{"id":3558,"date":"2014-06-25T17:00:00","date_gmt":"2014-06-25T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/giai-dap-thac-mac-ve-viem-gan-trong-thai-ky\/"},"modified":"2024-04-28T23:56:37","modified_gmt":"2024-04-28T16:56:37","slug":"giai-dap-thac-mac-ve-viem-gan-trong-thai-ky","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/giai-dap-thac-mac-ve-viem-gan-trong-thai-ky\/","title":{"rendered":"Gi\u1ea3i \u0111\u00e1p th\u1eafc m\u1eafc v\u1ec1 vi\u00eam gan trong thai k\u1ef3"},"content":{"rendered":"<p>Vi\u00eam gan B v\u00e0 vi\u00eam gan C l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gan. C\u1ea3 hai b\u1ec7nh \u0111\u1ec1u g\u00e2y ra b\u1edfi vi-r\u00fat (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan si\u00eau vi), d\u1ec5 l\u00e2y lan v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng v\u00e0 l\u00e2u d\u00e0i.<\/p>\n<p>Vi\u00eam gan kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai ph\u1ee5 m\u00e0 vi-r\u00fat vi\u00eam gan c\u00f2n c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n sang c\u1ea3 thai nhi. Nhi\u1ec1u thai ph\u1ee5 c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ebft m\u00ecnh \u0111ang b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan, v\u00ec \u0111\u00f4i khi b\u1ec7nh kh\u00f4ng g\u00e2y ra b\u1ea5t c\u1ee9 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng n\u00e0o.<\/p>\n<h2>Vi\u00eam gan B<\/h2>\n<h3 id=\"vi-rut-viem-gan-b-lay-lan-nhu-the-nao\">Vi-r\u00fat vi\u00eam gan B l\u00e2y lan nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Vi-r\u00fat vi\u00eam gan B l\u00e2y lan khi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00e1u ho\u1eb7c c\u00e1c d\u1ecbch ti\u1ebft c\u01a1 th\u1ec3 (nh\u01b0 tinh d\u1ecbch ho\u1eb7c d\u1ecbch \u00e2m \u0111\u1ea1o) c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra khi quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n ho\u1eb7c khi d\u00f9ng chung kim ti\u00eam \u0111\u1ec3 ti\u00eam thu\u1ed1c. Em b\u00e9 s\u01a1 sinh c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m trong khi sinh n\u1ebfu ng\u01b0\u1eddi m\u1eb9 b\u1ecb b\u1ec7nh vi\u00eam gan B. Vi\u00eam gan B c\u0169ng c\u00f3 th\u1ec3 l\u00e2y lan n\u1ebfu b\u1ea1n s\u1ed1ng v\u1edbi ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh v\u00e0 d\u00f9ng chung c\u00e1c v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 d\u00ednh m\u00e1u ho\u1eb7c d\u1ecbch ti\u1ebft c\u01a1 th\u1ec3, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng ho\u1eb7c dao c\u1ea1o. Vi\u00eam gan B kh\u00f4ng l\u00e2y truy\u1ec1n qua ti\u1ebfp x\u00fac ngo\u00e0i da th\u00f4ng th\u01b0\u1eddng v\u00e0 kh\u00f4ng l\u00e2y truy\u1ec1n sang con khi ng\u01b0\u1eddi m\u1eb9 cho con b\u00fa.<\/p>\n<h3 id=\"viem-gan-b-cap-tinh-la-gi\">Vi\u00eam gan B c\u1ea5p t\u00ednh l\u00e0 g\u00ec?<\/h3>\n<p>Nhi\u1ec5m vi-r\u00fat vi\u00eam gan B c\u00f3 th\u1ec3 l\u00e0 c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh. Vi\u00eam gan B c\u1ea5p t\u00ednh l\u00e0 b\u1ec7nh di\u1ec5n ra trong th\u1eddi gian ng\u1eafn, x\u1ea3y ra trong v\u00f2ng 6 th\u00e1ng \u0111\u1ea7u sau khi b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>\u0102n kh\u00f4ng ngon<\/li>\n<li>Bu\u1ed3n n\u00f4n v\u00e0 \u00f3i m\u1eeda<\/li>\n<li>V\u00e0ng da, v\u00e0ng m\u1eaft<\/li>\n<li>\u0110au b\u1ee5ng<\/li>\n<li>\u0110au c\u01a1 v\u00e0 kh\u1edbp<\/li>\n<\/ul>\n<p>Nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n trong v\u00f2ng m\u1ed9t v\u00e0i tu\u1ea7n m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. Nh\u1eefng ng\u01b0\u1eddi lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c vi-r\u00fat vi\u00eam gan B s\u1ebd tr\u1edf n\u00ean mi\u1ec5n d\u1ecbch v\u1edbi n\u00f3 v\u00e0 kh\u00f4ng b\u1ecb nhi\u1ec5m l\u1ea1i v\u1ec1 sau.<\/p>\n<h3 id=\"viem-gan-b-man-tinh-la-gi\">Vi\u00eam gan B m\u1ea1n t\u00ednh l\u00e0 g\u00ec?<\/h3>\n<p>M\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi l\u1edbn v\u00e0 nhi\u1ec1u tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i b\u1ecb nhi\u1ec5m v\u00e0 kh\u00f4ng bao gi\u1edd lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c vi-r\u00fat vi\u00eam gan B. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam gan B m\u1ea1n t\u00ednh. Nh\u1eefng ng\u01b0\u1eddi n\u00e0y s\u1ebd mang vi-r\u00fat su\u1ed1t \u0111\u1eddi v\u00e0 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nh\u1eefng ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh. H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi m\u1eafc vi\u00eam gan B m\u1ea1n t\u00ednh kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng g\u00ec. Trong m\u1ed9t s\u1ed1 \u00edt c\u00e1c tr\u01b0\u1eddng h\u1ee3p mang m\u1ea7m b\u1ec7nh, nhi\u1ec5m tr\u00f9ng m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 x\u01a1 gan, ung th\u01b0 gan v\u00e0 th\u1eadm ch\u00ed c\u00f3 th\u1ec3 l\u00e0 t\u1eed vong.<\/p>\n<h3 id=\"viem-gan-b-co-the-chua-khoi-khong\">Vi\u00eam gan B c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi kh\u00f4ng?<\/h3>\n<p>Kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh h\u1ebft h\u1eb3n b\u1ec7nh nh\u01b0ng c\u00f3 th\u1ec3 gi\u00fap h\u1ecd gi\u1ea3m ho\u1eb7c h\u1ebft nh\u1eefng tri\u1ec7u ch\u1ee9ng do b\u1ec7nh vi\u00eam gan g\u00e2y ra. Ngo\u00e0i ra, hi\u1ec7n nay \u0111\u00e3 c\u00f3 v\u1eafc-xin (vaccine) ph\u00f2ng ng\u1eeba nhi\u1ec5m vi-r\u00fat vi\u00eam gan B. C\u00f2n v\u1edbi nh\u1eefng ng\u01b0\u1eddi g\u1ea7n \u0111\u00e2y c\u00f3 ti\u1ebfp x\u00fac v\u1edbi vi-r\u00fat vi\u00eam gan B (nh\u01b0 ti\u1ebfp x\u00fac v\u1edbi m\u00e1u ho\u1eb7c d\u1ecbch ti\u1ebft c\u1ee7a ng\u01b0\u1eddi b\u1ecb vi\u00eam gan B) m\u00e0 ch\u01b0a \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng, m\u1ed9t lo\u1ea1i dung d\u1ecbch g\u1ecdi l\u00e0 \u201cGlobulin mi\u1ec5n d\u1ecbch vi\u00eam gan lo\u1ea1i B\u201d (HBIg) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi v\u1eafc-xin ti\u00eam ch\u1ee7ng. HBIg c\u00f3 ch\u1ee9a kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i vi-r\u00fat vi\u00eam gan B v\u00e0 c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng trong m\u1ed9t v\u00e0i t\u00ecnh hu\u1ed1ng.<\/p>\n<h3>Vi r\u00fat vi\u00eam gan B c\u00f3 th\u1ec3 truy\u1ec1n cho con khi mang thai kh\u00f4ng?<\/h3>\n<p>Kho\u1ea3ng 90% ph\u1ee5 n\u1eef mang thai nhi\u1ec5m vi-r\u00fat vi\u00eam gan B c\u1ea5p t\u00ednh v\u00e0 10% \u0111\u1ebfn 20% ph\u1ee5 n\u1eef m\u1eafc vi\u00eam gan B m\u1ea1n t\u00ednh s\u1ebd l\u00e2y truy\u1ec1n vi-r\u00fat sang con.<\/p>\n<h3 id=\"viec-nhiem-vi-rut-viem-gan-b-anh-huong-den-con-cua-toi-nhu-the-nao\">Vi-r\u00fat vi\u00eam gan B \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Nhi\u1ec5m vi-r\u00fat vi\u00eam gan B c\u00f3 th\u1ec3 r\u1ea5t nghi\u00eam tr\u1ecdng \u1edf tr\u1ebb s\u01a1 sinh. N\u00f3 c\u00f3 th\u1ec3 \u0111e d\u1ecda m\u1ea1ng s\u1ed1ng c\u1ee7a tr\u1ebb. Tr\u1ebb s\u01a1 sinh b\u1ecb nhi\u1ec5m vi-r\u00fat c\u00f3 nguy c\u01a1 cao (l\u00ean \u0111\u1ebfn 90%) tr\u1edf th\u00e0nh ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh. Tr\u1ebb c\u0169ng c\u00f3 th\u1ec3 truy\u1ec1n vi-r\u00fat cho ng\u01b0\u1eddi kh\u00e1c. Khi tr\u01b0\u1edfng th\u00e0nh, kho\u1ea3ng 25% tr\u01b0\u1eddng h\u1ee3p s\u1ebd c\u00f3 nguy c\u01a1 ch\u1ebft v\u00ec x\u01a1 gan ho\u1eb7c ung th\u01b0 gan.<\/p>\n<h3 id=\"lam-the-nao-de-phat-hien-nhiem-vi-rut-viem-gan-b\">L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ph\u00e1t hi\u1ec7n nhi\u1ec5m vi-r\u00fat vi\u00eam gan B?<\/h3>\n<p>T\u1ea5t c\u1ea3 thai ph\u1ee5 \u0111\u1ec1u \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m vi\u00eam gan B. C\u00f3 nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m m\u00e1u kh\u00e1c nhau \u0111\u1ec3 ki\u1ec3m tra xem b\u1ea1n c\u00f3 b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B hay kh\u00f4ng v\u00e0 n\u1ebfu c\u00f3 th\u00ec b\u1ecb nhi\u1ec5m g\u1ea7n \u0111\u00e2y hay \u0111ang mang m\u1ea7m b\u1ec7nh m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Ngo\u00e0i ra, c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00f3 c\u0169ng ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c ng\u01b0\u1eddi c\u00f3 mi\u1ec5n d\u1ecbch do tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 t\u1eebng nhi\u1ec5m vi-r\u00fat hay c\u00f3 mi\u1ec5n d\u1ecbch nh\u1edd ch\u1ee7ng ng\u1eeba v\u1eafc-xin.<\/p>\n<h3>\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra n\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m vi-r\u00fat vi\u00eam gan B c\u1ee7a t\u00f4i l\u00e0 d\u01b0\u01a1ng t\u00ednh?<\/h3>\n<p>N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y b\u1ea1n \u0111ang b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m ki\u1ec3m tra ch\u1ee9c n\u0103ng gan v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe to\u00e0n th\u00e2n. Con c\u1ee7a b\u1ea1n, b\u1ea1n t\u00ecnh v\u00e0 nh\u1eefng ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh b\u1ea1n c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m vi-r\u00fat. H\u1ecd ph\u1ea3i \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m v\u00e0 ti\u00eam v\u1eafc-xin.<\/p>\n<h3 id=\"lieu-viec-nhiem-vi-rut-viem-gan-b-co-anh-huong-den-viec-sinh-thuong-hay-sinh-mo-khong\">Li\u1ec7u vi\u1ec7c nhi\u1ec5m vi-r\u00fat vi\u00eam gan B c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c sinh th\u01b0\u1eddng hay sinh m\u1ed5 kh\u00f4ng?<\/h3>\n<p>Nhi\u1ec5m vi-r\u00fat vi\u00eam gan B kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c sinh th\u01b0\u1eddng hay sinh m\u1ed5. B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 sinh th\u01b0\u1eddng n\u1ebfu b\u1ea1n \u0111ang b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B.<\/p>\n<h3 id=\"neu-toi-bi-nhiem-vi-rut-viem-gan-b-toi-co-the-cho-con-bu-khong\">N\u1ebfu t\u00f4i b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, t\u00f4i c\u00f3 th\u1ec3 cho con b\u00fa kh\u00f4ng?<\/h3>\n<p>C\u00f3. B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 cho con b\u00fa n\u1ebfu b\u1ea1n b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B.<\/p>\n<h3 id=\"neu-toi-bi-nhiem-vi-rut-viem-gan-b-cac-bac-si-se-lam-gi-de-khong-lay-cho-con-toi\">N\u1ebfu t\u00f4i b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, c\u00e1c b\u00e1c s\u0129 s\u1ebd l\u00e0m g\u00ec \u0111\u1ec3 kh\u00f4ng l\u00e2y cho con t\u00f4i?<\/h3>\n<p>Trong v\u00f2ng m\u1ed9t v\u00e0i gi\u1edd sau sinh, b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam li\u1ec1u v\u1eafc-xin vi\u00eam gan B \u0111\u1ea7u ti\u00ean v\u00e0 m\u1ed9t m\u0169i globulin mi\u1ec5n d\u1ecbch vi\u00eam gan B (HBIg). Hai li\u1ec1u ti\u1ebfp theo c\u1ee7a v\u1eafc-xin vi\u00eam gan B s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam cho b\u00e9 trong v\u00f2ng 6 th\u00e1ng k\u1ebf ti\u1ebfp. Sau khi ho\u00e0n th\u00e0nh lo\u1ea1t ch\u1ee7ng ng\u1eeba n\u00f3i tr\u00ean, b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ki\u1ec3m tra vi-r\u00fat vi\u00eam gan B.<\/p>\n<h3 id=\"dieu-gi-se-xay-ra-neu-ket-qua-xet-nghiem-cua-con-toi-la-duong-tinh-voi-vi-rut-viem-gan-b\">\u0110i\u1ec1u g\u00ec s\u1ebd x\u1ea3y ra n\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1ee7a con t\u00f4i l\u00e0 d\u01b0\u01a1ng t\u00ednh v\u1edbi vi-r\u00fat vi\u00eam gan B?<\/h3>\n<p>N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cho th\u1ea5y b\u00e9 b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, b\u00e9 c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c ch\u0103m s\u00f3c y t\u1ebf. C\u1ee5 th\u1ec3, b\u00e9 c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe chung v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan.<\/p>\n<h3 id=\"neu-toi-khong-bi-nhiem-vi-rut-viem-gan-b-khi-nao-con-toi-nen-duoc-tiem-phong\">N\u1ebfu t\u00f4i kh\u00f4ng b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, khi n\u00e0o con t\u00f4i n\u00ean \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng?<\/h3>\n<p>T\u1ea5t c\u1ea3 c\u00e1c tr\u1ebb s\u01a1 sinh \u0111\u1ec1u \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng \u0111\u1ec3 ch\u1ed1ng l\u1ea1i vi-r\u00fat vi\u00eam gan B. N\u1ebfu b\u1ea1n kh\u00f4ng b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam li\u1ec1u v\u1eafc-xin \u0111\u1ea7u ti\u00ean tr\u01b0\u1edbc khi b\u1ea1n xu\u1ea5t vi\u1ec7n. N\u1ebfu kh\u00f4ng, b\u00e9 ph\u1ea3i \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng trong v\u00f2ng 2 th\u00e1ng \u0111\u1ea7u ti\u00ean sau sinh. Nh\u1eefng li\u1ec1u c\u00f2n l\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam trong v\u00f2ng 6-18 th\u00e1ng k\u1ebf ti\u1ebfp.<\/p>\n<pre><strong>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/viem-gan-sieu-vi-b-va-thai-ky\/\" target=\"_blank\" rel=\"noopener\">Vi\u00eam gan si\u00eau vi B v\u00e0 thai k\u1ef3<\/a> c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-thanh-hoang\/\" target=\"_blank\" rel=\"noopener\">BS. Ph\u1ea1m Thanh Ho\u00e0ng<\/a><\/strong><\/pre>\n<h2>Vi\u00eam gan C<\/h2>\n<h3 id=\"toi-co-the-duoc-chung-ngua-de-chong-nhiem-vi-rut-viem-gan-c-khong\">T\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng \u0111\u1ec3 ch\u1ed1ng nhi\u1ec5m vi-r\u00fat vi\u00eam gan C kh\u00f4ng?<\/h3>\n<p>Hi\u1ec7n nay ch\u01b0a c\u00f3 v\u1eafc-xin \u0111\u1ec3 ph\u00f2ng ng\u1eeba vi-r\u00fat vi\u00eam gan C. Tr\u00e1nh th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 h\u00e0nh vi kh\u00f4ng an to\u00e0n (nh\u01b0 d\u00f9ng chung dao c\u1ea1o, k\u1ec1m c\u1eaft m\u00f3ng tay, b\u01a1m ti\u00eam,\u2026) l\u00e0 c\u00e1ch duy nh\u1ea5t \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m vi-r\u00fat. Tuy nhi\u00ean, t\u1ec9 l\u1ec7 nhi\u1ec5m vi-r\u00fat vi\u00eam gan C hi\u1ec7n nay kh\u00f4ng cao. M\u1ed9t kh\u1ea3o s\u00e1t ti\u1ebfn h\u00e0nh t\u1ea1i 5 khu v\u1ef1c: H\u00e0 N\u1ed9i, H\u1ea3i Ph\u00f2ng, \u0110\u00e0 N\u1eb5ng, Kh\u00e1nh H\u00f2a, C\u1ea7n Th\u01a1 cho th\u1ea5y t\u1ec9 l\u1ec7 nhi\u1ec5m vi-r\u00fat vi\u00eam gan C \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 ng\u01b0\u1eddi hi\u1ebfn m\u00e1u, ng\u01b0\u1eddi nh\u1eadp ng\u0169 v\u00e0 thai ph\u1ee5 l\u00e0 kho\u1ea3ng 0.5%, t\u1ee9c c\u1ee9 kho\u1ea3ng 200 ng\u01b0\u1eddi m\u1edbi c\u00f3 1 ng\u01b0\u1eddi b\u1ecb vi\u00eam gan C.<\/p>\n<h3 id=\"vi-rut-viem-gan-c-lay-lan-nhu-the-nao\">Vi-r\u00fat vi\u00eam gan C l\u00e2y lan nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Vi-r\u00fat vi\u00eam gan C l\u00e2y truy\u1ec1n th\u00f4ng qua ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi m\u00e1u b\u1ecb nhi\u1ec5m b\u1ec7nh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra trong khi d\u00f9ng chung kim ti\u00eam ho\u1eb7c c\u00e1c v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n d\u00ednh m\u00e1u. Em b\u00e9 s\u01a1 sinh c\u00f3 th\u1ec3 b\u1ecb nhi\u1ec5m trong khi sinh n\u1ebfu ng\u01b0\u1eddi m\u1eb9 b\u1ecb nhi\u1ec5m vi\u00eam gan C. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 l\u00e2y lan trong khi quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n, nh\u01b0ng l\u00e2y lan theo \u0111\u01b0\u1eddng n\u00e0y th\u01b0\u1eddng kh\u00f3 kh\u0103n h\u01a1n. N\u00f3 kh\u00f4ng l\u00e2y lan qua ti\u1ebfp x\u00fac th\u00f4ng th\u01b0\u1eddng ho\u1eb7c khi cho con b\u00fa.<\/p>\n<h3 id=\"dau-hieu-va-trieu-chung-cua-nhiem-vi-rut-viem-gan-c-la-gi\">D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m vi-r\u00fat vi\u00eam gan C l\u00e0 g\u00ec?<\/h3>\n<p>Nhi\u1ec5m vi-r\u00fat vi\u00eam gan C g\u00e2y ra c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nhi\u1ec5m vi-r\u00fat vi\u00eam gan B. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng g\u00ec. Kh\u00f4ng gi\u1ed1ng nh\u01b0 nhi\u1ec5m vi-r\u00fat vi\u00eam gan B, h\u1ea7u h\u1ebft ng\u01b0\u1eddi l\u1edbn nhi\u1ec5m vi-r\u00fat vi\u00eam gan C (75% \u0111\u1ebfn 85%) s\u1ebd tr\u1edf th\u00e0nh ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh v\u00e0 h\u1ea7u h\u1ebft ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh s\u1ebd m\u1eafc c\u00e1c b\u1ec7nh gan m\u1ea1n t\u00ednh. M\u1ed9t s\u1ed1 \u00edt h\u01a1n s\u1ebd m\u1eafc b\u1ec7nh x\u01a1 gan ho\u1eb7c nh\u1eefng v\u1ea5n \u0111\u1ec1 kh\u00e1c v\u1ec1 gan nghi\u00eam tr\u1ecdng v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n<h3 id=\"neu-toi-bi-nhiem-vi-rut-viem-gan-c-toi-co-kha-nang-truyen-benh-cho-con-toi-khong\">N\u1ebfu t\u00f4i b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C, t\u00f4i c\u00f3 kh\u1ea3 n\u0103ng truy\u1ec1n b\u1ec7nh cho con t\u00f4i kh\u00f4ng?<\/h3>\n<p>Kho\u1ea3ng 4% ph\u1ee5 n\u1eef b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C s\u1ebd l\u00e2y truy\u1ec1n cho con c\u1ee7a h\u1ecd. Nguy c\u01a1 l\u00e2y truy\u1ec1n th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng vi-r\u00fat trong c\u01a1 th\u1ec3 m\u1eb9 v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o vi\u1ec7c m\u1eb9 c\u00f3 \u0111ang b\u1ecb nhi\u1ec5m HIV hay kh\u00f4ng.<\/p>\n<h3>N\u1ebfu t\u00f4i b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C, sau khi sinh bao l\u00e2u th\u00ec con t\u00f4i s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra?<\/h3>\n<p>N\u1ebfu b\u1ea1n b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C, con c\u1ee7a b\u1ea1n th\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra khi ch\u00fang \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 18 th\u00e1ng tu\u1ed5i.<\/p>\n<h3 id=\"neu-toi-bi-nhiem-vi-rut-viem-gan-c-toi-co-the-cho-con-bu-khong\">N\u1ebfu t\u00f4i b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C, t\u00f4i c\u00f3 th\u1ec3 cho con b\u00fa kh\u00f4ng?<\/h3>\n<p>C\u00f3. B\u1ea1n v\u1eabn c\u00f3 th\u1ec3 cho con b\u00fa s\u1eefa n\u1ebfu b\u1ea1n b\u1ecb nhi\u1ec5m vi-r\u00fat vi\u00eam gan C.<\/p>\n<h2 id=\"chu-giai\"><span style=\"color: #000000;\">Gi\u1ea3i th\u00edch thu\u1eadt ng\u1eef<\/span><\/h2>\n<ul>\n<li><strong> Kh\u00e1ng th\u1ec3<\/strong>: L\u00e0 m\u1ed9t lo\u1ea1i protein trong m\u00e1u, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t trong ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c t\u00e1c nh\u00e2n l\u1ea1, ch\u1eb3ng h\u1ea1n nh\u01b0 vi khu\u1ea9n v\u00e0 vi-r\u00fat.<\/li>\n<li><strong> Ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh<\/strong>: Nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m vi-r\u00fat g\u00e2y b\u1ec7nh m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n b\u1ec7nh cho ng\u01b0\u1eddi kh\u00e1c.<\/li>\n<li><strong> X\u01a1 gan<\/strong>: T\u00ecnh tr\u1ea1ng b\u1ec7nh \u1edf gan g\u00e2y ra do c\u00e1c t\u1ebf b\u00e0o gan b\u1ecb m\u1ea5t \u0111i v\u00e0 thay b\u1eb1ng m\u00f4 s\u1eb9o, d\u1eabn \u0111\u1ebfn suy y\u1ebfu ch\u1ee9c n\u0103ng gan.<\/li>\n<li><strong> Globulin mi\u1ec5n d\u1ecbch vi\u00eam gan B (HBIg)<\/strong>: M\u1ed9t ch\u1ea5t d\u00f9ng \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 ch\u1ed1ng nhi\u1ec5m vi-r\u00fat vi\u00eam gan B t\u1ea1m th\u1eddi.<\/li>\n<li><strong> V\u00e0ng da<\/strong>: S\u1ef1 t\u00edch t\u1ee5 bilirubin l\u00e0m da v\u00e0 m\u1eaft c\u00f3 m\u00e0u v\u00e0ng.<\/li>\n<li><strong> Tinh d\u1ecbch<\/strong>: Ch\u1ea5t d\u1ecbch \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi tuy\u1ebfn sinh d\u1ee5c nam, \u0111\u01b0\u1ee3c ti\u1ebft ra khi xu\u1ea5t tinh v\u00e0 c\u00f3 ch\u1ee9a tinh tr\u00f9ng.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n c\u00f3 v\u1ea5n \u0111\u1ec1 th\u1eafc m\u1eafc ho\u1eb7c ch\u01b0a hi\u1ec3u r\u00f5, vui l\u00f2ng li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 S\u1ea3n ph\u1ee5 khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 r\u00e0ng h\u01a1n.<\/p>\n<h2><span style=\"font-size: 18px; color: #000000;\"> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/span><\/h2>\n<ol>\n<li><a href=\"http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq093.pdf?dmc=1&amp;ts=20140120T2259166385\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq093.pdf?dmc=1&amp;ts=20140120T2259166385 <\/a><\/li>\n<li><a href=\"http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq093.pdf?dmc=1&amp;ts=20140120T2259166385\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.plosone.org\/article <\/a> <a href=\"http:\/\/www.plosone.org\/article\/info%3Adoi%2F10.1371%2Fjournal.pone.0041266. Accessed June 24th2014\" target=\"_blank\" rel=\"noopener\"> \/<\/a><\/li>\n<li><a href=\"http:\/\/www.plosone.org\/article\/info%3Adoi%2F10.1371%2Fjournal.pone.0041266. Accessed June 24th2014\" target=\"_blank\" rel=\"noopener\">info%3Adoi%2F10.1371%2Fjournal.pone.0041266. Accessed June 24th2014 <\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>M\u1eafc vi\u00eam gan khi mang thai kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai ph\u1ee5 m\u00e0 vi-r\u00fat c\u00f2n c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n sang c\u1ea3 thai nhi, \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng.<\/p>\n","protected":false},"author":26,"featured_media":3559,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5427],"tags":[4226,4455,4456,4457,4458],"series":[1611],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gi\u1ea3i \u0111\u00e1p th\u1eafc m\u1eafc v\u1ec1 vi\u00eam gan trong thai k\u1ef3 - D\u1ef1 \u00e1n S\u1ea3n Ph\u1ee5 Khoa<\/title>\n<meta name=\"description\" content=\"Gi\u1ea3i \u0111\u00e1p th\u1eafc m\u1eafc v\u1ec1 vi\u00eam gan trong thai k\u1ef3 - 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