111\u00eau ph\u00e1t tri\u1ec3n, sinh s\u1ea3n v\u00e0 c\u00f3 tu\u1ed5i th\u1ecd b\u00ecnh th\u01b0\u1eddng&#8230;<\/p>\n","protected":false},"author":14,"featured_media":4450,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6105],"tags":[5852,5853,5854,5855,4305,5349,5856,5857],"series":[2543],"coauthors":[2652],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh thi\u1ebfu men G6PD - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"Thi\u1ebfu men G6PD l\u00e0 b\u1ec7nh di truy\u1ec1n ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi. 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