{"id":6243,"date":"2024-11-18T08:41:37","date_gmt":"2024-11-18T01:41:37","guid":{"rendered":"https:\/\/wilimedia.vn\/?p=6243"},"modified":"2024-11-26T08:56:28","modified_gmt":"2024-11-26T01:56:28","slug":"phu-nu-mang-thai-va-parvovirus-b19-5-hieu-biet","status":"publish","type":"post","link":"https:\/\/wilimedia.vn\/phu-nu-mang-thai-va-parvovirus-b19-5-hieu-biet\/","title":{"rendered":"Ph\u1ee5 N\u1eef Mang Thai V\u00e0 Parvovirus B19: 5 Hi\u1ec3u Bi\u1ebft Toa\u0300n Di\u00ea\u0323n"},"content":{"rendered":"

Ph\u1ee5 N\u1eef Mang Thai V\u00e0 Parvovirus B19: 5 Hi\u1ec3u Bi\u1ebft To\u00e0n Di\u1ec7n V\u1ec1 R\u1ee7i Ro, Ch\u1ea9n \u0110o\u00e1n V\u00e0 C\u00e1ch Ph\u00f2ng Ng\u1eeba Giu\u0301p Giai \u0110oa\u0323n Thai Ky\u0300 Th\u00e2\u0323t Khoe\u0309 Ma\u0323nh, An toa\u0300n<\/strong><\/h2>\n

Parvovirus B19 L\u00e0 G\u00ec?<\/strong><\/h2>\n

Parvovirus B19 l\u00e0 m\u1ed9t lo\u1ea1i virus thu\u1ed9c h\u1ecd Parvoviridae, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh ban \u0111\u1ecf nhi\u1ec5m khu\u1ea9n (erythema infectiosum), hay c\u00f2n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn v\u1edbi t\u00ean g\u1ecdi b\u1ec7nh th\u1ee9 n\u0103m. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m ph\u1ed5 bi\u1ebfn, th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi l\u1edbn, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ee5 n\u1eef mang thai.<\/p>\n

Khi m\u1ed9t ph\u1ee5 n\u1eef mang thai b\u1ecb nhi\u1ec5m parvovirus B19, virus c\u00f3 th\u1ec3 truy\u1ec1n t\u1eeb m\u1eb9 sang thai nhi qua nhau thai v\u00e0 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m n\u1ebfu nhi\u1ec5m tr\u00f9ng x\u1ea3y ra trong ba th\u00e1ng \u0111\u1ea7u ho\u1eb7c ba th\u00e1ng gi\u1eefa c\u1ee7a thai k\u1ef3, khi thai nhi \u0111ang ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd.<\/p>\n

Parvovirus B19 l\u00e2y truy\u1ec1n ch\u1ee7 y\u1ebfu qua c\u00e1c gi\u1ecdt b\u1eafn khi ng\u01b0\u1eddi b\u1ec7nh ho ho\u1eb7c h\u1eaft h\u01a1i. Virus c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i trong kh\u00f4ng kh\u00ed ho\u1eb7c tr\u00ean c\u00e1c b\u1ec1 m\u1eb7t m\u00e0 ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp x\u00fac. Ngo\u00e0i ra, virus c\u00f2n c\u00f3 th\u1ec3 l\u00e2y qua m\u00e1u b\u1ecb nhi\u1ec5m, v\u00ed d\u1ee5 nh\u01b0 trong qu\u00e1 tr\u00ecnh truy\u1ec1n m\u00e1u. Do t\u00ednh ch\u1ea5t d\u1ec5 l\u00e2y lan, parvovirus B19 th\u01b0\u1eddng b\u00f9ng ph\u00e1t trong c\u00e1c m\u00f4i tr\u01b0\u1eddng \u0111\u00f4ng \u0111\u00fac nh\u01b0 tr\u01b0\u1eddng h\u1ecdc, nh\u00e0 tr\u1ebb v\u00e0 nh\u1eefng n\u01a1i c\u00f4ng c\u1ed9ng kh\u00e1c.<\/p>\n

V\u00ec v\u1eady, hi\u1ec3u r\u00f5 v\u1ec1 parvovirus B19 v\u00e0 nh\u1eefng nguy c\u01a1 ti\u1ec1m t\u00e0ng c\u1ee7a n\u00f3 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

Tri\u1ec7u Ch\u1ee9ng Nhi\u1ec5m Parvovirus B19 \u1ede Ph\u1ee5 N\u1eef Mang Thai<\/strong><\/h2>\n
\"Ph\u1ee5<\/figure>\n

Nhi\u1ec5m parvovirus B19 \u1edf ph\u1ee5 n\u1eef mang thai th\u01b0\u1eddng c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u1eb9 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng, khi\u1ebfn vi\u1ec7c ch\u1ea9n \u0111o\u00e1n tr\u1edf n\u00ean kh\u00f3 kh\u0103n. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n

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    • Ph\u00e1t Ban \u0110\u1ecf:<\/strong>\u00a0Ph\u00e1t ban \u0111\u1ecf l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng nh\u1ea5t c\u1ee7a nhi\u1ec5m parvovirus B19, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u00ean m\u1eb7t, t\u1ea1o n\u00ean h\u00ecnh \u1ea3nh “hai m\u00e1 b\u1ecb t\u00e1t”. Ph\u00e1t ban n\u00e0y c\u00f3 th\u1ec3 lan xu\u1ed1ng c\u00e1nh tay, ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh. Ph\u00e1t ban th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 s\u1ed1t ho\u1eb7c m\u1ec7t m\u1ecfi \u0111\u00e3 qua \u0111i. \u0110\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi l\u1edbn.<\/li>\n
    • \u0110au Kh\u1edbp:<\/strong>\u00a0\u0110au kh\u1edbp l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi l\u1edbn, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ee5 n\u1eef. \u0110au v\u00e0 s\u01b0ng kh\u1edbp th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u00e1c kh\u1edbp nh\u1ecf nh\u01b0 kh\u1edbp tay, c\u1ed5 tay, \u0111\u1ea7u g\u1ed1i v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n. Tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng nh\u1eb9 v\u00e0 t\u1ef1 kh\u1ecfi, nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu cho ng\u01b0\u1eddi b\u1ec7nh trong th\u1eddi gian ng\u1eafn.<\/li>\n
    • M\u1ec7t M\u1ecfi v\u00e0 S\u1ed1t Nh\u1eb9:<\/strong>\u00a0M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u v\u00e0 s\u1ed1t nh\u1eb9 khi nhi\u1ec5m parvovirus B19. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 c\u1ea3m l\u1ea1nh ho\u1eb7c c\u00fam. M\u1eb7c d\u00f9 \u0111\u00e2y l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u1eb9, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a nhi\u1ec5m tr\u00f9ng v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u00fa \u00fd.<\/li>\n
    • Kh\u00f4ng C\u00f3 Tri\u1ec7u Ch\u1ee9ng:<\/strong>\u00a0Kho\u1ea3ng 20-30% ng\u01b0\u1eddi nhi\u1ec5m parvovirus B19 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai, v\u00ec h\u1ecd c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn ra m\u00ecnh \u0111\u00e3 b\u1ecb nhi\u1ec5m virus v\u00e0 kh\u00f4ng th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba k\u1ecbp th\u1eddi. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ecbnh k\u1ef3 ho\u1eb7c khi thai nhi b\u1eaft \u0111\u1ea7u c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

      \u1ea2nh H\u01b0\u1edfng C\u1ee7a Nhi\u1ec5m Parvovirus B19 \u0110\u1ebfn Thai Nhi<\/strong><\/h2>\n

      Nhi\u1ec5m parvovirus B19 trong thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi thai nhi, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong n\u1eeda \u0111\u1ea7u c\u1ee7a thai k\u1ef3. M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o th\u1eddi \u0111i\u1ec3m nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 m\u1eb9. C\u00e1c \u1ea3nh h\u01b0\u1edfng ch\u00ednh bao g\u1ed3m:<\/p>\n

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        • Thi\u1ebfu M\u00e1u Thai Nhi:<\/strong>\u00a0Parvovirus B19 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o ti\u1ec1n th\u00e2n h\u1ed3ng c\u1ea7u trong t\u1ee7y x\u01b0\u01a1ng, g\u00e2y ra thi\u1ebfu m\u00e1u n\u1eb7ng \u1edf thai nhi. Thi\u1ebfu m\u00e1u nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy tim thai nhi v\u00e0 g\u00e2y ra t\u00ecnh tr\u1ea1ng ph\u00f9 thai nhi (hydrops fetalis), m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong cho thai nhi n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Thi\u1ebfu m\u00e1u \u1edf thai nhi c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng oxy cung c\u1ea5p cho c\u00e1c c\u01a1 quan quan tr\u1ecdng, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 t\u1eed vong.<\/li>\n
        • Ph\u00f9 Thai Nhi:<\/strong>\u00a0Ph\u00f9 thai nhi l\u00e0 t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 d\u1ecbch trong c\u00e1c khoang c\u01a1 th\u1ec3 c\u1ee7a thai nhi, g\u00e2y ra b\u1edfi suy tim ho\u1eb7c thi\u1ebfu m\u00e1u nghi\u00eam tr\u1ecdng. \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng r\u1ea5t nguy hi\u1ec3m v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn thai ch\u1ebft l\u01b0u n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Ph\u00f9 thai nhi th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy tim thai nhi v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf.<\/li>\n
        • Vi\u00eam C\u01a1 Tim:<\/strong>\u00a0Nhi\u1ec5m parvovirus B19 c\u00f3 th\u1ec3 g\u00e2y vi\u00eam c\u01a1 tim \u1edf thai nhi, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u c\u1ee7a tim v\u00e0 d\u1eabn \u0111\u1ebfn suy tim. \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. Vi\u00eam c\u01a1 tim c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u cung c\u1ea5p cho c\u00e1c c\u01a1 quan quan tr\u1ecdng c\u1ee7a thai nhi, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng ho\u1eb7c t\u1eed vong.<\/li>\n
        • S\u1ea3y Thai v\u00e0 Thai Ch\u1ebft L\u01b0u:<\/strong>\u00a0Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, nhi\u1ec5m parvovirus B19 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ea3y thai, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu nhi\u1ec5m tr\u00f9ng x\u1ea3y ra trong ba th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3. Nguy c\u01a1 thai ch\u1ebft l\u01b0u c\u0169ng t\u0103ng cao n\u1ebfu thai nhi b\u1ecb \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng b\u1edfi virus. S\u1ea3y thai th\u01b0\u1eddng x\u1ea3y ra khi thai nhi kh\u00f4ng th\u1ec3 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng do nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn parvovirus B19.<\/li>\n
        • Kh\u00f4ng C\u00f3 Tri\u1ec7u Ch\u1ee9ng \u1ede Thai Nhi:<\/strong>\u00a0Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m parvovirus B19 \u0111\u1ec1u d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng. Nhi\u1ec1u thai nhi kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng ho\u1eb7c ch\u1ec9 b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng sau khi m\u1eb9 nhi\u1ec5m virus. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, thai nhi th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng sau khi m\u1eb9 ph\u1ee5c h\u1ed3i.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

          Ch\u1ea9n \u0110o\u00e1n Nhi\u1ec5m Parvovirus B19 \u1ede Ph\u1ee5 N\u1eef Mang Thai<\/strong><\/h2>\n
          \"Ph\u1ee5<\/figure>\n

          Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m parvovirus B19 \u1edf ph\u1ee5 n\u1eef mang thai l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy c\u01a1 v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba, \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m:<\/p>\n

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            • X\u00e9t Nghi\u1ec7m Kh\u00e1ng Th\u1ec3 IgM v\u00e0 IgG:<\/strong>\u00a0X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 IgM v\u00e0 IgG l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m parvovirus B19. S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 IgM ch\u1ec9 ra r\u1eb1ng nhi\u1ec5m tr\u00f9ng m\u1edbi x\u1ea3y ra, trong khi kh\u00e1ng th\u1ec3 IgG cho th\u1ea5y ng\u01b0\u1eddi m\u1eb9 \u0111\u00e3 c\u00f3 mi\u1ec5n d\u1ecbch v\u1edbi virus t\u1eeb l\u1ea7n nhi\u1ec5m tr\u01b0\u1edbc. X\u00e9t nghi\u1ec7m n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u ng\u01b0\u1eddi m\u1eb9 c\u00f3 \u0111ang trong giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh hay kh\u00f4ng, c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 mi\u1ec5n d\u1ecbch trong t\u01b0\u01a1ng lai.<\/li>\n
            • X\u00e9t Nghi\u1ec7m PCR (Polymerase Chain Reaction):<\/strong>\u00a0X\u00e9t nghi\u1ec7m PCR \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n ADN c\u1ee7a virus trong m\u00e1u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh nhi\u1ec5m tr\u00f9ng hi\u1ec7n t\u1ea1i v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a thai nhi, \u0111\u1eb7c bi\u1ec7t trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd c\u00f3 bi\u1ebfn ch\u1ee9ng. X\u00e9t nghi\u1ec7m PCR c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 nhi\u1ec5m tr\u00f9ng v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p k\u1ecbp th\u1eddi.<\/li>\n
            • Si\u00eau \u00c2m:<\/strong>\u00a0Si\u00eau \u00e2m l\u00e0 c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ph\u00f9 thai nhi ho\u1eb7c c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c do nhi\u1ec5m parvovirus B19. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 gi\u00e1m s\u00e1t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi n\u1ebfu m\u1eb9 b\u1ecb nhi\u1ec5m virus. Si\u00eau \u00e2m gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a suy tim ho\u1eb7c ph\u00f9 thai nhi, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n
            • Ch\u1ecdc D\u00f2 M\u00e0ng \u1ed0i:<\/strong>\u00a0Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ch\u1ecdc d\u00f2 m\u00e0ng \u1ed1i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 l\u1ea5y m\u1eabu d\u1ecbch \u1ed1i v\u00e0 ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a virus trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd thai nhi b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1eb7ng n\u1ec1. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng c\u1ee7a thai nhi v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Ch\u1ecdc d\u00f2 m\u00e0ng \u1ed1i th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 th\u00f4ng tin \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

              \u0110i\u1ec1u Tr\u1ecb Nhi\u1ec5m Parvovirus B19 \u1ede Ph\u1ee5 N\u1eef Mang Thai<\/strong><\/h2>\n

              Hi\u1ec7n t\u1ea1i, kh\u00f4ng c\u00f3 li\u1ec7u ph\u00e1p kh\u00e1ng virus \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m parvovirus B19. Do \u0111\u00f3, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o vi\u1ec7c theo d\u00f5i v\u00e0 h\u1ed7 tr\u1ee3 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 thai nhi \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd bao g\u1ed3m:<\/p>\n

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                • Theo D\u00f5i Thai K\u1ef3:<\/strong>\u00a0Ph\u1ee5 n\u1eef mang thai b\u1ecb nhi\u1ec5m parvovirus B19 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd h\u01a1n trong su\u1ed1t thai k\u1ef3. B\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n c\u00e1c si\u00eau \u00e2m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 gi\u00e1m s\u00e1t t\u00ecnh tr\u1ea1ng ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ph\u00f9 thai nhi ho\u1eb7c suy tim. Vi\u1ec7c theo d\u00f5i thai k\u1ef3 ch\u1eb7t ch\u1ebd gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi.<\/li>\n
                • Truy\u1ec1n M\u00e1u Cho Thai Nhi:<\/strong>\u00a0Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p thai nhi b\u1ecb thi\u1ebfu m\u00e1u nghi\u00eam tr\u1ecdng, truy\u1ec1n m\u00e1u qua d\u00e2y r\u1ed1n (intrauterine transfusion) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u v\u00e0 ng\u0103n ng\u1eeba suy tim. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap t\u0103ng c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t c\u1ee7a thai nhi v\u00e0 gi\u1ea3m thi\u1ec3u r\u1ee7i ro bi\u1ebfn ch\u1ee9ng. Truy\u1ec1n m\u00e1u cho thai nhi th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu m\u00e1u nghi\u00eam tr\u1ecdng ho\u1eb7c khi thai nhi c\u00f3 d\u1ea5u hi\u1ec7u suy tim.<\/li>\n
                • Qu\u1ea3n L\u00fd Tri\u1ec7u Ch\u1ee9ng \u1ede M\u1eb9:<\/strong>\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au kh\u1edbp ho\u1eb7c m\u1ec7t m\u1ecfi \u1edf m\u1eb9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 paracetamol, theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7 v\u00e0 duy tr\u00ec ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng c\u00e2n b\u1eb1ng c\u0169ng gi\u00fap gi\u1ea3m b\u1edbt c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y. Vi\u1ec7c qu\u1ea3n l\u00fd tri\u1ec7u ch\u1ee9ng \u1edf m\u1eb9 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/li>\n
                • H\u1ed7 Tr\u1ee3 Tinh Th\u1ea7n:<\/strong>\u00a0Vi\u1ec7c \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 cho s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi c\u00f3 th\u1ec3 g\u00e2y ra c\u0103ng th\u1eb3ng l\u1edbn cho ph\u1ee5 n\u1eef mang thai. Do \u0111\u00f3, s\u1ef1 h\u1ed7 tr\u1ee3 t\u1eeb gia \u0111\u00ecnh, b\u1ea1n b\u00e8 v\u00e0 c\u00e1c chuy\u00ean gia t\u00e2m l\u00fd l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u00fap b\u00e0 m\u1eb9 gi\u1eef v\u1eefng tinh th\u1ea7n trong su\u1ed1t thai k\u1ef3. H\u1ed7 tr\u1ee3 tinh th\u1ea7n gi\u00fap gi\u1ea3m thi\u1ec3u c\u0103ng th\u1eb3ng v\u00e0 lo \u00e2u, t\u1eeb \u0111\u00f3 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                  Ph\u00f2ng Ng\u1eeba Nhi\u1ec5m Parvovirus B19 \u1ede Ph\u1ee5 N\u1eef Mang Thai<\/h2>\n
                  \"Ph\u1ee5<\/figure>\n

                  V\u00ec hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 v\u1eafc-xin \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 ph\u00f2ng ng\u1eeba parvovirus B19, vi\u1ec7c ph\u00f2ng ng\u1eeba ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 c\u00e1 nh\u00e2n v\u00e0 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch. M\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 bao g\u1ed3m:<\/p>\n

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                    • H\u1ea1n Ch\u1ebf Ti\u1ebfp X\u00fac V\u1edbi Ngu\u1ed3n B\u1ec7nh:<\/strong>\u00a0Ph\u1ee5 n\u1eef mang thai n\u00ean tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111ang b\u1ecb nhi\u1ec5m parvovirus B19, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c m\u00f4i tr\u01b0\u1eddng \u0111\u00f4ng ng\u01b0\u1eddi nh\u01b0 tr\u01b0\u1eddng h\u1ecdc, nh\u00e0 tr\u1ebb. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m. H\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ngu\u1ed3n b\u1ec7nh l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 thai nhi.<\/li>\n
                    • V\u1ec7 Sinh C\u00e1 Nh\u00e2n:<\/strong>\u00a0R\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc s\u1ea1ch, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c c\u00e1c b\u1ec1 m\u1eb7t c\u00f4ng c\u1ed9ng. \u0110\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n nh\u01b0ng hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a virus. V\u1ec7 sinh c\u00e1 nh\u00e2n \u0111\u00fang c\u00e1ch gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng do ti\u1ebfp x\u00fac gi\u00e1n ti\u1ebfp v\u1edbi virus.<\/li>\n
                    • S\u1eed D\u1ee5ng C\u00e1c Bi\u1ec7n Ph\u00e1p Ph\u00f2ng H\u1ed9 C\u00e1 Nh\u00e2n:<\/strong>\u00a0\u0110eo kh\u1ea9u trang, s\u1eed d\u1ee5ng g\u0103ng tay v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n kh\u00e1c khi \u1edf trong c\u00e1c m\u00f4i tr\u01b0\u1eddng c\u00f3 nguy c\u01a1 l\u00e2y nhi\u1ec5m cao. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ea3o v\u1ec7 ph\u1ee5 n\u1eef mang thai kh\u1ecfi nguy c\u01a1 ti\u1ebfp x\u00fac v\u1edbi virus. S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n \u0111\u00fang c\u00e1ch l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 l\u00e2y lan c\u1ee7a virus trong c\u00e1c m\u00f4i tr\u01b0\u1eddng \u0111\u00f4ng ng\u01b0\u1eddi.<\/li>\n
                    • T\u0103ng C\u01b0\u1eddng H\u1ec7 Mi\u1ec5n D\u1ecbch:<\/strong>\u00a0M\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, gi\u00e0u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh s\u1ebd gi\u00fap t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m b\u1ec7nh. T\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch gi\u00fap c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh, bao g\u1ed3m c\u1ea3 parvovirus B19.<\/li>\n
                    • Theo D\u00f5i S\u1ee9c Kh\u1ecfe \u0110\u1ecbnh K\u1ef3:<\/strong>\u00a0Ph\u1ee5 n\u1eef mang thai n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ecbnh k\u1ef3 v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe ch\u1eb7t ch\u1ebd \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi. Theo d\u00f5i s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u00e0 \u0111\u1ea3m b\u1ea3o thai k\u1ef3 di\u1ec5n ra an to\u00e0n.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

                      C\u00e1c C\u00e2u H\u1ecfi Th\u01b0\u1eddng G\u1eb7p V\u1ec1 Nhi\u1ec5m Parvovirus B19 \u1ede Ph\u1ee5 N\u1eef Mang Thai<\/strong><\/h2>\n

                      Nhi\u1ec5m parvovirus B19 trong thai k\u1ef3 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng lo ng\u1ea1i, v\u00e0 nhi\u1ec1u ph\u1ee5 n\u1eef mang thai c\u00f3 nh\u1eefng th\u1eafc m\u1eafc li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p v\u00e0 gi\u1ea3i \u0111\u00e1p:<\/p>\n