{"id":1210,"date":"2018-10-15T06:27:59","date_gmt":"2018-10-15T06:27:59","guid":{"rendered":"http:\/\/chamsocmebe.net\/sieu-am-thai-trong-qua-trinh-mang-thai\/"},"modified":"2018-10-15T06:27:59","modified_gmt":"2018-10-15T06:27:59","slug":"sieu-am-thai-trong-qua-trinh-mang-thai","status":"publish","type":"post","link":"https:\/\/beyeu.vnno1.net\/?p=1210","title":{"rendered":"Si\u00eau \u00e2m thai trong qu\u00e1 tr\u00ecnh mang thai"},"content":{"rendered":"<p><strong>Si\u00eau \u00e2m thai trong qu\u00e1 tr\u00ecnh mang thai l\u00e0 bi\u1ec7n ph\u00e1p ki\u1ec3m tra ph\u1ed5 bi\u1ebfn \u0111\u1ec3 theo d\u00f5i qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9. Hi\u1ec7n nay, k\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e3 ph\u00e1t tri\u1ec3n nhanh v\u1edbi nhi\u1ec1u k\u1ef9 thu\u1eadt nh\u01b0 si\u00eau \u00e2m 2D, 3D, 4D, si\u00eau \u00e2m m\u00e0u, \u01b0\u1edbc t\u00ednh c\u00e2n n\u1eb7ng thai nhi qua si\u00eau \u00e2m\u2026. Nh\u1edd \u0111\u00f3, h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c c\u00e1c r\u1ee7i ro cho b\u00e0 b\u1ea7u v\u00e0 tr\u1ebb s\u01a1 sinh. Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 nguy\u00ean t\u1eafc v\u1ec1 si\u00eau \u00e2m m\u1ecdi ng\u01b0\u1eddi n\u00ean bi\u1ebft.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" title=\"Si\u00eau \u00e2m thai trong qu\u00e1 tr\u00ecnh mang thai 1\" class=\"aligncenter  wp-image-155\" src=\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/sieu-am-khi-mang-thai-1.jpg\" alt=\"Si\u00eau \u00e2m thai trong qu\u00e1 tr\u00ecnh mang thai 1\" width=\"552\" height=\"368\" srcset=\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/sieu-am-khi-mang-thai-1.jpg 1024w, https:\/\/dinhduongbabau.net\/wp-content\/uploads\/2016\/03\/sieu-am-khi-mang-thai-300x200.jpg 300w\" sizes=\"(max-width: 552px) 100vw, 552px\" \/><\/p>\n<h2>Nh\u1eefng nguy\u00ean t\u1eafc c\u1ee7a si\u00eau \u00e2m<\/h2>\n<ul>\n<li>Si\u00eau \u00e2m s\u1eed d\u1ee5ng s\u00f3ng \u00e2m c\u00f3 t\u1ea7n s\u1ed1 cao (3.5-5 MHz \u0111\u1ed1i v\u1edbi si\u00eau \u00e2m ng\u1ea3 b\u1ee5ng v\u00e0 5-7.5 MHz \u0111\u1ed1i v\u1edbi si\u00eau \u00e2m ng\u1ea3 \u00e2m \u0111\u1ea1o). S\u00f3ng c\u00f3 t\u1ea7n s\u1ed1 c\u00e0ng cao th\u00ec \u0111\u1ed9 ph\u00e2n gi\u1ea3i c\u00e0ng t\u1ed1t (\u0111\u1ed9 n\u00e9t), nh\u01b0ng \u0111\u1ed9 xuy\u00ean th\u1ea5u m\u00f4 c\u00e0ng \u00edt.<\/li>\n<li>Si\u00eau \u00e2m \u0111\u00f2i h\u1ecfi nhi\u1ec1u kinh nghi\u1ec7m: ki\u1ebfn th\u1ee9c c\u1ee7a b\u00e1c s\u1ef9 l\u00e0 m\u1ed9t ph\u1ea7n, ph\u1ea7n l\u1edbn c\u00e1c b\u00e1c s\u1ef9 si\u00eau \u00e2m gi\u1ecfi l\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o qua th\u1ef1c t\u1ebf th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 th\u1ef1c h\u00e0nh th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 n\u00e2ng cao k\u1ef9 n\u0103ng, kh\u1ea3 n\u0103ng quan s\u00e1t, ch\u1ea9n \u0111o\u00e1n.<\/li>\n<\/ul>\n<h2>Ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m khi n\u00e0o?<\/h2>\n<p>S\u1eed d\u1ee5ng si\u00eau \u00e2m th\u01b0\u1eddng quy c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng c\u1ee7a thai, x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c tu\u1ed5i thai, v\u00e0 gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111a thai s\u1edbm. Tuy nhi\u00ean, si\u00eau \u00e2m t\u1ecf ra t\u1ed1n k\u00e9m v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 chu sinh ch\u01b0a r\u00f5 r\u00e0ng.<\/p>\n<h2>Bi\u1ebfn ch\u1ee9ng c\u1ee7a si\u00eau \u00e2m?<\/h2>\n<p>Si\u00eau \u00e2m kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00ean thai. B\u1ea5t l\u1ee3i ch\u1ee7 y\u1ebfu l\u00e0 k\u1ebft qu\u1ea3 kh\u00f4ng ch\u00ednh x\u00e1c khi th\u1ef1c hi\u1ec7n si\u00eau \u00e2m.<\/p>\n<h2>C\u00e1c H\u01b0\u1edbng d\u1eabn chu\u1ea9n (Guideline) trong si\u00eau \u00e2m\u00a0thai<\/h2>\n<h3>Si\u00eau \u00e2m trong tam c\u00e1 nguy\u1ec7t 1 (thai k\u1ef3 th\u1ee9 nh\u1ea5t)<\/h3>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u00fai thai. T\u00fai thai trong t\u1eed cung n\u00ean \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y khi beta-hCG &gt;=1,000-1,200 mIU\/ml qua si\u00eau \u00e2m ng\u1ea3 \u00e2m \u0111\u1ea1o v\u00e0 khi beta-hCG&gt;=6,000 mIU\/ml qua si\u00eau \u00e2m b\u1ee5ng. N\u1ebfu kh\u00f4ng th\u1ea5y t\u00fai thai, ch\u00fang ta c\u1ea7n xem x\u00e9t kh\u1ea3 n\u0103ng thai ngo\u00e0i t\u1eed cung.<\/li>\n<li>N\u1ebfu t\u00fai thai \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, c\u1ea7n xem c\u00f3 yolk sac (th\u01b0\u1eddng th\u1ea5y r\u00f5 khi beta-hCG &gt;=7,000 mIU\/ml) v\u00e0 ph\u00f4i (khi beta-hCG &gt;=11,000 mIU\/ml) hay ch\u01b0a.<\/li>\n<li>N\u00ean kh\u1ea3o s\u00e1t tu\u1ed5i thai. Chi\u1ec1u d\u00e0i \u0111\u1ea7u m\u00f4ng (CRL) trong tam c\u00e1 nguy\u1ec7t \u0111\u1ea7u l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh ch\u00ednh x\u00e1c tu\u1ed5i thai, ch\u00eanh l\u1ec7ch 3-5 ng\u00e0y (so v\u1edbi sai s\u1ed1 +- 2 tu\u1ea7n trong tam c\u00e1 nguy\u1ec7t 2 v\u00e0 +-3 tu\u1ea7n trong tam c\u00e1 nguy\u1ec7t 3)<\/li>\n<\/ul>\n<p><em><strong>Tu\u1ed5i thai \u01b0\u1edbc t\u00ednh (tu\u1ea7n) = Chi\u1ec1u d\u00e0i \u0111\u1ea7u m\u00f4ng (mm) +\u00a06.5<\/strong><\/em><\/p>\n<p>V\u00e0o cu\u1ed1i tam c\u00e1 nguy\u1ec7t 1, \u0111o <strong>\u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng \u0111\u1ec9nh<\/strong> (BPD) \u0111\u1ec3 \u01b0\u1edbc t\u00ednh tu\u1ed5i thai.<\/p>\n<ul>\n<li>Th\u01b0\u1eddng quan s\u00e1t \u0111\u01b0\u1ee3c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim thai nhi khi c\u1ef1c c\u1ee7a thai nhi \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y r\u00f5 r\u00e0ng. N\u1ebfu CRL l\u00e0 3-5mm nh\u01b0ng kh\u00f4ng th\u1ea5y ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim mthai, c\u1ea7n theo d\u00f5i v\u00e0 si\u00eau \u00e2m trong 3-5 ng\u00e0y sau \u0111\u00f3 \u0111\u1ec3 \u0111\u00e1nh gi\u1ea3 kh\u1ea3 n\u0103ng s\u1ed1ng c\u1ee7a thai nhi. M\u1ed9t khi \u0111\u00e3 th\u1ea5y ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim thai, t\u1ef7 l\u1ec7 s\u1ea9y thai gi\u1ea3m xu\u1ed1ng c\u00f2n kho\u1ea3ng 5%.<\/li>\n<li>Xcas \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng thai. N\u1ebfu x\u00e1c \u0111\u1ecbnh l\u00e0 \u0111a thai, n\u00ean x\u00e1c \u0111\u1ecbnh s\u1ed1 m\u00e0ng d\u1ec7m.<\/li>\n<li>\u0110o kho\u1ea3ng sang da g\u00e1y (NT)<\/li>\n<li>\u0110\u00e1nh gi\u00e1 nh\u1eefng b\u1ea5t th\u01b0\u1eddng kh\u00f4ng li\u00ean quan thai c\u1ee7a t\u1eed cung, c\u1ea5u tr\u00fac ph\u1ea7n ph\u1ee5 v\u00e0 t\u00fai c\u00f9ng.<\/li>\n<\/ul>\n<h3>Si\u00eau \u00e2m trong tam c\u00e1 nguy\u1ec7t 2 (thai k\u1ef3 th\u1ee9 hai)<\/h3>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim thai v\u00e0 s\u1ed1 thai nhi.<\/li>\n<li>\u01af\u1edbc t\u00ednh l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i.<\/li>\n<li>X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed nhau thai. B\u00e0ng quang gi\u00e3n qu\u00e1 m\u1ee9c ho\u1eb7c t\u1eed cung th\u1ea5p c\u00f3 th\u1ec3 g\u00e2y \u1ea5n t\u01b0\u1ee3ng sai l\u1ea7m l\u00e0 nhau ti\u1ec1n \u0111\u1ea1o. N\u1ebfu x\u00e1c \u0111\u1ecbnh nhau ti\u1ec1n \u0111\u1ea1o \u1edf 18-22 tu\u1ea7n, n\u00ean th\u1ef1c hi\u1ec7n si\u00eau \u00e2m li\u00ean ti\u1ebfp \u0111\u1ec3 theo d\u00f5i v\u1ecb tr\u00ed nhau thai. Ch\u1ec9 c\u00f3 5% tr\u01b0\u1eddng h\u1ee3p nhau ti\u1ec1n \u0111\u1ea1o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh trong tam c\u00e1 nguy\u1ec7t 2 v\u1eabn t\u1ed3n t\u1ea1i \u0111\u1ebfn khi thai \u0111\u1ee7 th\u00e1ng.<\/li>\n<li>N\u00ean quan s\u00e1t d\u00e2y r\u1ed1n, v\u00e0 s\u1ed1 l\u01b0\u1ee3ng m\u1ea1ch m\u00e1u (m\u1ed9t \u0111\u1ed9ng m\u1ea1ch r\u1ed1n duy nh\u1ea5t c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ea5t th\u01b0\u1eddng v\u1ec1 di truy\u1ec1n c\u1ee7a thai, \u0111\u1eb7c bi\u1ec7t n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac kh\u00e1c), v\u1ecb tr\u00ed nhau b\u00e1m, v\u00e0 v\u1ecb tr\u00ed nhau b\u00e1m v\u00e0o thai nhi c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0u \u00fd. Th\u00f3a v\u1ecb th\u00e0nh b\u1ee5ng c\u1ee7a ru\u1ed9t gi\u1eefa v\u00e0o d\u00e2y r\u1ed1n th\u01b0\u1eddng x\u1ea3y ra \u1edf thai 8-12 tu\u1ea7n v\u00e0 kh\u00f4ng n\u00ean ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi khi\u1ebfm khuy\u1ebft th\u00e0nh b\u1ee5ng.<\/li>\n<li>\u0110o chi\u1ec1u d\u00e0i t\u1eed cung. C\u1ed5 t\u1eed cung ng\u1eafn c\u00f3 li\u00ean quan nguy c\u01a1 sinh non.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 tu\u1ed5i thai.<\/li>\n<li>Kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i t\u1ed1t nh\u1ea5t \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf tu\u1ea7n 18-22.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 t\u1eed cung v\u00e0 ph\u1ea7n ph\u1ee5.<\/li>\n<\/ul>\n<h3>Si\u00eau \u00e2m trong tam c\u00e1 nguy\u1ec7t 3<\/h3>\n<ul>\n<li>Gi\u1ed1ng nh\u01b0 si\u00eau \u00e2m trong tam c\u00e1 nguy\u1ec7t 2.<\/li>\n<li>\u01af\u1edbc l\u01b0\u01a1ng c\u00e2n n\u1eb7ng thai (EFW) b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng trung b\u00ecnh c\u1ee7a ba s\u1ed1 \u0111o trong m\u1ed9t l\u1ea7n \u0111o: chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i (FL), chu vi v\u00f2ng b\u1ee5ng (AC), v\u00e0 \u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng \u0111\u1ec9nh (BPD). C\u00e1c s\u1ed1 \u0111o \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a \u1edf t\u1eebng th\u1eddi \u0111i\u1ec3m tu\u1ed5i thai. Trong ba s\u1ed1 \u0111o, chu vi v\u00f2ng b\u1ee5ng l\u00e0 quan tr\u1ecdng nh\u1ea5t trong qu\u00e1 tr\u00ecnh \u01b0\u1edbc l\u01b0\u1ee3ng EFW. \u0110\u00e2y c\u0169ng l\u00e0 ch\u1ec9 s\u1ed1 kh\u00f3 \u0111o nh\u1ea5t. M\u1ed9t s\u1ef1 kh\u00e1c bi\u1ec7 nh\u1ecf c\u1ee7a chu vi v\u00f2ng b\u1ee5ng d\u1eabn \u0111\u1ebfn kh\u00e1c bi\u1ec7t l\u1edbn v\u1ec1 c\u00e2n n\u1eb7ng thai nhi. V\u00ec v\u1eady k\u1ebft qu\u1ea3 l\u00e0, sai s\u1ed1 c\u1ee7a si\u00eau \u00e2m khi t\u00ednh c\u00e2n thai v\u00e0o kho\u1ea3ng 15-20%.<\/li>\n<li>Kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i h\u1ecdc chi ti\u1ebft ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed7i l\u1ea7n si\u00eau \u00e2m d\u00f9 \u0111\u00e3 kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i \u1edf tam c\u00e1 nguy\u1ec7t 2. M\u1ed9 s\u1ed1 b\u1ea5t th\u01b0\u1eddng c\u1ee7a thai s\u1ebd tr\u1edf n\u00ean r\u00f5 r\u00e0ng trong giai \u0111o\u1ea1n cu\u1ed1i thai k\u1ef3 (nh\u01b0 l\u00f9n do b\u1ea5t s\u1ea3n s\u1ee5n).<\/li>\n<\/ul>\n<p><strong>Si\u00eau \u00e2m Doppler velo<\/strong><\/p>\n<ul>\n<li>Si\u00eau \u00e2m Doppler velo cho bi\u1ebft h\u01b0\u1edbng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a l\u01b0u l\u01b0\u1ee3ng m\u00e1u, v\u00e0 c\u00f3 th\u1ec3 ki\u1ec3m tra tu\u1ea7n ho\u00e0n gi\u1eefa m\u1eb9 \u2013 nhau thia v\u00e0 gi\u1eefa nhau thai \u2013 thai.<\/li>\n<li>Si\u00eau \u00e2m Doppler velo kh\u00f4ng n\u00ean th\u1ef1c hi\u1ec7n th\u01b0\u1eddng quy. Ch\u1ec9 th\u1ef1c hi\u1ec7n khi c\u00f3 ch\u1eadm t\u0103ng tr\u01b0\u1edfng trong t\u1eed cung, d\u1ecb t\u1eadt d\u00e2y r\u1ed1n, thi\u1ec3u \u1ed1i kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, ti\u1ec1n s\u1ea3n gi\u1eadt, v\u00e0 b\u1ea5t th\u01b0\u1eddng tim thai.<\/li>\n<\/ul>\n<p><strong>Si\u00eau \u00e2m tim thai<\/strong><\/p>\n<p>\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 b\u1ea5t th\u01b0\u1eddng tim thai cao (vd. Thai k\u1ef3 nguy c\u01a1 do m\u1eb9 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng hay b\u1ec7nh tim b\u1ea9m sinh). Si\u00eau \u00e2m \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng r\u1ed1i lo\u1ea1n c\u1ee7a thai nhi trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p thai b\u1ecb d\u1ecb th\u1ec3 d\u1ecb b\u1ed9i.<\/p>\n<ul>\n<li>B\u1ea5t th\u01b0\u1eddng trisomy 13 ho\u1eb7c trisomy 18 th\u01b0\u1eddng c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n tr\u00ean si\u00eau \u00e2m.<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng trisomy 21 (h\u1ed9i ch\u1ee9ng Down) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng, d\u1ecb t\u1eadt v\u1ec1 c\u1ea5u tr\u00fac ch\u1ec9 c\u00f3 th\u1ec3 dduowwjc ph\u00e1t hi\u1ec7n v\u00e0o cu\u1ed1i thai k\u1ef3 (h\u1eb9p t\u00e1 tr\u00e0ng), ho\u1eb7c b\u1ea5t th\u01b0\u1eddng sinh tr\u1eafc h\u1ecdc ho\u1eb7c h\u00ecnh th\u00e1i h\u1ecdc (x\u01b0\u01a1ng \u0111\u00f9i ng\u1eafn, gi\u00e3n b\u1ec3 th\u1eadn). Ch\u1ec9 c\u00f3 kho\u1ea3ng 30% \u2013 50% thai b\u1ecb h\u1ed9i ch\u1ee9ng Down ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1eb1ng si\u00eau \u00e2m th\u01b0\u1eddng quy. Kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i b\u00ecnh th\u01b0\u1eddng gi\u1ea3m nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng Down kho\u1ea3ng 50%.<\/li>\n<\/ul>\n<h3><strong>Si\u00eau \u00e2m v\u00e0 ph\u00f9 thai nhi<\/strong><\/h3>\n<p>Ph\u00f9 thai l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng qu\u00e1 nhi\u1ec1u \u1edf thai. Nh\u1edd c\u00f3 si\u00eau \u00e2m m\u00e0 c\u00e1c b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c s\u1edbm t\u00ecnh tr\u1ea1ng ph\u00f9 thai.<\/p>\n<p style=\"text-align: right;\"><strong>S\u1ed5 tay S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3<\/strong><\/p>\n<div class=\"addthis_native_toolbox bottom_post\" style=\"float:right\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Si\u00eau \u00e2m thai trong qu\u00e1 tr\u00ecnh mang thai l\u00e0 bi\u1ec7n ph\u00e1p ki\u1ec3m tra ph\u1ed5 bi\u1ebfn \u0111\u1ec3 theo d\u00f5i qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi trong b\u1ee5ng m\u1eb9. Hi\u1ec7n nay, k\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e3 ph\u00e1t tri\u1ec3n nhanh v\u1edbi nhi\u1ec1u k\u1ef9 thu\u1eadt nh\u01b0 si\u00eau \u00e2m 2D, 3D, 4D, si\u00eau \u00e2m m\u00e0u, \u01b0\u1edbc t\u00ednh c\u00e2n n\u1eb7ng [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1211,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"_links":{"self":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1210"}],"collection":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1210"}],"version-history":[{"count":0,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1210\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/media\/1211"}],"wp:attachment":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}