{"id":3564,"date":"2014-05-02T17:00:00","date_gmt":"2014-05-02T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/xet-nghiem-theo-doi-suc-khoe-thai-nhi\/"},"modified":"2024-04-28T23:56:53","modified_gmt":"2024-04-28T16:56:53","slug":"xet-nghiem-theo-doi-suc-khoe-thai-nhi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/xet-nghiem-theo-doi-suc-khoe-thai-nhi\/","title":{"rendered":"X\u00e9t nghi\u1ec7m theo d\u00f5i s\u1ee9c kh\u1ecfe thai nhi"},"content":{"rendered":"<h2 id=\"tai-sao-nhung-xet-nghiem-dac-biet-lai-can-thiet-trong-qua-trinh-mang-thai\">T\u1ea1i sao nh\u1eefng x\u00e9t nghi\u1ec7m \u0111\u1eb7c bi\u1ec7t l\u1ea1i c\u1ea7n thi\u1ebft trong qu\u00e1 tr\u00ecnh mang thai?<\/h2>\n<p>Nh\u1eefng x\u00e9t nghi\u1ec7m \u0111\u1eb7c bi\u1ec7t trong qu\u00e1 tr\u00ecnh mang thai \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi thai nhi c\u00f3 nguy c\u01a1 cao m\u1eafc nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng thai k\u1ef3 ho\u1eb7c d\u1eabn \u0111\u1ebfn thai ch\u1ebft l\u01b0u. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<ul>\n<li>Mang thai nguy c\u01a1 cao\u00a0(khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef mang thai \u0111\u00e3 t\u1eebng c\u00f3 nh\u1eefng bi\u1ebfn ch\u1ee9ng trong l\u1ea7n mang thai tr\u01b0\u1edbc ho\u1eb7c \u0111\u00e3 c\u00f3 s\u1eb5n m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd tim m\u1ea1ch)<\/li>\n<li>V\u1ea5n \u0111\u1ec1 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh mang thai, nh\u01b0 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, m\u1eabn c\u1ea3m Rh m\u1eb9 ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>C\u1eed \u0111\u1ed9ng thai nhi gi\u1ea3m<\/li>\n<li>Thai k\u1ef3 k\u00e9o d\u00e0i h\u01a1n 42 tu\u1ea7n (thai gi\u00e0 th\u00e1ng)<\/li>\n<li>\u0110a thai k\u00e8m nh\u1eefng bi\u1ebfn ch\u1ee9ng nh\u1ea5t \u0111\u1ecbnh.<\/li>\n<\/ul>\n<h2 id=\"nhung-xet-nghiem-dac-biet-duoc-thuc-hien-vao-thoi-diem-nao-cua-thai-ky\">Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0o c\u1ee7a thai k\u1ef3?<\/h2>\n<p>X\u00e9t nghi\u1ec7m th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u gi\u1eefa tu\u1ea7n 32 v\u00e0 34 c\u1ee7a thai k\u1ef3. Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1edbm h\u01a1n n\u1ebfu thai nhi c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng ho\u1eb7c khi c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1.<\/p>\n<h2 id=\"muc-do-thuong-xuyen-cua-viec-thuc-hien-nhung-xet-nghiem-nay\">Bao l\u00e2u th\u00ec x\u00e9t nghi\u1ec7m l\u1ea1i 1 l\u1ea7n?<\/h2>\n<p>S\u1ed1 l\u1ea7n th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng d\u1eabn \u0111\u1ebfn l\u00e0m x\u00e9t nghi\u1ec7m, t\u00ecnh tr\u1ea1ng \u0111\u00f3 c\u00f3 \u1ed5n \u0111\u1ecbnh hay kh\u00f4ng v\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a x\u00e9t nghi\u1ec7m. M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c l\u00e0m h\u00e0ng tu\u1ea7n. Trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng nh\u1ea5t \u0111\u1ecbnh, x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n hai l\u1ea7n m\u1ed7i tu\u1ea7n.<\/p>\n<h2 id=\"xet-nghiem-dac-biet-gom-co-nhung-loai-nao\">X\u00e9t nghi\u1ec7m \u0111\u1eb7c bi\u1ec7t g\u1ed3m c\u00f3 nh\u1eefng lo\u1ea1i n\u00e0o?<\/h2>\n<p>Nh\u1eefng x\u00e9t nghi\u1ec7m \u0111\u1ec3 theo d\u00f5i s\u1ee9c kh\u1ecfe thai nhi bao g\u1ed3m \u0111\u1ebfm s\u1ed1 l\u1ea7n c\u1eed \u0111\u1ed9ng thai nhi, test kh\u00f4ng \u0111\u1ea3 k\u00edch, tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd, tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd c\u1ea3i ti\u1ebfn, test co th\u1eaft \u0111\u1ea3 k\u00edch v\u00e0 si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n.<\/p>\n<h3 id=\"dem-so-lan-cu-dong-thai-nhi-la-gi\">\u0110\u1ebfm s\u1ed1 l\u1ea7n c\u1eed \u0111\u1ed9ng thai nhi l\u00e0 g\u00ec?<\/h3>\n<p>N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y s\u1ef1 c\u1eed \u0111\u1ed9ng c\u1ee7a thai nhi gi\u1ea3m \u0111i so v\u1edbi m\u1ee9c b\u00ecnh th\u01b0\u1eddng b\u1ea1n ngh\u0129, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n theo d\u00f5i c\u1eed \u0111\u1ed9ng thai nhi. \u0110\u1ebfm c\u1eed \u0111\u1ed9ng thai nhi (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u1ebfm s\u1ed1 l\u1ea7n \u0111\u1ea1p) l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m b\u1ea1n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u1edf nh\u00e0. C\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 \u0111\u1ebfm s\u1ed1 l\u1ea7n \u0111\u1ea1p. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd cho b\u1ea1n bi\u1ebft m\u1ee9c \u0111\u1ed9 th\u01b0\u1eddng xuy\u00ean c\u1ee7a vi\u1ec7c theo d\u00f5i n\u00e0y v\u00e0 khi n\u00e0o th\u00ec n\u00f3i cho b\u00e1c s\u0129 bi\u1ebft.<\/p>\n<h3 id=\"test-khong-da-kich-la-gi\">Test kh\u00f4ng \u0111\u1ea3 k\u00edch l\u00e0 g\u00ec?<\/h3>\n<p>Test kh\u00f4ng \u0111\u1ea3 k\u00edch theo d\u00f5i nh\u1ecbp tim c\u1ee7a thai nhi \u0111\u00e1p \u1ee9ng v\u1edbi c\u1eed \u0111\u1ed9ng thai nhi theo th\u1eddi gian. Thu\u1eadt ng\u1eef kh\u00f4ng \u0111\u1ea3 k\u00edch (nonstress) c\u00f3 ngh\u0129a l\u00e0 trong l\u00fac x\u00e9t nghi\u1ec7m, kh\u00f4ng d\u00f9ng b\u1ea5t k\u00ec th\u1ee9 g\u00ec \u0111\u1ec3 g\u00e2y c\u0103ng th\u1eb3ng l\u00ean thai nhi.<\/p>\n<h4 id=\"test-khong-da-kich-duoc-thuc-hien-nhu-the-nao\">Test kh\u00f4ng \u0111\u1ea3 k\u00edch \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\n<p>X\u00e9t nghi\u1ec7m n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong ph\u00f2ng m\u1ea1ch b\u00e1c s\u0129 ho\u1eb7c trong b\u1ec7nh vi\u1ec7n. N\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi b\u1ea1n \u0111ang ng\u1ed3i d\u1ef1a l\u01b0ng hay \u0111ang n\u1eb1m v\u00e0 th\u01b0\u1eddng m\u1ea5t \u00edt nh\u1ea5t 20 ph\u00fat. M\u1ed9t d\u00e2y th\u1eaft l\u01b0ng mang b\u1ed9 ph\u1eadn c\u1ea3m th\u1ee5 \u0111\u1ec3 \u0111o nh\u1ecbp tim thai nhi s\u1ebd \u0111\u01b0\u1ee3c \u0111eo quanh b\u1ee5ng b\u1ea1n. Nh\u1ecbp tim thai \u0111\u01b0\u1ee3c ghi l\u1ea1i b\u1eb1ng m\u00e1y.<\/p>\n<h4 id=\"ket-qua-cua-test-khong-da-kich-co-y-nghia-gi\">K\u1ebft qu\u1ea3 c\u1ee7a test kh\u00f4ng \u0111\u1ea3 k\u00edch c\u00f3 \u00fd ngh\u0129a g\u00ec?<\/h4>\n<p>N\u1ebfu \u2265 2 l\u1ea7n t\u0103ng nh\u1ecbp trong m\u1ed9t kho\u1ea3ng th\u1eddi gian 20 ph\u00fat, k\u1ebft qu\u1ea3 s\u1ebd l\u00e0 \u201cph\u1ea3n \u1ee9ng t\u1ed1t\u201d ho\u1eb7c \u201cy\u00ean t\u00e2m\u201d. M\u1ed9t k\u1ebft qu\u1ea3 ph\u1ea3n \u1ee9ng t\u1ed1t ngh\u0129a l\u00e0 t\u1ea1i l\u00fac \u0111\u00f3 kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 g\u00ec. N\u1ebfu k\u1ebft qu\u1ea3 l\u00e0 kh\u00f4ng ph\u1ea3n \u1ee9ng t\u1ed1t th\u00ec ngh\u0129a l\u00e0 kh\u00f4ng \u0111\u1ee7 l\u1ea7n t\u0103ng nh\u1ecbp \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong kho\u1ea3ng 40 ph\u00fat. \u0110i\u1ec1u n\u00e0y mang nhi\u1ec1u \u00fd ngh\u0129a. N\u00f3 c\u00f3 th\u1ec3 ch\u1ee9ng t\u1ecf \u0111\u1ee9a tr\u1ebb \u0111ang ng\u1ee7 khi test \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. N\u1ebfu v\u1eady, test s\u1ebd k\u00e9o d\u00e0i th\u00eam 40 ph\u00fat n\u1eefa, ho\u1eb7c l\u00e0 \u0111\u1ee9a tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c k\u00edch th\u00edch \u0111\u1ec3 c\u1eed \u0111\u1ed9ng b\u1eb1ng \u00e2m thanh \u0111\u01b0\u1ee3c ph\u00e1t ra \u1edf tr\u00ean b\u1ee5ng m\u1eb9.<\/p>\n<p>M\u1ed9t k\u1ebft qu\u1ea3 ph\u1ea3n \u1ee9ng kh\u00f4ng t\u1ed1t c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111ang s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u1ea5t \u0111\u1ecbnh. Ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 l\u00e0 do thai nhi kh\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 oxy.<\/p>\n<h3 id=\"trac-do-sinh-vat-ly-la-gi\">Tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd l\u00e0 g\u00ec?<\/h3>\n<p>Tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd (BPP) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c kh\u00f4ng ch\u1eafc ch\u1eafn. BPP s\u1eed d\u1ee5ng m\u1ed9t h\u1ec7 th\u1ed1ng thang \u0111i\u1ec3m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 kh\u1ecfe m\u1ea1nh c\u1ee7a thai nhi trong 5 l\u0129nh v\u1ef1c:<\/p>\n<p>1. Nh\u1ecbp tim thai nhi<br \/>\n2. C\u1eed \u0111\u1ed9ng th\u1edf thai nhi<br \/>\n3. C\u1eed \u0111\u1ed9ng c\u01a1 th\u1ec3 thai nhi<br \/>\n4. Tr\u01b0\u01a1ng l\u1ef1c c\u01a1 thai nhi<br \/>\n5. L\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i<\/p>\n<p>M\u1ed7i l\u0129nh v\u1ef1c s\u1ebd \u0111\u01b0\u1ee3c cho \u0111i\u1ec3m t\u1eeb 0 \u0111\u1ebfn 2, t\u1ed5ng \u0111i\u1ec3m cho 5 l\u0129nh v\u1ef1c t\u1ed1i \u0111a l\u00e0 10 \u0111i\u1ec3m.<\/p>\n<h4 id=\"trac-do-sinh-vat-ly-duoc-thuc-hien-nhu-the-nao\">Tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\n<p>M\u1ed9t BPP bao g\u1ed3m theo d\u00f5i nh\u1ecbp tim thai nhi (t\u01b0\u01a1ng t\u1ef1 c\u00e1ch th\u1ef1c hi\u1ec7n c\u1ee7a test kh\u00f4ng \u0111\u1ea3 k\u00edch) v\u00e0 si\u00eau \u00e2m. Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n si\u00eau \u00e2m, m\u1ed9t d\u1ee5ng c\u1ee5 g\u1ecdi l\u00e0 \u0111\u1ea7u d\u00f2 chuy\u1ec3n \u0111\u1ed5i \u0111\u01b0\u1ee3c di chuy\u1ec3n nh\u1eb9 nh\u00e0ng tr\u00ean b\u1ee5ng b\u1ea1n khi b\u1ea1n \u0111ang n\u1eb1m ho\u1eb7c ng\u1ed3i d\u1ef1a l\u01b0ng. \u0110\u1ea7u d\u00f2 n\u00e0y t\u1ea1o ra m\u1ed9t s\u00f3ng \u00e2m m\u00e0 s\u1ebd d\u1ed9i l\u1ea1i khi g\u1eb7p c\u00e1c t\u1ea1ng trong c\u01a1 th\u1ec3 b\u1ea1n. \u0110\u1ea7u d\u00f2 chuy\u1ec3n \u0111\u1ed5i ti\u1ebfp nh\u1eadn nh\u1eefng \u00e2m d\u1ed9i n\u00e0y, r\u1ed3i s\u1ebd chuy\u1ec3n ch\u00fang sang h\u00ecnh \u1ea3nh chi\u1ebfu tr\u00ean m\u00e0n h\u00ecnh \u0111\u1ec3 k\u1ef9 thu\u1eadt vi\u00ean quan s\u00e1t.<\/p>\n<h4 id=\"i-nghia-ket-qua-trac-do-sinh-vat-ly\">\u00dd ngh\u0129a k\u1ebft qu\u1ea3 tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd?<\/h4>\n<p>K\u1ebft qu\u1ea3 \u0111\u1ea1t 8-10 \u0111i\u1ec3m l\u00e0 y\u00ean t\u00e2m. N\u1ebfu k\u1ebft qu\u1ea3 \u0111\u1ea1t 6 \u0111i\u1ec3m th\u00ec kh\u1ea3 nghi (kh\u00f4ng \u0111\u1ee7 k\u1ebft lu\u1eadn y\u00ean t\u00e2m c\u0169ng nh\u01b0 k\u1ebft lu\u1eadn b\u1ea5t th\u01b0\u1eddng). N\u1ebfu b\u1ea1n c\u00f3 m\u1ed9t k\u1ebft qu\u1ea3 kh\u1ea3 nghi, d\u1ef1a v\u00e0o th\u1eddi gian mang thai c\u1ee7a b\u1ea1n, b\u1ea1n c\u00f3 th\u1ec3 s\u1ebd l\u00e0m l\u1ea1i BPP trong 12-24 gi\u1edd ti\u1ebfp theo, ho\u1eb7c c\u00f3 th\u1ec3 b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh ph\u1ea3i sinh \u0111\u1ee9a tr\u1ebb. M\u1ed9t k\u1ebft qu\u1ea3 \u0111\u1ea1t 4 \u0111i\u1ec3m ho\u1eb7c th\u1ea5p h\u01a1n c\u00f3 ngh\u0129a l\u00e0 c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n nh\u1eefng x\u00e9t nghi\u1ec7m s\u00e2u h\u01a1n. \u0110\u00f4i l\u00fac, n\u00f3 c\u00f3 ngh\u0129a l\u00e0 \u0111\u1ee9a tr\u1ebb n\u00ean \u0111\u01b0\u1ee3c sinh s\u1edbm ho\u1eb7c ngay l\u1eadp t\u1ee9c.<\/p>\n<p>Cho d\u00f9 \u0111\u1ea1t bao nhi\u00eau \u0111i\u1ec3m, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u1ee7 l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i c\u00f3 ngh\u0129a l\u00e0 c\u1ea7n th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m th\u01b0\u1eddng xuy\u00ean h\u01a1n ho\u1eb7c c\u00f3 th\u1ec3 c\u1ea7n xem x\u00e9t vi\u1ec7c cho sinh \u0111\u1ee9a tr\u1ebb ngay.<\/p>\n<h4 id=\"trac-do-sinh-vat-ly-cai-tien-la-gi\">Tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd c\u1ea3i ti\u1ebfn l\u00e0 g\u00ec?<\/h4>\n<p>M\u1ed9t BPP c\u1ea3i ti\u1ebfn \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi c\u00f9ng m\u1ee5c \u0111\u00edch nh\u01b0 BPP. BPP c\u1ea3i ti\u1ebfn bao g\u1ed3m x\u00e9t nghi\u1ec7m kh\u00f4ng \u0111\u1ea3 k\u00edch v\u00e0 \u0111\u00e1nh gi\u00e1 n\u01b0\u1edbc \u1ed1i d\u1ef1a v\u00e0o si\u00eau \u00e2m. N\u00f3 \u00edt ph\u1ee9c t\u1ea1p h\u01a1n nh\u01b0ng v\u1eabn h\u1eefu \u00edch nh\u01b0 m\u1ed9t BPP trong ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe thai nhi.<\/p>\n<h4 id=\"trac-do-sinh-vat-ly-cai-tien-duoc-thuc-hien-nhu-the-nao\">Tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd c\u1ea3i ti\u1ebfn \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\n<p>Nh\u1ecbp tim thai \u0111\u01b0\u1ee3c theo d\u00f5i gi\u1ed1ng nh\u01b0 c\u00e1ch th\u1ef1c hi\u1ec7n c\u1ee7a test kh\u00f4ng \u0111\u1ea3 k\u00edch. Si\u00eau \u00e2m \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111o l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i trong 4 v\u00f9ng c\u1ee7a t\u1eed cung.<\/p>\n<h4 id=\"i-nghia-ket-qua-trac-do-sinh-vat-ly-cai-tien\">\u00dd ngh\u0129a k\u1ebft qu\u1ea3 tr\u1eafc \u0111\u1ed3 sinh v\u1eadt l\u00fd c\u1ea3i ti\u1ebfn?<\/h4>\n<p>N\u1ebfu k\u1ebft qu\u1ea3 l\u00e0 kh\u00f4ng ph\u1ea3n \u1ee9ng, c\u00f3 th\u1ec3 c\u00f3 ngh\u0129a l\u00e0 thai nhi kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn \u0111\u1ee7 oxy. K\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i cho bi\u1ebft \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t c\u1ee7a nhau thai. N\u1ebfu d\u1ecbch \u1ed1i \u00edt, c\u00f3 th\u1ec3 l\u00e0 do c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u00e1u l\u01b0u th\u00f4ng trong nhau thai. Test BPP \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c test co th\u1eaft \u0111\u1ea3 k\u00edch c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh k\u1ebft qu\u1ea3.<\/p>\n<h3 id=\"test-co-that-da-kich-cst-la-gi\">Test co th\u1eaft \u0111\u1ea3 k\u00edch l\u00e0 g\u00ec?<\/h3>\n<p>Test co th\u1eaft \u0111\u1ea3 k\u00edch gi\u00fap b\u00e1c s\u0129 theo d\u00f5i ph\u1ea3n \u1ee9ng c\u1ee7a nh\u1ecbp tim thai khi t\u1eed cung co th\u1eaft. Test co th\u1eaft \u0111\u1ea3 k\u00edch \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ebfu k\u1ebft qu\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c kh\u00f4ng r\u00f5 ho\u1eb7c d\u01b0\u01a1ng t\u00ednh.<\/p>\n<h4 id=\"test-co-that-da-kich-duoc-thuc-hien-nhu-the-nao\">Test co th\u1eaft \u0111\u1ea3 k\u00edch \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\n<p>Trong test n\u00e0y, nh\u1eefng d\u00e2y th\u1eaft l\u01b0ng c\u00f3 g\u1eafn c\u00e1c b\u1ed9 ph\u1eadn c\u1ea3m \u1ee9ng c\u1ea3m nh\u1eadn nh\u1ecbp tim thai v\u00e0 s\u1ef1 co th\u1eaft c\u1ee7a t\u1eed cung \u0111\u01b0\u1ee3c \u0111eo quanh ngang b\u1ee5ng. \u0110\u1ec3 l\u00e0m t\u1eed cung co th\u1eaft nh\u1eb9, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u xoa nh\u1eb9 n\u00fam v\u00fa th\u00f4ng qua l\u1edbp \u00e1o b\u1ea1n \u0111ang m\u1eb7c ho\u1eb7c s\u1ebd \u0111\u01b0\u1ee3c cho d\u00f9ng oxytoxin.<\/p>\n<h4 id=\"i-nghia-cua-ket-qua-test-co-that-da-kich\">\u00dd ngh\u0129a c\u1ee7a k\u1ebft qu\u1ea3 test co th\u1eaft \u0111\u1ea3 k\u00edch?<\/h4>\n<p>N\u1ebfu nh\u1ecbp tim thai kh\u00f4ng gi\u1ea3m sau khi t\u1eed cung co th\u1eaft, th\u00ec k\u1ebft qu\u1ea3 l\u00e0 b\u00ecnh th\u01b0\u1eddng (\u00e2m t\u00ednh). N\u1ebfu gi\u1ea3m nh\u1ecbp tim thai sau h\u1ea7u h\u1ebft c\u00e1c \u0111\u1ee3t co th\u1eaft t\u1eed cung th\u00ec k\u1ebft qu\u1ea3 l\u00e0 d\u01b0\u01a1ng t\u00ednh (k\u1ebft qu\u1ea3 l\u00e0m b\u00e1c s\u0129 lo ng\u1ea1i). K\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 kh\u00f4ng r\u00f5 r\u00e0ng ho\u1eb7c kh\u00f4ng th\u1ecfa m\u00e3n (khi kh\u00f4ng \u0111\u1ee7 co th\u1eaft \u0111\u1ec3 t\u1ea1o ra m\u1ed9t k\u1ebft qu\u1ea3 c\u00f3 \u00fd ngh\u0129a).<\/p>\n<h3 id=\"sieu-am-doppler-dong-mach-ron-la-gi\">Si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n l\u00e0 g\u00ec?<\/h3>\n<p>Si\u00eau \u00e2m Doppler \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra m\u00e1u l\u01b0u th\u00f4ng trong \u0111\u1ed9ng m\u1ea1ch r\u1ed1n, m\u1ed9t m\u1ea1ch m\u00e1u n\u1eb1m trong d\u00e2y r\u1ed1n. Si\u00eau \u00e2m Doppler \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n k\u00e8m v\u1edbi nh\u1eefng x\u00e9t nghi\u1ec7m kh\u00e1c khi thai nhi xu\u1ea5t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u kh\u00f4ng ph\u00e1t tri\u1ec3n t\u1ed1t.<\/p>\n<h4 id=\"sieu-am-doppler-dong-mach-ron-duoc-thuc-hien-nhu-the-nao\">Si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h4>\n<p>B\u1ea1n s\u1ebd \u1edf t\u01b0 th\u1ebf n\u1eb1m ho\u1eb7c ng\u1ed3i d\u1ef1a l\u01b0ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m n\u00e0y. M\u1ed9t \u0111\u1ea7u d\u00f2 chuy\u1ec3n \u0111\u1ed5i s\u1ebd \u0111\u01b0\u1ee3c di chuy\u1ec3n nh\u1eb9 nh\u00e0ng tr\u00ean b\u1ee5ng b\u1ea1n \u0111\u1ec3 ph\u00e1t ra nh\u1eefng s\u00f3ng \u00e2m. H\u00ecnh \u1ea3nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111ang \u0111\u01b0\u1ee3c ki\u1ec3m tra s\u1ebd xu\u1ea5t hi\u1ec7n tr\u00ean m\u00e0n h\u00ecnh m\u00e1y t\u00ednh.<\/p>\n<h4 id=\"i-nghia-ket-qua-sieu-am-doppler-dong-mach-ron\">\u00dd ngh\u0129a k\u1ebft qu\u1ea3 si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n?<\/h4>\n<p>M\u1ed9t k\u1ebft qu\u1ea3 si\u00eau \u00e2m b\u00ecnh th\u01b0\u1eddng l\u00e0 k\u1ebft qu\u1ea3 cho th\u1ea5y l\u01b0\u1ee3ng m\u00e1u l\u01b0u th\u00f4ng b\u00ecnh th\u01b0\u1eddng trong \u0111\u1ed9ng m\u1ea1ch r\u1ed1n. N\u1ebfu x\u00e9t nghi\u1ec7m cho th\u1ea5y c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1edbi m\u00e1u l\u01b0u th\u00f4ng trong nhau thai, th\u00ec n\u00f3 c\u00f3 ngh\u0129a l\u00e0 c\u00f3 s\u1ef1 suy gi\u1ea3m l\u01b0\u1ee3ng oxy cung c\u1ea5p cho thai nhi.<\/p>\n<pre><strong>Xem th\u00eam b\u00e0i vi\u1ebft\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/bai-50-cac-xet-nghiem-can-thuc-hien-trong-thai-ky\/\" target=\"_blank\" rel=\"noopener\">B\u00e0i 50 - C\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n th\u1ef1c hi\u1ec7n trong thai k\u1ef3<\/a> c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/tieumy-lenguyen\/\" target=\"_blank\" rel=\"noopener\">BS. L\u00ea Ti\u1ec3u My<\/a><\/strong><\/pre>\n<p><span style=\"font-size: 18px;\"><strong>Gi\u1ea3i th\u00edch thu\u1eadt ng\u1eef<\/strong><\/span><\/p>\n<ul>\n<li><strong>\u0110a thai<\/strong>: t\u00ecnh tr\u1ea1ng mang 2 hay nhi\u1ec1u thai.<\/li>\n<li><strong>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong>: t\u00ecnh tr\u1ea1ng \u0111\u01b0\u1eddng trong m\u00e1u qu\u00e1 cao.<\/li>\n<li><strong>D\u00e2y r\u1ed1n<\/strong>: m\u1ed9t c\u1ea5u tr\u00fac gi\u1ed1ng s\u1ee3i d\u00e2y th\u1eebng ch\u1ee9a m\u1ea1ch m\u00e1u n\u1ed1i thai nhi v\u1edbi nhau thai.<\/li>\n<li><strong>M\u1eabn c\u1ea3m Rh m\u1eb9<\/strong>: l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 m\u1eb9 mang Rh \u00e2m s\u1ebd t\u1ea1o kh\u00e1ng th\u1ec3 ch\u1ed1ng protein Rh. Nh\u1eefng kh\u00e1ng th\u1ec3 n\u00e0y c\u00f3 th\u1ec3 ph\u1ea3n \u1ee9ng l\u1ea1i \u0111\u1ed1i v\u1edbi y\u1ebfu t\u1ed1 Rh c\u1ee7a \u0111\u1ee9a tr\u1ebb n\u1ebfu \u0111\u1ee9a tr\u1ebb mang Rh d\u01b0\u01a1ng, g\u00e2y thi\u1ebfu m\u00e1u, v\u00e0ng da v\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 kh\u00e1c.<\/li>\n<li><strong>Thai gi\u00e0 th\u00e1ng<\/strong>: khi thai k\u1ef3 k\u00e9o d\u00e0i h\u01a1n 42 tu\u1ea7n.<\/li>\n<li><strong>\u0110\u1ea7u d\u00f2 chuy\u1ec3n \u0111\u1ed5i<\/strong>: m\u1ed9t thi\u1ebft b\u1ecb t\u1ea1o s\u00f3ng \u00e2m v\u00e0 chuy\u1ec3n \u0111\u1ed5i nh\u1eefng s\u00f3ng d\u1ed9i th\u00e0nh t\u00edn hi\u1ec7u \u0111i\u1ec7n.<\/li>\n<li><strong>Nhau thai<\/strong>: l\u00e0 m\u00f4 cung c\u1ea5p dinh d\u01b0\u1ee1ng c\u0169ng nh\u01b0 lo\u1ea1i tr\u1eeb ch\u1ea5t th\u1ea3i cho b\u00e0o thai.<\/li>\n<li><strong>N\u01b0\u1edbc \u1ed1i<\/strong>: l\u00e0 d\u1ecbch trong t\u00fai bao quanh b\u00e0o thai trong t\u1eed cung ng\u01b0\u1eddi m\u1eb9.<\/li>\n<li><strong>Oxy<\/strong>: kh\u00ed c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng.<\/li>\n<li><strong>Oxytocin<\/strong>: m\u1ed9t hormone d\u00f9ng \u0111\u1ec3 g\u00e2y ra co th\u1eaft t\u1eed cung.<\/li>\n<li><strong>Si\u00eau \u00e2m Doppler<\/strong>: m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p si\u00eau \u00e2m s\u1eed d\u1ee5ng s\u00f3ng \u00e2m \u0111\u1ec3 ki\u1ec3m tra t\u1ed1c \u0111\u1ed9 di chuy\u1ec3n c\u1ee7a m\u1ed9t v\u1eadt th\u1ec3. Si\u00eau \u00e2m Doppler c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra nh\u1ecbp tim thai ho\u1eb7c t\u1ed1c \u0111\u1ed9 m\u00e1u l\u01b0u th\u00f4ng trong t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<li><strong>Si\u00eau \u00e2m<\/strong>: x\u00e9t nghi\u1ec7m d\u00f9ng s\u00f3ng \u00e2m \u0111\u1ec3 ki\u1ec3m tra c\u00e1c c\u1ea5u tr\u00fac b\u00ean trong c\u01a1 th\u1ec3. Trong su\u1ed1t thai k\u1ef3, n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra thai nhi.<\/li>\n<li><strong>T\u0103ng t\u1ed1c nh\u1ecbp tim<\/strong>: t\u0103ng nh\u1ecbp tim thai.<\/li>\n<li><strong>Thai ch\u1ebft l\u01b0u<\/strong>: sinh h\u1ea1 m\u1ed9t \u0111\u1ee9a tr\u1ebb v\u1ed1n \u0111\u00e3 t\u1eed vong trong t\u1eed cung.<\/li>\n<li><strong>Thai nhi<\/strong>: c\u01a1 th\u1ec3 ph\u00e1t tri\u1ec3n trong t\u1eed cung t\u1eeb tu\u1ea7n 9 thai k\u1ef3 cho \u0111\u1ebfn k\u1ebft th\u00fac thai k\u1ef3.<\/li>\n<li><strong>T\u1eed cung<\/strong>: l\u00e0 m\u1ed9t c\u01a1 quan n\u1eb1m trong v\u00f9ng ch\u1eadu n\u1eef, ch\u1ee9a v\u00e0 nu\u00f4i d\u01b0\u1ee1ng b\u00e0o thai trong thai k\u1ef3.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n c\u00f3 th\u00eam nh\u1eefng c\u00e2u h\u1ecfi g\u00ec, h\u00e3y li\u00ean h\u1ec7 b\u00e1c s\u0129 s\u1ea3n &#8211; ph\u1ee5 khoa.<\/p>\n<p><span style=\"font-size: 18px;\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong> <\/span><\/p>\n<p><a href=\"http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq098.pdf?dmc=1&amp;ts=20140416T1856177176\" target=\"_blank\" rel=\"noopener\">http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq098.pdf?dmc=1&amp;ts=20140416T1856177176 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m theo d\u00f5i s\u1ee9c kh\u1ecfe thai nhi trong qu\u00e1 tr\u00ecnh mang thai \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi thai nhi c\u00f3 nguy c\u01a1 cao g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng thai k\u1ef3.<\/p>\n","protected":false},"author":174,"featured_media":3565,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5207,5206],"tags":[4463,4462,4464,4465,4461],"series":[1589],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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