{"id":3307,"date":"2015-07-05T17:00:00","date_gmt":"2015-07-05T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/theo-doi-nhip-tim-thai-trong-qua-trinh-sinh\/"},"modified":"2024-04-28T14:23:21","modified_gmt":"2024-04-28T07:23:21","slug":"theo-doi-nhip-tim-thai-trong-qua-trinh-sinh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/theo-doi-nhip-tim-thai-trong-qua-trinh-sinh\/","title":{"rendered":"Theo d\u00f5i nh\u1ecbp tim thai trong qu\u00e1 tr\u00ecnh sinh"},"content":{"rendered":"

Th\u1ebf n\u00e0o l\u00e0 theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh?<\/h2>\n

Theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p ki\u1ec3m tra t\u00ecnh tr\u1ea1ng c\u1ee7a b\u00e9 trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 v\u00e0 \u0111\u1ebb b\u1eb1ng thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t.<\/p>\n

\"Thi\u1ebft<\/p>\n

T\u1ea1i sao l\u1ea1i c\u1ea7n theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh?<\/h2>\n

Vi\u1ec7c theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n n\u1ebfu tim thai tr\u1edf n\u00ean b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1. N\u1ebfu ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng, c\u1ea7n t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. Vi\u1ec7c theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh c\u0169ng c\u00f3 th\u1ec3 gi\u00fap l\u00e0m gi\u1ea3m c\u00e1c b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u1ea7n thi\u1ebft. M\u1ed9t nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng s\u1ebd gi\u00fap b\u1ea1n v\u00e0 b\u00e1c s\u0129 bi\u1ebft r\u1eb1ng qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 di\u1ec5n ra b\u00ecnh th\u01b0\u1eddng, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u00eam c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh <\/span><\/h2>\n

C\u00f3 hai ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai trong qu\u00e1 tr\u00ecnh sinh. B\u00e1c s\u0129 c\u00f3 th\u1ec3 theo d\u00f5i \u0111\u1ecbnh k\u1ef3 tim thai b\u1eb1ng th\u00ednh ch\u1ea9n. Ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai b\u1eb1ng \u0111i\u1ec7n t\u1eed s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 \u0111i\u1ec7n t\u1eed \u0111\u1ec3 \u0111o tim thai v\u00e0 c\u00e1c c\u01a1n g\u00f2 chuy\u1ec3n d\u1ea1 c\u1ee7a m\u1eb9 m\u1ed9t c\u00e1ch li\u00ean t\u1ee5c. Vi\u1ec7c s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p n\u00e0o tu\u1ef3 thu\u1ed9c v\u00e0o c\u01a1 s\u1edf v\u1eadt ch\u1ea5t c\u1ee7a b\u1ec7nh vi\u1ec7n ho\u1eb7c ph\u00f2ng h\u1ed9 sinh, tu\u1ef3 thu\u1ed9c v\u00e0o c\u00e1c nguy c\u01a1 m\u00e0 ng\u01b0\u1eddi m\u1eb9 c\u00f3 th\u1ec3 m\u1eafc ph\u1ea3i, v\u00e0 tu\u1ef3 thu\u1ed9c v\u00e0o chuy\u1ec3n d\u1ea1 di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o. N\u1ebfu ng\u01b0\u1eddi m\u1eb9 kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c nguy c\u01a1 r\u1ee7i ro n\u00e0o trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 th\u00ec c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong hai ph\u01b0\u01a1ng ph\u00e1p tr\u00ean.<\/p>\n

Th\u1ebf n\u00e0o l\u00e0 th\u00ednh ch\u1ea9n?<\/h2>\n

Khi th\u00ednh ch\u1ea9n, b\u00e1c s\u0129 s\u1ebd nghe tim thai b\u1eb1ng \u1ed1ng nghe \u0111\u1eb7c bi\u1ec7t ho\u1eb7c \u0111\u1ea7u d\u00f2 Doppler. Khi \u0111\u1eb7t m\u00e1y \u1ea5n tr\u00ean b\u1ee5ng s\u1ebd nghe th\u1ea5y tim thai.<\/p>\n

C\u1ee9 sau m\u1ed9t th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh b\u00e1c s\u0129 s\u1ebd \u0111\u1ebfn ki\u1ec3m tra tim thai. N\u1ebfu ng\u01b0\u1eddi m\u1eb9 c\u00f3 r\u1ee7i ro cao trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1, ho\u1eb7c n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng g\u00ec x\u1ea3y ra th\u00ec b\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra tim thai th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/p>\n

Th\u1ebf n\u00e0o l\u00e0 ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai b\u1eb1ng \u0111i\u1ec7n t\u1eed?<\/h2>\n

Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai b\u1eb1ng \u0111i\u1ec7n t\u1eed s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 ghi l\u1ea1i ph\u1ea3n \u1ee9ng c\u1ee7a tim thai v\u1edbi c\u00e1c c\u01a1n g\u00f2 chuy\u1ec3n d\u1ea1. N\u00f3 ghi l\u1ea1i nh\u1ecbp tim m\u1ed9t c\u00e1ch li\u00ean t\u1ee5c, v\u00e0 b\u00e1c s\u0129 s\u1ebd \u0111\u1ebfn ki\u1ec3m tra bi\u1ec3u \u0111\u1ed3 tim thai sau m\u1ed9t th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh. N\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra th\u00ec b\u00e1c s\u0129 s\u1ebd \u0111\u1ebfn ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i tim thai b\u1eb1ng \u0111i\u1ec7n t\u1eed c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u00ean ngo\u00e0i, b\u00ean trong, ho\u1eb7c c\u1ea3 hai. Ng\u01b0\u1eddi m\u1eb9 s\u1ebd ph\u1ea3i n\u1eb1m tr\u00ean gi\u01b0\u1eddng khi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, nh\u01b0ng c\u00f3 th\u1ec3 xoay ng\u01b0\u1eddi \u0111\u1ec3 c\u00f3 t\u01b0 th\u1ebf n\u1eb1m tho\u1ea3i m\u00e1i.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i b\u00ean ngo\u00e0i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, hai v\u00f2ng \u0111ai s\u1ebd \u0111\u01b0\u1ee3c qu\u1ea5n quanh ng\u01b0\u1eddi m\u1eb9. M\u1ed9t v\u00f2ng \u0111ai s\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u1ec3 \u0111o nh\u1ecbp tim thai. M\u1ed9t v\u00f2ng \u0111ai kh\u00e1c \u0111\u1ec3 \u0111o th\u1eddi gian c\u1ee7a t\u1eebng c\u01a1n g\u00f2 chuy\u1ec3n d\u1ea1 v\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa ch\u00fang.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i b\u00ean trong \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, m\u1ed9t \u0111i\u1ec7n c\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf tr\u00ean c\u01a1 th\u1ec3 thai nhi ph\u1ea7n g\u1ea7n v\u1edbi c\u1ed5 t\u1eed cung nh\u1ea5t, th\u01b0\u1eddng l\u00e0 \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean da \u0111\u1ea7u, \u0111\u1ec3 \u0111o nh\u1ecbp tim. C\u01a1n co t\u1eed cung s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng m\u1ed9t \u1ed1ng \u0111\u1eb7c bi\u1ec7t, g\u1ecdi l\u00e0 \u1ed1ng \u0111o \u00e1p l\u1ef1c trong t\u1eed cung, \u0111\u01b0\u1ee3c \u0111\u1eb7t th\u00f4ng qua \u00e2m \u0111\u1ea1o v\u00e0o t\u1eed cung. Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i b\u00ean trong ch\u1ec9 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ed9t khi m\u00e0ng c\u1ee7a t\u00fai n\u01b0\u1edbc \u1ed1i \u0111\u00e3 v\u1ee1.<\/p>\n

Ph\u1ea3i l\u00e0m g\u00ec khi nh\u1ecbp tim thai b\u1ea5t th\u01b0\u1eddng?<\/h2>\n

Nh\u1ecbp tim thai b\u1ea5t th\u01b0\u1eddng kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 lu\u00f4n lu\u00f4n c\u00f3 v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng. C\u1ea7n ph\u1ea3i ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 bi\u1ebft \u0111i\u1ec1u g\u00ec x\u1ea3y ra v\u1edbi thai.<\/p>\n

\u0110\u1ea7u ti\u00ean b\u00e1c s\u0129 s\u1ebd t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y tim thai b\u1ea5t th\u01b0\u1eddng. C\u00f3 th\u1ec3 gi\u00fap thai nh\u1eadn th\u00eam nhi\u1ec1u oxy b\u1eb1ng c\u00e1ch thay \u0111\u1ed5i t\u01b0 th\u1ebf. N\u1ebfu bi\u1ec7n ph\u00e1p n\u00e0y kh\u00f4ng gi\u00fap \u00edch g\u00ec, ho\u1eb7c n\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1edbi thai th\u00ec b\u00e1c s\u0129 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh \u0111\u01b0a tr\u1ebb ra ngo\u00e0i ngay l\u1eadp t\u1ee9c. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u1eb1ng sinh m\u1ed5, ho\u1eb7c l\u1ea5y thai b\u1eb1ng k\u1ec1m ho\u1eb7c h\u00fat ch\u00e2n kh\u00f4ng.<\/p>\n

Gi\u1ea3i th\u00edch thu\u1eadt ng\u1eef<\/h2>\n

K\u1ec1m: <\/strong> l\u00e0 d\u1ee5ng c\u1ee5 \u0111\u1eb7t quanh \u0111\u1ea7u thai nhi \u0111\u1ec3 gi\u00fap thai nhi di chuy\u1ec3n qua \u00e2m \u0111\u1ea1o trong qu\u00e1 tr\u00ecnh sinh.<\/p>\n

C\u1ed5 t\u1eed cung: <\/strong> l\u00e0 ph\u1ea7n t\u1eed cung n\u1ed1i v\u1edbi \u00e2m \u0111\u1ea1o.<\/p>\n

\u0110i\u1ec7n c\u1ef1c: <\/strong> l\u00e0 m\u1ed9t d\u00e2y d\u1eabn \u0111i\u1ec7n \u0111\u01b0\u1ee3c g\u1eafn tr\u00ean da \u0111\u1ea7u thai nhi \u0111\u1ec3 \u0111o nh\u1ecbp tim.<\/p>\n

\u0110\u1ea7u d\u00f2 Doppler: <\/strong> l\u00e0 d\u1ee5ng c\u1ee5 s\u1eed d\u1ee5ng s\u00f3ng \u00e2m \u0111\u1ec3 ghi l\u1ea1i chuy\u1ec3n \u0111\u1ed9ng, v\u00ed d\u1ee5 nh\u01b0 nh\u1ecbp tim thai, d\u01b0\u1edbi d\u1ea1ng t\u00edn hi\u1ec7u nghe \u0111\u01b0\u1ee3c.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111o nh\u1ecbp tim thai \u0111i\u1ec7n t\u1eed: <\/strong> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb \u0111i\u1ec7n t\u1eed \u0111\u1ec3 ghi l\u1ea1i nh\u1ecbp tim thai v\u00e0 c\u00e1c c\u01a1n co t\u1eed cung c\u1ee7a ng\u01b0\u1eddi m\u1eb9.<\/p>\n

Sinh m\u1ed5: <\/strong> l\u00e0 qu\u00e1 tr\u00ecnh sinh b\u1eb1ng c\u00e1ch m\u1ed5 b\u1ee5ng v\u00e0 t\u1eed cung c\u1ee7a ng\u01b0\u1eddi m\u1eb9.<\/p>\n

Th\u00ednh ch\u1ea9n: <\/strong> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p nghe n\u1ed9i t\u1ea1ng, v\u00ed d\u1ee5 nh\u01b0 nghe tim thai trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1.<\/p>\n

T\u00fai n\u01b0\u1edbc \u1ed1i: <\/strong> l\u00e0 t\u00fai ch\u1ee9a d\u1ecbch trong t\u1eed cung ng\u01b0\u1eddi m\u1eb9, n\u01a1i thai nhi ph\u00e1t tri\u1ec3n.<\/p>\n

Ch\u00fa \u00fd <\/span> <\/strong> <\/u><\/p>\n

N\u1ebfu b\u1ea1n c\u00f3 th\u00eam th\u1eafc m\u1eafc, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa <\/span> <\/strong><\/p>\n

B\u00e0i n\u00e0y \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 tr\u1ee3 gi\u00fap b\u1ec7nh nh\u00e2n, ch\u1ee9 kh\u00f4ng m\u00f4 t\u1ea3 to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ea7n thi\u1ebft, v\u00e0 do \u0111\u00f3 kh\u00f4ng n\u00ean b\u1ecf qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3. Tu\u1ef3 thu\u1ed9c v\u00e0o tr\u1ea1ng th\u00e1i c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, \u0111i\u1ec1u ki\u1ec7n c\u1ee7a c\u01a1 s\u1edf y t\u1ebf m\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 c\u00f3 thay \u0111\u1ed5i.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n

http:\/\/www.acog.org\/Patients\/FAQs\/Fetal-Heart-Rate-Monitoring-During-Labor <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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