{"id":5098,"date":"2015-07-20T17:00:00","date_gmt":"2015-07-20T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/gian-be-lon-ho-sau-o-thai-nhi\/"},"modified":"2024-04-24T15:12:20","modified_gmt":"2024-04-24T08:12:20","slug":"gian-be-lon-ho-sau-o-thai-nhi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/gian-be-lon-ho-sau-o-thai-nhi\/","title":{"rendered":"Gi\u00e3n b\u1ec3 l\u1edbn h\u1ed1 sau \u1edf thai nhi"},"content":{"rendered":"<p><em><strong>Ng\u01b0\u1eddi h\u1ecfi: Hue Thanh &#8211; Ng\u00e0y h\u1ecfi: 5\/6\/2015 <\/strong> <\/em><\/p>\n<p><em><strong>Tham gia t\u01b0 v\u1ea5n: BS. Nguy\u1ec5n H\u1eefu Ch\u00e2u \u0110\u1ee9c <\/strong> <\/em><\/p>\n<h2>C\u00e2u h\u1ecfi<\/h2>\n<p>Xin ch\u00e0o c\u00e1c b\u00e1c s\u0129, ch\u1ecb g\u00e1i em c\u00f3 c\u00e2u h\u1ecfi mu\u1ed1n nh\u1edd c\u00e1c b\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap nh\u01b0ng kh\u00f4ng bi\u1ebft c\u00e1ch \u0111\u0103ng b\u00e0i n\u00ean em l\u00e0m gi\u00fap, r\u1ea5t mong nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u01b0 v\u1ea5n c\u1ee7a c\u00e1c b\u00e1c s\u0129.<\/p>\n<p>Ch\u1ecb g\u00e1i em sinh b\u00e9 g\u00e1i \u0111\u1ebfn nay \u0111\u01b0\u1ee3c 7 th\u00e1ng tu\u1ed5i, b\u00e9 n\u1eb7ng 7kg. Khi c\u00f2n thai k\u1ef3, \u1edf tu\u1ea7n thai th\u1ee9 32, ch\u1ecb g\u00e1i em c\u00f3 \u0111i si\u00eau \u00e2m v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 thai nhi b\u1ecb gi\u00e3n b\u1ec3 l\u1edbn h\u1ed1 sau n\u00e3o k\u00edch th\u01b0\u1edbc 12mm. Sang tu\u1ea7n th\u1ee9 33, ch\u1ecb c\u00f3 \u0111\u1ebfn B\u1ec7nh vi\u1ec7n ph\u1ee5 s\u1ea3n H\u00e0 N\u1ed9i ki\u1ec3m tra l\u1ea1i nh\u01b0ng k\u1ebft qu\u1ea3 l\u00e0 kh\u00f4ng c\u00f2n nh\u00ecn th\u1ea5y n\u00e3o thai nhi b\u1ecb gi\u00e3n n\u1eefa.<\/p>\n<p>T\u1eeb khi sinh ra \u0111\u1ebfn nay, b\u00e9 v\u1eabn \u0103n ng\u1ee7 t\u1ed1t, ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng (bi\u1ebft l\u1eaby, ng\u1ed3i) kh\u00f4ng b\u1ecb ch\u1eadm h\u01a1n so v\u1edbi c\u00e1c b\u00e9 kh\u00e1c c\u00f9ng \u0111\u1ed9 tu\u1ed5i, giao ti\u1ebfp b\u1eb1ng m\u1eaft v\u00e0 giao ti\u1ebfp t\u00ecnh c\u1ea3m v\u1edbi m\u1eb9 v\u00e0 m\u1ecdi ng\u01b0\u1eddi c\u0169ng b\u00ecnh th\u01b0\u1eddng, b\u00e9 c\u0169ng kh\u00e1 nhanh nh\u1eb9n. Tuy nhi\u00ean, ch\u1ecb g\u00e1i em v\u1eabn kh\u00f4ng kh\u1ecfi lo l\u1eafng, ch\u1ecb mu\u1ed1n cho b\u00e9 \u0111i ch\u1ee5p <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cat-lop-vi-tinh-ct-scan\/\" target=\"_blank\" rel=\"noopener\">CT<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cong-huong-tu-mri-scan\/\" target=\"_blank\" rel=\"noopener\">MRI<\/a> \u0111\u1ec3 ki\u1ec3m tra cho an t\u00e2m. Nh\u01b0ng kh\u00f4ng bi\u1ebft nh\u01b0 v\u1eady c\u00f3 n\u00ean kh\u00f4ng, xin c\u00e1c b\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap, v\u00e0 b\u00e9 nh\u01b0 v\u1eady li\u1ec7u c\u00f3 c\u1ea7n th\u0103m kh\u00e1m g\u00ec th\u00eam n\u1eefa kh\u00f4ng? Em xin c\u1ea3m \u01a1n c\u00e1c b\u00e1c s\u0129.<\/p>\n<h2>Tr\u1ea3 l\u1eddi<\/h2>\n<p>Ch\u00e0o ch\u1ecb. <span style=\"line-height: 1.6em;\"> Tu\u1ea7n thai th\u1ee9 31-32, \u0111\u01b0\u1eddng k\u00ednh b\u1ec3 l\u1edbn h\u1ed1 sau trung b\u00ecnh kho\u1ea3ng 7.2 mm (dao \u0111\u1ed9ng 5.1-9.6 mm). Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u00e1u 12 mm l\u00e0 gia\u0303n nhe\u0323. Gia\u0303n h\u00f4\u0301 sau hay g\u0103\u0323p ca\u0301c ki\u00ea\u0309u hi\u0300nh sau: <\/span><\/p>\n<ul>\n<li>Tu\u0301i Blake (Blake\u2019s pouch cyst).<\/li>\n<li>Gia\u0303n h\u00f4\u0301 sau \u0111\u01a1n thu\u00e2\u0300n (Megacisterna magna).<\/li>\n<li>H\u00f4\u0323i ch\u01b0\u0301ng Dandy\u2013Walker (Dandy\u2013Walker malformation).<\/li>\n<li>Thi\u00ea\u0309u sa\u0309n thu\u0300y nh\u00f4\u0323ng ti\u00ea\u0309u na\u0303o (Vermian hypoplasia).<\/li>\n<li>Thi\u00ea\u0309u sa\u0309n ti\u00ea\u0309u na\u0303o (Cerebellar hypoplasia).<\/li>\n<\/ul>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sieu-am-la-cai-gi-vay\/\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m<\/a> co\u0301 th\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n ph\u00e2n bi\u00ea\u0323t ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p na\u0300y v\u01a1\u0301i \u0111\u00f4\u0323 chi\u0301nh xa\u0301c 80%. N\u00ea\u0301u th\u00eam <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cong-huong-tu-mri-scan\/\" target=\"_blank\" rel=\"noopener\">MRI<\/a>, co\u0301 th\u00ea\u0309 \u0111\u01b0a ra th\u00eam nh\u01b0\u0303ng th\u00f4ng tin v\u01a1\u0301i \u0111\u00f4\u0323 chi\u0301nh xa\u0301c &gt; 90%. R\u00e2\u0301t c\u00e2\u0300n thi\u00ea\u0301t \u0111\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n chi\u0301nh xa\u0301c ki\u00ea\u0309u hi\u0300nh vi\u0300 m\u00f4\u0303i tr\u01b0\u01a1\u0300ng h\u01a1\u0323p co\u0301 m\u00f4\u0323t ti\u00ean l\u01b0\u01a1\u0323ng kha\u0301c nhau hoa\u0300n toa\u0300n.<\/p>\n<ul>\n<li>Tu\u0301i Blake va\u0300 gia\u0303n h\u00f4\u0301 sau \u0111\u01a1n thu\u00e2\u0300n: 30-40% co\u0301 th\u00ea\u0309 t\u01b0\u0323 thoa\u0301i lui trong thai ky\u0300. Ngay ca\u0309 ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p t\u00f4\u0300n ta\u0323i sau khi sinh, ti\u00ean l\u01b0\u01a1\u0323ng cu\u0303ng kha\u0309 quan v\u01a1\u0301i &gt; 90% s\u00f4\u0301ng t\u00f4\u0301t ma\u0300 kh\u00f4ng ke\u0300m b\u00e2\u0301t th\u01b0\u01a1\u0300ng kha\u0301c kha\u0301c hay ch\u00e2\u0323m pha\u0301t tri\u00ea\u0309n tri\u0301 tu\u00ea\u0323 v\u00ea\u0300 sau.<\/li>\n<li>Ri\u00eang h\u00f4\u0323i ch\u01b0\u0301ng Dandy\u2013Walker, thi\u00ea\u0309u sa\u0309n thu\u0300y nh\u00f4\u0323ng hay thi\u00ea\u0309u sa\u0309n 1 ph\u00e2\u0300n ti\u00ea\u0309u na\u0303o, kha\u0309 n\u0103ng co\u0301 li\u00ean quan \u0111\u00ea\u0301n b\u00e2\u0301t th\u01b0\u01a1\u0300ng nhi\u00ea\u0303m s\u0103\u0301c th\u00ea\u0309 va\u0300 ch\u00e2\u0323m pha\u0301t tri\u00ea\u0309n tri\u0301 tu\u00ea\u0323 cu\u0300ng ca\u0301c r\u00f4\u0301i loa\u0323n v\u00ea\u0300 th\u0103ng b\u0103\u0300ng, v\u00e2\u0323n \u0111\u00f4\u0323ng v\u00ea\u0300 sau l\u00ean \u0111\u00ea\u0301n 50%.<\/li>\n<\/ul>\n<p>M\u1eb7c d\u00f9 m\u1ee9c \u0111\u1ed9 gi\u00e3n c\u00f3 th\u1ec3 gi\u1ea3m nh\u01b0ng ch\u1ec9 sau 1 tu\u1ea7n si\u00eau \u00e2m l\u1ea1i kh\u00f4ng th\u1ea5y th\u00ec c\u00f3 th\u1ec3 c\u00f3 nh\u1ea7m l\u1eabn!<\/p>\n<p>T\u1eeb sau sinh \u0111\u1ebfn nay tr\u1ebb v\u1eabn ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng nh\u01b0 c\u00e1c tr\u1ebb kh\u00e1c th\u00ec ch\u1ecb c\u00f3 th\u1ec3 an t\u00e2m l\u00e0 tr\u1ebb kho\u1ebb. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1eafc ch\u1eafn v\u1ec1 ch\u1ea9n \u0111o\u00e1n ch\u1ecb n\u00ean cho ch\u00e1u \u0111i kh\u00e1m t\u1ed5ng qu\u00e1t v\u1ec1 ph\u00e1t tri\u1ec3n tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ch\u1ee5p <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cat-lop-vi-tinh-ct-scan\/\" target=\"_blank\" rel=\"noopener\">CT<\/a> hay <a href=\"https:\/\/yhoccongdong.com\/thongtin\/chup-cong-huong-tu-mri-scan\/\" target=\"_blank\" rel=\"noopener\">MRI<\/a>.<\/p>\n<p>Ch\u00fac ch\u00e1u lu\u00f4n kho\u1ebb!<\/p>\n<p><strong><span style=\"color: #006400;\">Sau khi \u0111\u1ecdc t\u1ea5t c\u1ea3 c\u00e1c c\u00e2u h\u1ecfi v\u00e0 t\u00e0i li\u1ec7u m\u00e0 ch\u00fang t\u00f4i \u0111\u00e3 cung c\u1ea5p, n\u1ebfu b\u1ea1n v\u1eabn ch\u01b0a gi\u1ea3i \u0111\u00e1p \u0111\u01b0\u1ee3c th\u1eafc m\u1eafc c\u1ee7a m\u00ecnh vui l\u00f2ng \u0111\u1eb7t c\u00e2u h\u1ecfi t\u1ea1i <\/span> <\/strong> <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.facebook.com\/groups\/nhikhoa.yhcd\/?fref=ts\" target=\"_blank\" rel=\"noopener\"> Group Nhi khoa Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/a><\/span><strong><span style=\"color: #006400;\">\u00a0\u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n.<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tu\u1ea7n thai th\u1ee9 31-32, \u0111\u01b0\u1eddng k\u00ednh b\u1ec3 l\u1edbn h\u1ed1 sau kho\u1ea3ng 5.1-9.6 mm. Si\u00eau \u00e2m co\u0301 th\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n ph\u00e2n bi\u00ea\u0323t ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p gi\u00e3n b\u1ebf l\u1edbn h\u1ed1 sau.<\/p>\n","protected":false},"author":66,"featured_media":5099,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6078],"tags":[6405,6406,6407,6408,6409],"series":[3945],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gi\u00e3n b\u1ec3 l\u1edbn h\u1ed1 sau \u1edf thai nhi - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Tu\u1ea7n thai th\u1ee9 31-32, \u0111\u01b0\u1eddng k\u00ednh b\u1ec3 l\u1edbn h\u1ed1 sau kho\u1ea3ng 5.1-9.6 mm. Si\u00eau \u00e2m co\u0301 th\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n ph\u00e2n bi\u00ea\u0323t ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p gi\u00e3n b\u1ebf l\u1edbn h\u1ed1 sau.\" \/>\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\/gian-be-lon-ho-sau-o-thai-nhi\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gi\u00e3n b\u1ec3 l\u1edbn h\u1ed1 sau \u1edf thai nhi - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Tu\u1ea7n thai th\u1ee9 31-32, \u0111\u01b0\u1eddng k\u00ednh b\u1ec3 l\u1edbn h\u1ed1 sau kho\u1ea3ng 5.1-9.6 mm. Si\u00eau \u00e2m co\u0301 th\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n ph\u00e2n bi\u00ea\u0323t ca\u0301c tr\u01b0\u01a1\u0300ng h\u01a1\u0323p gi\u00e3n b\u1ebf l\u1edbn h\u1ed1 sau.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/gian-be-lon-ho-sau-o-thai-nhi\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/nguyenhuuchauduc\" \/>\n<meta property=\"article:published_time\" content=\"2015-07-20T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-24T08:12:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2015\/07\/hoi-dap-gian-be-lon-ho-sau-o-thai-nhi.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"TS.BS. 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