{"id":5574,"date":"2024-06-15T11:00:39","date_gmt":"2024-06-15T04:00:39","guid":{"rendered":"https:\/\/yhoccongdong.com\/san-phu-khoa\/?p=5574"},"modified":"2024-06-14T21:00:18","modified_gmt":"2024-06-14T14:00:18","slug":"cac-bien-chung-thuong-gap-trong-thai-ky","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/cac-bien-chung-thuong-gap-trong-thai-ky\/","title":{"rendered":"C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong thai k\u1ef3"},"content":{"rendered":"<p style=\"text-align: right\"><em><strong>Bi\u00ean d\u1ecbch: V\u00f5 Th\u1ee5c Trang<\/strong><\/em><\/p>\n<p style=\"text-align: right\"><em><strong>Hi\u1ec7u \u0111\u00ednh: BS. H\u00e0 Th\u1ecb M\u1ef9 H\u00f2a<\/strong><\/em><\/p>\n<p>M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe trong th\u1eddi k\u1ef3 mang thai. Nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9, thai nhi ho\u1eb7c c\u1ea3 hai. Ngay c\u1ea3 nh\u1eefng s\u1ea3n ph\u1ee5 kh\u1ecfe m\u1ea1nh tr\u01b0\u1edbc khi mang thai c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y. T\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 khi\u1ebfn thai k\u1ef3 tr\u1edf th\u00e0nh thai k\u1ef3 c\u00f3 nguy c\u01a1 cao.<\/p>\n<p>Ch\u0103m s\u00f3c ti\u1ec1n s\u1ea3n s\u1edbm v\u00e0 th\u01b0\u1eddng xuy\u00ean c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 g\u1eb7p v\u1ea5n \u0111\u1ec1. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd. \u0110i\u1ec1u n\u00e0y n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi ch\u00fang tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng. Ch\u0103m s\u00f3c thai k\u1ef3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe t\u00e2m tr\u00ed th\u1eddi k\u1ef3 mang thai v\u00e0 sau sinh nh\u01b0 lo \u00e2u v\u00e0 tr\u1ea7m c\u1ea3m.<\/p>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong thai k\u1ef3:<\/p>\n<h2><strong>T\u0103ng huy\u1ebft \u00e1p<\/strong><\/h2>\n<p>T\u0103ng huy\u1ebft \u00e1p x\u1ea3y ra khi c\u00e1c \u0111\u1ed9ng m\u1ea1ch \u0111\u01b0a m\u00e1u t\u1eeb tim \u0111\u1ebfn c\u00e1c c\u01a1 quan b\u1ecb h\u1eb9p l\u1ea1i. T\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c trong c\u00e1c \u0111\u1ed9ng m\u1ea1ch. Trong thai k\u1ef3, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m m\u00e1u \u0111\u1ebfn nhau thai \u2013 n\u01a1i cung c\u1ea5p ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 oxy cho thai nhi tr\u1edf n\u00ean kh\u00f3 kh\u0103n. S\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh t\u0103ng tr\u01b0\u1edfng c\u1ee7a thai nhi. Ngo\u00e0i ra, l\u00e0m t\u0103ng nguy c\u01a1 sinh non v\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt \u1edf m\u1eb9.<\/p>\n<p>Nh\u1eefng s\u1ea3n ph\u1ee5 c\u00f3 ti\u1ec1n s\u1eed huy\u1ebft \u00e1p cao s\u1ebd ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 ki\u1ec3m so\u00e1t. Th\u1eadm ch\u00ed c\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c n\u1ebfu c\u1ea7n su\u1ed1t qu\u00e1 tr\u00ecnh mang thai.<\/p>\n<p>Huy\u1ebft \u00e1p cao trong thai k\u1ef3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3.<\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3 x\u1ea3y ra trong n\u1eeda sau c\u1ee7a thai k\u1ef3 v\u00e0 m\u1ea5t \u0111i sau khi sinh.<\/p>\n<h2><strong>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 (\u0110T\u0110TK)<\/strong><\/h2>\n<p>\u0110T\u0110TK l\u00e0 khi s\u1ea3n ph\u1ee5 tr\u01b0\u1edbc \u0111\u00e2y kh\u00f4ng b\u1ecb \u0110T\u0110 m\u1eafc b\u1ec7nh trong qu\u00e1 tr\u00ecnh mang thai.<\/p>\n<p>B\u00ecnh th\u01b0\u1eddng, c\u01a1 th\u1ec3 ti\u00eau h\u00f3a th\u00e0nh ph\u1ea7n th\u1ee9c \u0103n th\u00e0nh \u0111\u01b0\u1eddng glucose &#8211; ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng ch\u00ednh c\u1ee7a c\u01a1 th\u1ec3. Sau qu\u00e1 tr\u00ecnh ti\u00eau h\u00f3a, glucose di chuy\u1ec3n v\u00e0o m\u00e1u \u0111\u1ec3 cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng cho c\u01a1 th\u1ec3.<\/p>\n<p>\u0110\u1ec3 lo\u1ea1i b\u1ecf glucose kh\u1ecfi m\u00e1u v\u00e0 \u0111\u01b0a v\u00e0o t\u1ebf b\u00e0o c\u01a1 th\u1ec3, t\u1ee5y s\u1ea3n xu\u1ea5t m\u1ed9t hormone g\u1ecdi l\u00e0 insulin. Trong thai k\u1ef3, hormone thay \u0111\u1ed5i l\u00e0m c\u01a1 th\u1ec3 kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin. Ho\u1eb7c kh\u00f4ng s\u1eed d\u1ee5ng insulin m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng. T\u1eeb \u0111\u00f3, khi\u1ebfn glucose t\u00edch t\u1ee5 trong m\u00e1u v\u00e0 g\u00e2y ra b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, hay c\u00f2n g\u1ecdi l\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>Qu\u1ea3n l\u00fd \u0110T\u0110TK b\u1eb1ng c\u00e1ch tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129. \u0110\u00e2y l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh mang thai. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn huy\u1ebft \u00e1p cao do ti\u1ec1n s\u1ea3n gi\u1eadt , thai to l\u00e0m t\u0103ng nguy c\u01a1 sinh m\u1ed5.<\/p>\n<h2><strong>Nhi\u1ec5m tr\u00f9ng<\/strong><\/h2>\n<p>Trong qu\u00e1 tr\u00ecnh mang thai v\u00e0\/ho\u1eb7c khi sinh, c\u00f3 th\u1ec3 x\u1ea3y ra nhi\u1ec5m tr\u00f9ng. Bao g\u1ed3m m\u1ed9t s\u1ed1 nhi\u1ec5m tr\u00f9ng l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c (STIs) v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng cho s\u1ea3n ph\u1ee5, thai k\u1ef3 v\u00e0 em b\u00e9 sau khi sinh. M\u1ed9t s\u1ed1 nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 l\u00e2y t\u1eeb m\u1eb9 sang con trong qu\u00e1 tr\u00ecnh sinh \u0111\u1ebb qua \u0111\u01b0\u1eddng sinh d\u1ee5c. C\u00e1c nhi\u1ec5m tr\u00f9ng kh\u00e1c c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m thai nhi trong qu\u00e1 tr\u00ecnh mang thai. C\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u1edbi s\u1ef1 ch\u0103m s\u00f3c k\u1ef9 c\u00e0ng \u1edf c\u00e1c giai \u0111o\u1ea1n. Bao g\u1ed3m tr\u01b0\u1edbc thai k\u1ef3, trong thai k\u1ef3 v\u00e0 theo d\u00f5i sau sinh.<\/p>\n<p>M\u1ed9t s\u1ed1 nhi\u1ec5m tr\u00f9ng trong thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c g\u00f3p ph\u1ea7n v\u00e0o c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0:<\/p>\n<ul>\n<li>M\u1ea5t thai\/s\u1ea9y thai (tr\u01b0\u1edbc tu\u1ea7n 20 c\u1ee7a thai k\u1ef3)<\/li>\n<li>Thai ngo\u00e0i t\u1eed cung (khi ph\u00f4i n\u1eb1m ngo\u00e0i t\u1eed cung, th\u01b0\u1eddng l\u00e0 trong \u1ed1ng d\u1eabn tr\u1ee9ng)<\/li>\n<li>Sinh non (tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 thai k\u1ef3)<\/li>\n<li>Tr\u1ecdng l\u01b0\u1ee3ng s\u01a1 sinh th\u1ea5p<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh bao g\u1ed3m m\u00f9 l\u00f2a, \u0111i\u1ebfc, d\u1ecb t\u1eadt x\u01b0\u01a1ng v\u00e0 khuy\u1ebft t\u1eadt tr\u00ed tu\u1ec7 &#8230;)<\/li>\n<li>Thai l\u01b0u (t\u1eeb tu\u1ea7n th\u1ee9 20 thai k\u1ef3)<\/li>\n<li>B\u1ec7nh trong th\u1eddi k\u1ef3 s\u01a1 sinh (th\u00e1ng \u0111\u1ea7u \u0111\u1eddi)<\/li>\n<li>T\u1eed vong s\u01a1 sinh<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9<\/li>\n<\/ul>\n<h3>Ch\u1ee7ng ng\u1eeba khi mang thai<\/h3>\n<p>N\u1ebfu b\u1ea1n d\u1ef1 \u0111\u1ecbnh mang thai, h\u00e3y tham kh\u1ea3o b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c ti\u00eam v\u1eafc-xin th\u1ee7y \u0111\u1eadu v\u00e0 Rubella (s\u1edfi \u0110\u1ee9c) tr\u01b0\u1edbc mang thai. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 ti\u00eam m\u1ed9t s\u1ed1 v\u1eafc-xin kh\u00e1c. Ch\u1eb3ng h\u1ea1n nh\u01b0 v\u1eafc-xin c\u00fam trong qu\u00e1 tr\u00ecnh mang thai. N\u1ebfu b\u1ea1n bi\u1ebft r\u1eb1ng b\u1ea1n b\u1ecb nhi\u1ec5m tr\u00f9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 STI, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y tr\u01b0\u1edbc khi mang thai \u0111\u1ec3 t\u0103ng c\u01a1 h\u1ed9i c\u00f3 thai k\u1ef3 kh\u1ecfe m\u1ea1nh.<\/p>\n<h3>X\u00e9t nghi\u1ec7m b\u1ec7nh nhi\u1ec5m tr\u00f9ng khi mang thai<\/h3>\n<p>X\u00e9t nghi\u1ec7m s\u01a1 sinh s\u1edbm cho b\u1ec7nh nhi\u1ec5m tr\u00f9ng l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c v\u00e0 c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng kh\u00e1c. Vi\u1ec7c n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb b\u1eb1ng thu\u1ed1c hay kh\u00f4ng. Ho\u1eb7c n\u1ebfu b\u1ea1n bi\u1ebft m\u00ecnh b\u1ecb nhi\u1ec5m tr\u00f9ng, h\u00e3y th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3. \u0110i\u1ec1u tr\u1ecb s\u1edbm l\u00e0m gi\u1ea3m nguy c\u01a1 cho thai nhi v\u00e0 m\u1eb9. Ngay c\u1ea3 khi nhi\u1ec5m tr\u00f9ng kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi, b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe m\u1eb9 v\u00e0 b\u00e9.<\/p>\n<p>S\u1ea3n ph\u1ee5 h\u00e3y t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 nh\u1eefng nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai k\u1ef3.<\/p>\n<h2><strong>Ti\u1ec1n s\u1ea3n gi\u1eadt<\/strong><\/h2>\n<p>Ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn sinh non v\u00e0 t\u1eed vong. Nguy\u00ean nh\u00e2n c\u1ee7a n\u00f3 ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m:<\/p>\n<ul>\n<li>Mang thai l\u1ea7n \u0111\u1ea7u<\/li>\n<li>\u0110\u00e3 t\u1eebng m\u1eafc ti\u1ec1n s\u1ea3n gi\u1eadt trong thai k\u1ef3 tr\u01b0\u1edbc<\/li>\n<li>M\u1eafc c\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng , b\u1ec7nh th\u1eadn v\u00e0 b\u1ec7nh lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/li>\n<li>\u0110\u1ed9 tu\u1ed5i t\u1eeb 35 tr\u1edf l\u00ean<\/li>\n<li>\u0110a thai<\/li>\n<li>B\u00e9o ph\u00ec<\/li>\n<\/ul>\n<h2><strong>Sinh non<\/strong><\/h2>\n<p>Sinh non l\u00e0 qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 x\u1ea3y ra tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 c\u1ee7a thai k\u1ef3. B\u1ea5t k\u1ef3 em b\u00e9 n\u00e0o \u0111\u01b0\u1ee3c sinh ra tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 \u0111\u1ec1u t\u0103ng nguy c\u01a1 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00e0 do c\u00e1c c\u01a1 quan nh\u01b0 ph\u1ed5i v\u00e0 n\u00e3o ho\u00e0n thi\u1ec7n qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n trong nh\u1eefng tu\u1ea7n cu\u1ed1i tr\u01b0\u1edbc khi sinh \u0111\u1ee7 th\u00e1ng (t\u1eeb 39 \u0111\u1ebfn 40 tu\u1ea7n).<\/p>\n<p>M\u1ed9t s\u1ed1 \u0111i\u1ec1u ki\u1ec7n t\u0103ng nguy c\u01a1 sinh non, g\u1ed3m nhi\u1ec5m tr\u00f9ng, c\u1ed5 t\u1eed cung ng\u1eafn ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed sinh non.<\/p>\n<p>Progesterone, m\u1ed9t hormone \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ef1 nhi\u00ean trong thai k\u1ef3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ch\u1eb7n sinh non \u1edf m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5. N\u0103m 2003, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u NICHD \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng vi\u1ec7c b\u1ed5 sung progesterone cho s\u1ea3n ph\u1ee5 c\u00f3 ti\u1ec1n s\u1eed\u00a0 sinh non gi\u1ea3m \u2153 nguy c\u01a1 sinh non trong thai k\u1ef3 sau .<\/p>\n<h2><strong>Tr\u1ea7m c\u1ea3m v\u00e0 lo \u00e2u<\/strong><\/h2>\n<p>Nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 \u0111\u1ebfn 13% s\u1ea3n ph\u1ee5 \u1edf M\u1ef9 bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m th\u01b0\u1eddng xuy\u00ean sau khi sinh. V\u00e0 lo \u00e2u th\u01b0\u1eddng k\u00e8m theo \u0111\u1ebfn 43% s\u1ea3n ph\u1ee5 c\u00f3 thai v\u00e0 sau khi sinh \u0111ang b\u1ecb tr\u1ea7m c\u1ea3m. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho tr\u1ea7m c\u1ea3m v\u00e0 lo \u00e2u tr\u1edf th\u00e0nh nh\u1eefng bi\u1ebfn ch\u1ee9ng thai k\u1ef3 ph\u1ed5 bi\u1ebfn h\u01a1n. Nh\u1eefng t\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 con. Nh\u01b0ng tin t\u1ed1t \u0111\u00e2y l\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c.<\/p>\n<p>S\u00e1ng ki\u1ebfn &#8220;S\u1ee9c kh\u1ecfe T\u00e2m tr\u00ed c\u1ee7a M\u1eb9&#8221; do NICHD d\u1eabn d\u1eaft \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf nh\u1eb1m gi\u00e1o d\u1ee5c gia \u0111\u00ecnh v\u00e0 ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n v\u1ec1 s\u1ee9c kh\u1ecfe v\u1ec1 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc tr\u1ea7m c\u1ea3m v\u00e0 lo \u00e2u trong su\u1ed1t v\u00e0 sau thai k\u1ef3, c\u00e1ch nh\u1eadn bi\u1ebft nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1.<\/p>\n<h2><strong>M\u1ea5t thai\/S\u1ea9y thai<\/strong><\/h2>\n<p>S\u1ea9y thai s\u1eed d\u1ee5ng \u0111\u1ec3 mi\u00eau t\u1ea3 vi\u1ec7c m\u1ea5t thai do nguy\u00ean nh\u00e2n t\u1ef1 ph\u00e1t tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3. C\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 bao g\u1ed3m xu\u1ea5t hi\u1ec7n v\u1ec7t m\u00e1u ho\u1eb7c ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o, \u0111au b\u1ee5ng ho\u1eb7c d\u1ecbch ho\u1eb7c m\u00f4 \u0111i qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. Tuy nhi\u00ean, ch\u1ea3y m\u00e1u t\u1eeb \u00e2m \u0111\u1ea1o kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 s\u1ea9y thai s\u1ebd x\u1ea3y ra ho\u1eb7c \u0111ang x\u1ea3y ra. S\u1ea3n ph\u1ee5 g\u1eb7p ph\u1ea3i d\u1ea5u hi\u1ec7u n\u00e0y b\u1ea5t k\u1ec3 giai \u0111o\u1ea1n n\u00e0o trong thai k\u1ef3 n\u00ean li\u00ean h\u1ec7 v\u1edbi ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n v\u1ec1 s\u1ee9c kh\u1ecfe s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n<h2><strong>Thai l\u01b0u<\/strong><\/h2>\n<p>M\u1ea5t thai sau tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thai l\u01b0u. Trong kho\u1ea3ng 50% c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o, b\u00e1c s\u0129 kh\u00f4ng t\u00ecm th\u1ea5y nguy\u00ean nh\u00e2n thai l\u01b0u. Tuy nhi\u00ean, c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o thai l\u01b0u. Bao g\u1ed3m c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 nhi\u1ec5m s\u1eafc th\u1ec3, nhau thai, thai ch\u1eadm ph\u00e1t tri\u1ec3n, v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe m\u00e3n t\u00ednh c\u1ee7a m\u1eb9 v\u00e0 nhi\u1ec5m tr\u00f9ng. \u0110\u1ecdc th\u00eam v\u1ec1 c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 y\u1ebfu t\u1ed1 trong l\u1ed1i s\u1ed1ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 thai l\u01b0u .<\/p>\n<h2><strong>C\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c<\/strong><\/h2>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<h3><strong>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda k\u00e9o d\u00e0i<\/strong><\/h3>\n<p>M\u1eb7c d\u00f9 s\u1ea3n ph\u1ee5 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda trong thai k\u1ef3 l\u00e0 \u0111i\u1ec1u b\u00ecnh th\u01b0\u1eddng. \u0110\u1eb7c bi\u1ec7t l\u00e0 trong ba th\u00e1ng \u0111\u1ea7u. M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 c\u00f3 tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng h\u01a1n k\u00e9o d\u00e0i \u0111\u1ebfn ba th\u00e1ng cu\u1ed1i.<\/p>\n<p>Nguy\u00ean nh\u00e2n c\u1ee7a d\u1ea1ng nghi\u00eam tr\u1ecdng h\u01a1n c\u1ee7a v\u1ea5n \u0111\u1ec1 n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng n\u00f4n ngh\u00e9n n\u1eb7ng, hi\u1ec7n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. S\u1ea3n ph\u1ee5 b\u1ecb m\u1ec7t m\u1ecfi v\u00e0 n\u00f4n m\u1eeda qu\u00e1 m\u1ee9c trong thai k\u1ef3, c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0 bu\u1ed3n n\u00f4n kh\u00f4ng thuy\u00ean gi\u1ea3m s\u1ee5t c\u00e2n, gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n, m\u1ea5t n\u01b0\u1edbc v\u00e0 c\u1ea3m th\u1ea5y hoa m\u1eaft.<\/p>\n<p>Nh\u1eefng s\u1ea3n ph\u1ee5 b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 c\u1ea7n nh\u1eadp vi\u1ec7n \u0111\u1ec3 truy\u1ec1n d\u1ecbch v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t. M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 c\u1ea3m th\u1ea5y t\u1ed1t h\u01a1n sau tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 trong khi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c ti\u1ebfp t\u1ee5c tr\u1ea3i qua tri\u1ec7u ch\u1ee9ng n\u00e0y trong su\u1ed1t thai k\u1ef3.<\/p>\n<h3><strong>Thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft<\/strong><\/h3>\n<p>Ph\u1ee5 n\u1eef mang thai c\u1ea7n s\u1eaft nhi\u1ec1u h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 s\u1ea3n xu\u1ea5t m\u00e1u nhi\u1ec1u h\u01a1n trong thai k\u1ef3. Thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft khi c\u01a1 th\u1ec3 kh\u00f4ng c\u00f3 \u0111\u1ee7 s\u1eaft, kh\u00e1 ph\u1ed5 bi\u1ebfn trong thai k\u1ef3 li\u00ean quan \u0111\u1ebfn sinh non v\u00e0 tr\u1ecdng l\u01b0\u1ee3ng thai nhi th\u1ea5p. Tri\u1ec7u ch\u1ee9ng c\u1ee7a thi\u1ebfu s\u1eaft bao g\u1ed3m m\u1ec7t m\u1ecfi, ch\u00f3ng m\u1eb7t, kh\u00f3 th\u1edf v\u00e0 da nh\u1ee3t nh\u1ea1t . Hi\u1ec7p h\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 (ACOG) khuy\u1ebfn c\u00e1o b\u1ed5 sung 27mg s\u1eaft h\u00e0ng ng\u00e0y (c\u00f3 trong h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c vitamin cho b\u00e0 b\u1ea7u) \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft. M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 c\u00f3 th\u1ec3 c\u1ea7n b\u1ed5 sung s\u1eaft th\u00eam qua thu\u1ed1c b\u1ed5 sung s\u1eaft. Ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n v\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft v\u00e0 n\u1ebfu b\u1ea1n b\u1ecb thi\u1ebfu s\u1eaft, c\u00f3 th\u1ec3 cho b\u1ea1n s\u1eed d\u1ee5ng thu\u1ed1c b\u1ed5 sung s\u1eaft.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.nichd.nih.gov\/health\/topics\/pregnancy\/conditioninfo\/complications\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nichd.nih.gov\/health\/topics\/pregnancy\/conditioninfo\/complications<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bi\u00ean d\u1ecbch: V\u00f5 Th\u1ee5c Trang Hi\u1ec7u \u0111\u00ednh: BS. H\u00e0 Th\u1ecb M\u1ef9 H\u00f2a M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe trong th\u1eddi k\u1ef3 mang thai. Nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9, thai nhi ho\u1eb7c c\u1ea3 hai. Ngay c\u1ea3 nh\u1eefng s\u1ea3n ph\u1ee5 kh\u1ecfe m\u1ea1nh tr\u01b0\u1edbc khi mang [&hellip;]<\/p>\n","protected":false},"author":536,"featured_media":5575,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5427,5385],"tags":[4281,4328,4631,5480,4372],"series":[1611],"coauthors":[3317],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong thai k\u1ef3 - D\u1ef1 \u00e1n S\u1ea3n Ph\u1ee5 Khoa<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5 g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe trong th\u1eddi k\u1ef3 mang thai. 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