{"id":5958,"date":"2024-11-16T15:30:56","date_gmt":"2024-11-16T08:30:56","guid":{"rendered":"https:\/\/wilimedia.vn\/?p=5958"},"modified":"2024-11-30T15:27:57","modified_gmt":"2024-11-30T08:27:57","slug":"tien-san-giat-khi-mang-thai-8-dau-hieu-va-dieu-tri","status":"publish","type":"post","link":"https:\/\/wilimedia.vn\/tien-san-giat-khi-mang-thai-8-dau-hieu-va-dieu-tri\/","title":{"rendered":"Ti\u1ec1n S\u1ea3n Gi\u1eadt Khi Mang Thai: 8 D\u1ea5u Hi\u1ec7u V\u00e0 \u0110i\u1ec1u Tr\u1ecb"},"content":{"rendered":"
M\u1ed9t s\u1ed1 m\u1eb9 b\u1ea7u b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt, th\u01b0\u1eddng x\u1ea3y ra trong n\u1eeda sau c\u1ee7a thai k\u1ef3 ho\u1eb7c ngay sau khi sinh. Ti\u1ec1n s\u1ea3n gi\u1eadt khi mang thai c\u00f3 g\u00e2y nguy hi\u1ec3m kh\u00f4ng?<\/p>\n
M\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u1ea5t \u0111e d\u1ecda s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 b\u1ea7u v\u00e0 thai nhi l\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt. Nhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0o tu\u1ea7n th\u1ee9 37 v\u00e0 x\u1ea3y ra \u1edf kho\u1ea3ng 5-8% ph\u1ee5 n\u1eef mang thai.<\/p>\n
B\u1ec7nh x\u1ea3y ra do c\u00e1c c\u01a1 quan b\u1ecb gi\u1ea3m t\u01b0\u1edbi m\u00e1u do m\u1ea1ch m\u00e1u co th\u1eaft v\u00e0 n\u1ed9i m\u1ea1ch ph\u00f9 d\u00e0y. B\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng thai ph\u1ee5 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan nh\u01b0 b\u1ec7nh th\u1eadn, b\u1ec7nh basedow, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Nh\u1eefng h\u1eadu qu\u1ea3 c\u00f3 th\u1ec3 bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng gan, th\u1eadn, ch\u1ea3y m\u00e1u, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u00e1u ch\u1ea3y kh\u00f4ng c\u1ea7m \u0111\u01b0\u1ee3c ho\u1eb7c co gi\u1eadt trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy thai, ch\u1eadm ph\u00e1t tri\u1ec3n thai nhi v\u00e0 th\u1eadm ch\u00ed ch\u1ebft trong t\u1eed cung.<\/p>\n
Ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng nh\u01b0 huy\u1ebft \u00e1p t\u0103ng \u0111\u1ed9t ng\u1ed9t, th\u1edf g\u1ea5p v\u00e0 co gi\u1eadt, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i m\u1eb9 b\u1ea7u n\u00e0o c\u0169ng bi\u1ebft t\u1ea5t c\u1ea3 nh\u1eefng nguy hi\u1ec3m c\u1ee7a bi\u1ebfn ch\u1ee9ng thai k\u1ef3 n\u00e0y.<\/p>\n
Cho \u0111\u1ebfn nay, kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o t\u00ecm ra nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt. Nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u00e0y cho m\u1eb9 b\u1ea7u:<\/p>\n
M\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh mang thai l\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt. N\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 thai nhi, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong cho c\u1ea3 hai m\u1eb9 con.
\nC\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt r\u1ea5t nguy hi\u1ec3m. C\u1ea3 m\u1eb9 b\u1ea7u v\u00e0 thai nhi \u0111\u1ec1u b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n
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\u1ede tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3, h\u1ea7u h\u1ebft c\u00e1c bi\u1ec3u hi\u1ec7n ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua kh\u00e1m s\u00e0ng l\u1ecdc. Ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng sau:<\/p>\n
Ph\u1ee5 n\u1eef c\u00f3 thai m\u1eafc ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c ngo\u00e0i nh\u1eefng tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn tr\u00ean:<\/p>\n
Ti\u1ec1n s\u1ea3n gi\u1eadt kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 con, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n
S\u1ea3n gi\u1eadt: c\u00e1c c\u01a1n co gi\u1eadt v\u00e0 h\u00f4n m\u00ea l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 \u0111\u1ed1i v\u1edbi b\u00e0 b\u1ea7u. S\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u tr\u01b0\u1edbc, trong ho\u1eb7c sau khi sinh s\u00e1u tu\u1ea7n. N\u00f3 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u v\u1edbi \u0111au \u0111\u1ea7u d\u1eef d\u1ed9i, gi\u1ea3m th\u1ecb l\u1ef1c ho\u1eb7c thay \u0111\u1ed5i tri gi\u00e1c.<\/p>\n
Nhau bong non l\u00e0 khi b\u00e1nh rau\u00a0 b\u1ecb t\u00e1ch ra\u00a0kh\u1ecfi th\u00e0nh t\u1eed cung. B\u1ec7nh g\u00e2y ch\u1ea3y m\u00e1u nhi\u1ec1u v\u00e0 c\u1ea3n tr\u1edf vi\u1ec7c nu\u00f4i d\u01b0\u1ee1ng thai nhi, g\u00e2y nguy hi\u1ec3m cho c\u1ea3 m\u1eb9 v\u00e0 con.<\/p>\n
H\u1ed9i ch\u1ee9ng HELLP: v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 tan m\u00e1u t\u00e1n huy\u1ebft, gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00e0 t\u0103ng men gan cao. Do \u0111\u00f3, h\u1ed9i ch\u1ee9ng HELLP c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t m\u00e1u nhi\u1ec1u,\u00a0r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, g\u00e2y \u1ea3nh h\u01b0\u1edfng\u00a0nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 con.<\/p>\n
T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan c\u1ee7a s\u1ea3n ph\u1ee5: ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi tri\u1ec7u ch\u1ee9ng t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 g\u00e2y ph\u00f9 ph\u1ed5i, t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan v\u00e0 c\u1ea7u th\u1eadn, t\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft n\u00e3o ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u1ecb gi\u00e1c g\u00e2y nh\u00ecn m\u1edd.<\/p>\n
B\u1ec7nh tim m\u1ea1ch: Ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim v\u00e0 m\u1ea1ch m\u00e1u sau n\u00e0y, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng s\u1ea3n ph\u1ee5 m\u1eafc ti\u1ec1n s\u1ea3n gi\u1eadt nhi\u1ec1u l\u1ea7n.<\/p>\n
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Thai nhi ch\u1eadm ph\u00e1t tri\u1ec3n: Do c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 nhau thai, vi\u1ec7c v\u1eadn chuy\u1ec3n ch\u1ea5t dinh d\u01b0\u1ee1ng cho thai nhi b\u1ecb gi\u1ea3m, khi\u1ebfn thai nhi th\u01b0\u1eddng ph\u00e1t tri\u1ec3n v\u1ec1 c\u00e2n n\u1eb7ng ch\u1eadm h\u01a1n so v\u1edbi tu\u1ed5i thai.<\/p>\n
Sinh non: M\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y sinh non x\u1ea3y ra trong kho\u1ea3ng th\u1eddi gian t\u1eeb 22 \u0111\u1ebfn 37 tu\u1ea7n c\u1ee7a thai k\u1ef3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt. B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 y\u00eau c\u1ea7u ch\u1ea5m d\u1ee9t thai k\u1ef3 s\u1edbm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt kh\u00f4ng ki\u1ec3m so\u00e1t.<\/p>\n
T\u1eed vong chu sinh: Bi\u1ebfn ch\u1ee9ng nhau bong non ho\u1eb7c thai \u0111\u1ebb non l\u00e0m t\u0103ng nguy c\u01a1 t\u1eed vong.<\/p>\n
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Hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y ra ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba tri\u1ec7t \u0111\u1ec3 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u00e0y \u0111\u1ed1i v\u1edbi b\u00e0 b\u1ea7u.<\/p>\n
Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng v\u00e0 c\u1ea5p thi\u1ebft nh\u1ea5t l\u00e0 ph\u00f2ng ng\u1eeba ti\u1ec1n s\u1ea3n gi\u1eadt. Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 sinh ho\u1ea1t l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 s\u1ea3n gi\u1eadt cho m\u1eb9 b\u1ea7u.<\/p>\n
Cho \u0111\u1ebfn khi thai \u0111\u1ee7 th\u00e1ng, ti\u1ec1n s\u1ea3n gi\u1eadt m\u1ee9c \u0111\u1ed9 nh\u1eb9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c theo d\u00f5i t\u1ea1i nh\u00e0 b\u1eb1ng c\u00e1ch th\u0103m kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. M\u1eb9 b\u1ea7u ph\u1ea3i \u0111\u00e1p \u1ee9ng m\u1ed9t s\u1ed1 y\u00eau c\u1ea7u sau:<\/p>\n
M\u1eb9 b\u1ea7u c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t t\u1ea1i c\u01a1 s\u1edf y t\u1ebf chuy\u00ean khoa khi ti\u1ec1n s\u1ea3n gi\u1eadt chuy\u1ec3n sang giai \u0111o\u1ea1n n\u1eb7ng. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i l\u01b0\u1ee3ng protein ni\u1ec7u, c\u00e2n n\u1eb7ng v\u00e0 huy\u1ebft \u00e1p 4 l\u1ea7n\/ng\u00e0y.<\/p>\n
\u0110i\u1ec1u tr\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 bao g\u1ed3m s\u1eed d\u1ee5ng thu\u1ed1c nh\u01b0 diazepam, thu\u1ed1c d\u1ef1 ph\u00f2ng c\u01a1n s\u1ea3n gi\u1eadt magnesium sulfate, thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p hydralazin, nifedipin ho\u1eb7c labetalol.<\/p>\n
C\u1ea7n ch\u1ea5m d\u1ee9t thai k\u1ef3 ngay l\u1eadp t\u1ee9c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh m\u1ea1ng cho m\u1eb9 b\u1ea7u n\u1ebfu ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa ho\u1eb7c n\u1ebfu s\u1ea3n gi\u1eadt x\u1ea3y ra. Tr\u01b0\u1edbc khi ch\u1ea5m d\u1ee9t thai k\u1ef3, m\u1eb9 b\u1ea7u ph\u1ea3i \u1ed5n \u0111\u1ecbnh trong kho\u1ea3ng th\u1eddi gian 24-48 gi\u1edd.<\/p>\n
B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u s\u1ea3n ph\u1ee5 sinh con ngay l\u1eadp t\u1ee9c n\u1ebfu h\u1ecd b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt nghi\u00eam tr\u1ecdng, ngay c\u1ea3 khi b\u1ea1n ch\u01b0a \u0111\u1ee7 th\u00e1ng. Sau \u0111\u00f3, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt s\u1ebd bi\u1ebfn m\u1ea5t trong kho\u1ea3ng 1 \u0111\u1ebfn 6\u00a0tu\u1ea7n, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c trong m\u1ed9t th\u1eddi gian d\u00e0i h\u01a1n.<\/p>\n
Vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng kh\u00e1m thai \u0111\u1ea7y \u0111\u1ee7 trong su\u1ed1t qu\u00e1 tr\u00ecnh mang thai l\u00e0 r\u1ea5t quan tr\u1ecdng. Theo \u0111\u00f3, c\u00e1c b\u00e0 b\u1ea7u n\u00ean tu\u00e2n th\u1ee7 \u0111\u00fang l\u1ecbch h\u1eb9n kh\u00e1m thai \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111o huy\u1ebft \u00e1p v\u00e0 ki\u1ec3m tra l\u01b0\u1ee3ng protein trong n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 ph\u00e1t hi\u1ec7n ti\u1ec1n s\u1ea3n gi\u1eadt. C\u00e1c b\u00e0 b\u1ea7u c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd b\u1edfi b\u00e1c s\u0129 n\u1ebfu h\u1ecd c\u00f3 nguy c\u01a1 cao m\u1eafc ti\u1ec1n s\u1ea3n gi\u1eadt, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn, mang thai khi tu\u1ed5i cao ho\u1eb7c c\u00f3 ti\u1ec1n s\u1ea3n gi\u1eadt trong gia \u0111\u00ecnh.<\/p>\n
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- Xem th\u00eam:<\/strong>
\nC\u00f3 th\u1ec3 b\u1ea1n quan t\u00e2m: =<\/strong>===>>>>>>>>>>>\u00a0<\/strong>Tr\u00e1i C\u00e2y T\u1ed1t Cho M\u1eb9 B\u1ea7u 3 Th\u00e1ng \u0110\u1ea7u: Nh\u1eefng G\u1ee3i \u00dd C\u1ea7n Bi\u1ebft<\/strong><\/a><\/em>C\u00f3 th\u1ec3 b\u1ea1n quan t\u00e2m: =<\/strong>===>>>>>>>>>>>\u00a0<\/strong>T\u00e2m L\u00fd Ph\u1ee5 N\u1eef Mang Thai 3 Th\u00e1ng \u0110\u1ea7u: Nh\u1eefng \u0110i\u1ec1u C\u1ea7n Bi\u1ebft<\/strong><\/a><\/em><\/li>\n<\/ul>\n<\/blockquote>\nWebsite<\/strong>: https:\/\/wilimedia.vn\/<\/a><\/strong><\/span><\/p>\n