B\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u00e0 b\u1ea7u<\/a><\/strong><\/em><\/p>\n\u1ea2nh h\u01b0\u1eddng c\u1ee7a vi\u00eam nha chu v\u1edbi k\u1ebft cu\u1ed9c thai k\u1ef3<\/h2>\n
M\u00f4i tr\u01b0\u1eddng r\u0103ng mi\u1ec7ng tuy ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n nh\u1ecf c\u1ee7a c\u01a1 th\u1ec3, nh\u01b0ng c\u00f3 th\u1ec3 xem nh\u01b0 m\u1ed9t t\u1ea5m g\u01b0\u01a1ng ph\u1ea3n \u00e1nh s\u1ee9c kh\u1ecfe to\u00e0n th\u00e2n. \u1ede Ph\u01b0\u01a1ng T\u00e2y, t\u1eeb x\u01b0a, \u0111\u00e3 c\u00f3 quan ni\u1ec7m \u201cm\u1ed7i l\u1ea7n c\u00f3 thai ng\u01b0\u1eddi ph\u1ee5 n\u1eef l\u1ea1i m\u1ea5t m\u1ed9t chi\u1ebfc r\u0103ng\u201d, cho th\u1ea5y r\u1eb1ng s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng trong thai k\u1ef3 t\u1eeb l\u00e2u \u0111\u00e3 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 thu h\u00fat d\u01b0\u1ee3c s\u1ef1 quan t\u00e2m c\u1ee7a c\u1ed9ng \u0111\u1ed3ng. T\u01b0\u01a1ng t\u1ef1, \u1edf n\u01b0\u1edbc ta, c\u00f3 th\u1ec3 do b\u1ecb vi\u00eam nha chu m\u00e0 sau sinh con r\u0103ng b\u1ecb lung lay, nh\u01b0ng v\u00ec kh\u00f4ng hi\u1ec3u nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, n\u00ean c\u00e1c s\u1ea3n ph\u1ee5 c\u00f3 nh\u1eefng ki\u00eang khem v\u00f4 l\u00fd nh\u01b0 kh\u00f4ng ch\u1ea3i r\u0103ng m\u00e0 ch\u1ec9 s\u00fac mi\u1ec7ng.
\u1ede ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 thai, do n\u1ed9i ti\u1ebft t\u1ed1 progestrogen l\u00e0m gi\u1ea3m s\u1ee9c \u0111\u1ec1 kh\u00e1ng mi\u1ec5n nhi\u1ec5m, nh\u1eefng b\u1ec7nh l\u00fd r\u0103ng mi\u1ec7ng nh\u01b0 vi\u00eam n\u01b0\u1edbu, vi\u00eam nha chu ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, l\u1edbp m\u00f4 n\u00e2ng \u0111\u1ee1, c\u00e1c d\u00e2y ch\u1eb1ng gi\u1eef r\u0103ng s\u1ebd b\u1ecb ph\u00e1 h\u1ee7y l\u00e0m ti\u00eau x\u01b0\u01a1ng \u1ed5 r\u0103ng, r\u0103ng b\u1ecb lung lay v\u00e0 cu\u1ed1i c\u00f9ng s\u1ebd m\u1ea5t r\u0103ng d\u00f9 r\u0103ng c\u00f2n nguy\u00ean v\u1eb9n.<\/p>\n
M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u00eam nha chu v\u00e0 sinh non- sinh nh\u1eb9 c\u00e2n ( SN-SNC) ph\u1ea3i \u0111\u1ee3i \u0111\u1ebfn th\u1eadp ni\u00ean 90 c\u1ee7a th\u1ebf k\u1ef7 tr\u01b0\u1edbc, nh\u1eefng nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m tr\u00ean th\u00fa v\u1eadt m\u1edbi ch\u1ee9ng minh \u0111\u01b0\u1ee3c vai tr\u00f2 c\u1ee7a c\u00e1c vi khu\u1ea9n gram \u00e2m \u1edf d\u01b0\u1edbi n\u01b0\u1edbu r\u0103ng nh\u01b0<\/strong>: Actinobacillus actinomycytemcomitans, Porphyromonas gingivalis v\u00e0 nh\u1eefng \u0111\u1ed9c t\u1ed1 lipopolysaccharide (LPS) c\u1ee7a ch\u00fang c\u00f3 th\u1ec3 g\u00e2y n\u00ean m\u1ed9t \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch to\u00e0n th\u00e2n. N\u0103m 1994, Collins v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ch\u1ee9ng minh c\u00f3 ch\u1ebf vi khu\u1ea9n ho\u1ea1t h\u00f3a c\u00e1c t\u1ebf b\u00e0o trung gian mi\u1ec5n d\u1ecbch, s\u1ea3n xu\u1ea5t ra cytokines (nh\u01b0 interleukins IL-1 v\u00e0 IL-6), y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed kh\u1ed1i u alpha ( tumor necrosis factor alpha: TNF- a), prostaglandin (\u0111\u1eb7c bi\u1ec7t prostagalandin E2: PGE2). Nh\u1eefng ch\u1ea5t n\u00f3i tr\u00ean c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n co t\u1eed cung, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng sinh non, sinh nh\u1eb9 c\u00e2n.<\/p>\n![\"\u1ea2nh](\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/anh-huong-cua-viem-nha-chu-den-thai-ky-e1497929730365.jpg\" "\\"\u1ea2nh")
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Sinh non (tu\u1ed5i thai d\u01b0\u1edbi 37 tu\u1ea7n) v\u00e0 sinh nh\u1eb9 c\u00e2n (tr\u1ecdng l\u01b0\u1ee3ng thai d\u01b0\u1edbi 2500 gram) l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y n\u00ean t\u1eed su\u1ea5t v\u00e0 b\u1ec7nh su\u1ea5t s\u01a1 sinh cao v\u1edbi nh\u1eefng di ch\u1ee9ng d\u00e0i l\u00e2u, \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn t\u00ecnh tr\u1ea1ng y khoa v\u00e0 kinh t\u1ebf c\u1ee7a x\u00e3 h\u1ed9i. T\u1ea1i Hoa K\u1ef3, n\u0103m 2011, t\u1ef7 l\u1ec7 sinh non- sinh nh\u1eb9 c\u00e2n (SN-SNC) l\u00e0 6,1% (theo s\u1ed1 li\u1ec7u c\u1ee7a Agency for Healthecare Research and Quality). B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 l\u00e0 m\u1ed9t b\u1ec7nh vi\u1ec7n s\u1ea3n khoa \u0111\u1ea7u ng\u00e0nh \u1edf ph\u00eda nam n\u01b0\u1edbc ta v\u1edbi s\u1ed1 sinh trong n\u0103m 2012 l\u00ean 62.022 ca, s\u1ed1 tr\u1ebb sinh non- sinh nh\u1eb9 c\u00e2n l\u00e0 6.051 b\u00e9, chi\u1ebfm t\u1ef7 l\u1ec7 kho\u1ea3ng 10% (theo s\u1ed1 li\u1ec7u c\u1ee7a ph\u00f2ng k\u1ebf ho\u1ea1ch t\u1ed5ng h\u1ee3p b\u1ec7nh vi\u1ec7n T\u1eeb D\u0169), con s\u1ed1 n\u00e0y cho th\u1ea5y \u0111\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t \u0111\u00e1ng quan t\u00e2m. \u0110\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1ec1 vai tr\u00f2 c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y SN-SNC nh\u01b0 tu\u1ed5i thai ph\u1ee5 qu\u00e1 tr\u1ebb ( 34 tu\u1ed5i), kh\u00f3 kh\u0103n v\u1ec1 kinh t\u1ebf, \u0111a thai, ch\u0103m s\u00f3c ti\u1ec1n s\u1ea3n k\u00e9m, thai ph\u1ee5 h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3c, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, lao \u0111\u1ed9ng c\u1ef1c nh\u1ecdc, ho\u1eb7c nhi\u1ec5m khu\u1ea9n ni\u1ec7u ph\u1ee5 khoa\u2026 Tuy v\u1eady, v\u1eabn c\u00f2n kho\u1ea3ng 25% tr\u01b0\u1eddng h\u1ee3p SN-SNC x\u1ea3y ra \u1edf nh\u1eefng thai ph\u1ee5 kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 c\u00f3 nguy c\u01a1 n\u00f3i tr\u00ean, \u0111\u00f3 l\u00e0 l\u00fd do khi\u1ebfn c\u00e1c nh\u00e0 khoa h\u1ecdc kh\u00f4ng ng\u1eebng t\u00ecm ki\u1ebfm c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng SN-SNC.<\/strong><\/p>\nTr\u00ean th\u1ebf gi\u1edbi, v\u1ec1 ph\u01b0\u01a1ng di\u1ec7n Y h\u1ecdc Ch\u1ee9ng C\u1ee9, \u0111\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y vi\u00eam nha chu l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u1ed9c l\u1eadp g\u00e2y ra SN-SNC, tuy nhi\u00ean \u1edf n\u01b0\u1edbc ta, ch\u01b0a c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n
Nghi\u00ean c\u1ee9u b\u1ec7nh ch\u1ee9ng t\u00ecm hi\u1ec3u nguy c\u01a1 g\u00e2y sinh non- sinh nh\u1eb9 c\u00e2n c\u1ee7a b\u1ec7nh vi\u00eam nha chu. T\u1ea1i B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169, Khoa H\u1eadu S\u1ea3n th\u01b0\u1eddng trong kho\u1ea3ng t\u1eeb th\u00e1ng 9\/2013 \u0111\u1ebfn th\u00e1ng 1\/2014, m\u1ed9t nghi\u00ean c\u1ee9u b\u1ec7nh ch\u1ee9ng kh\u00f4ng b\u1eaft c\u1eb7p \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi t\u1ec9 l\u1ec7 1 b\u1ec7nh\/ 2 ch\u1ee9ng. Nh\u00f3m b\u1ec7nh g\u1ed3m 76 s\u1ea3n ph\u1ee5 sinh non th\u00e1ng (tu\u1ed5i thai d\u01b0\u1edbi 37 tu\u1ea7n) sinh nh\u1eb9 c\u00e2n (c\u00e2n n\u1eb7ng K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u: hai nh\u00f3m b\u1ec7nh ch\u1ee9ng t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u1ed3ng nh\u1ea5t v\u1ec1 tu\u1ed5i, ngh\u1ec1 nghi\u1ec7p, tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n, t\u00ecnh tr\u1ea1ng kinh t\u1ebf. V\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng: t\u1ec9 l\u1ec7 vi\u00eam n\u01b0\u1edbu \u1edf nh\u00f3m b\u1ec7nh l\u00e0 98,7%, \u1edf nh\u00f3m ch\u1ee9ng l\u00e0 87,5%. T\u1ec9 l\u1ec7 vi\u00eam nha chu \u1edf nh\u00f3m b\u1ec7nh: 30,3% , \u1edf nh\u00f3m ch\u1ee9ng: 16,4%. Ph\u00e2n t\u00edch h\u1ed3i quy logistic cho th\u1ea5y vi\u00eam nha chu l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y SN-SNC v\u1edbi OR =2,2 (95% KTC: 1,2-4,3) P=0,009.<\/p>\n
![\"\u1ea2nh](\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/anh-huong-cua-viem-nha-chu-den-thai-ky-1-e1497929824418.jpg\" "\\"\u1ea2nh")
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K\u1ebeT LU\u1eacN V\u00c0 \u0110\u1ec0 XU\u1ea4T<\/h2>\n
Nghi\u00ean c\u1ee9u n\u00f3i tr\u00ean c\u00f3 k\u1ebft lu\u1eadn:<\/strong> s\u1ea3n ph\u1ee5 b\u1ecb vi\u00eam nha chu c\u00f3 nguy c\u01a1 SN-SNC t\u0103ng g\u1ea5p 2,2 l\u1ea7n so v\u1edbi s\u1ea3n ph\u1ee5 kh\u00f4ng b\u1ecb vi\u00eam nha chu, v\u00e0 khuy\u1ebfn c\u00e1o thai ph\u1ee5 n\u00ean \u0111i kh\u00e1m r\u0103ng \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 vi\u00eam nha chu. Nh\u1edd \u0111\u00f3 tr\u00e1nh \u0111\u01b0\u1ee3c nguy c\u01a1 SN-SNC.<\/p>\nTrong ch\u0103m s\u00f3c ti\u1ec1n s\u1ea3n, c\u00e1c nh\u00e0 s\u1ea3n khoa n\u00ean ch\u00fa \u00fd th\u00eam v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng c\u1ee7a thai ph\u1ee5.<\/strong><\/em><\/p>\n1. H\u01b0\u1edbng d\u1eabn ch\u1ea3i r\u0103ng \u0111\u00fang c\u00e1ch, \u00edt nh\u1ea5t 2 l\u1ea7n m\u1ed7i ng\u00e0y
2. H\u01b0\u1edbng d\u1eabn l\u00e0m s\u1ea1ch k\u1ebd r\u0103ng b\u1eb1ng ch\u1ec9 nha khoa, \u00edt nh\u1ea5t 1 l\u1ea7n m\u1ed7i ng\u00e0y.
3. N\u00ean \u0111i kh\u00e1m r\u0103ng \u0111\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch r\u0103ng (c\u1ea1o v\u00f4i r\u0103ng) n\u1ebfu c\u1ea7n thi\u1ebft, th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p l\u00e0 trong kho\u1ea3ng 3 th\u00e1ng gi\u1eefa thai k\u1ef3.<\/p>\n
T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/h2>\n
1. Vos, T; Flaxman, Abraham D; Naghavi, Mohsen; Lozano Rafael; Michaud, Catherine; Ezzati, Majid; Shibuya, Kenji; Salomon, Joshua A; Abdalla, Safa; Aboyans, Victor; Abraham, Jerry, Ackerman, Llana,; Aggarwal, Rakesh; Ahn, Stephanie Y; Ali, Mohammed K; Almazrson, H Ross; Anderson, Laurie M; Andrew, Kathryn G; Atkinson, Charles; Baddour, Larry M; Bahalim, Adil N; Barker- Collo, Suzanne; Barrero, Lope H; Bartels, David H; Bas\u00e1nez , Maria- Gloria; Baxter, Amanda; Bell, Michelle L et al. (Dec 15, 2012). \u201cYears lived with disabillity (YLDs) for 1160 sequelae of 289 diseases and injuries 1990- 2010: a systematic analysis for the Global Burden of Disease Study 2010\u201d. Lancet380 (9859): 2163-96. Doi: 10.1016\/S0140-6736(12)61729-2. PMID- 23245607<\/p>\n
2. Baskaradoss JK, Geevarghese A, AI Dosari AA (2012). Causes of Adverse Pregnancy Outcomes and the Role of Maternal Periodontal Status – A review of the Liteature. Open Dent J; 6:79-84.<\/p>\n
3. P. Barros, Heather L.Jared, Steven Offenbacher (2010). Periodontal disease and pregnancy complications. Robert J.Genco, Ray C.Williams Periodontaldisease and Overall Health: A clinician\u2019s Guide. Professional Audience Communications, Inc, pp132-141.<\/p>\n
4. McGaw T (2002). Periodontal disease and preterm delivery of low-birth-weight infants. Journal of the Canadian Dental Association; 68 (3): 165-9.<\/p>\n
5. Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, et al (1996). Periondontal infection as a possible risk factor for preterm low birth weight. Jounal of Periondontology; 67 (10 Supppl): 1103-13<\/p>\n
6. Collis JG, Windley HW 3rd, Arnold RR, Offenbacher S (1194). Effects of a Porphyromomnas gingivalis infection on inflammatory mediator response and pregnancy outcome in hamsters. Infection and Immunity; 62 (10): 4356-61<\/p>\n
7. Vergnes JN, Sixou M. Preterm low birth weight and maternal periodontal status: a meta analysis. Am J Obstet Gynecol 2007; 196: 135.el-7<\/p>\n
8. Crowther CA, Thomas N, Middleton P, Chua MC, Esposito M (2009). Treating periodontal disease for preventing preterm birth in pregnant women (Protocol), The Cochrane Library, Issue 1.<\/p>\n
9. Tr\u1ea7n Th\u1ecb L\u1ee3i, Ng\u00f4 Th\u1ecb Qu\u1ef3nh Lan, L\u00ea Quang Thanh, Nguy\u1ec5n Th\u1ecb Y\u1ebfn Thu, V\u0169 Tr\u1ea7n B\u1ea3o Ch\u00e2u (2014). Nguy c\u01a1 g\u00e2y sinh non- sinh nh\u1eb9 c\u00e2n c\u1ee7a b\u1ec7nh nha chu. T\u1ea1p ch\u00ed ph\u1ee5 s\u1ea3n-12 (02 Ph\u1ee5 B\u1ea3n), 10-14, 2014.<\/p>\n
<\/div>\n","protected":false},"excerpt":{"rendered":"
B\u1ec7nh nha chu l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng m\u1ea1n t\u00ednh v\u00f9ng mi\u1ec7ng c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn n\u00e2ng \u0111\u1ee1 r\u0103ng nh\u01b0 n\u01b0\u1edbu r\u0103ng , d\u00e2y ch\u1eb1ng nha chu, l\u1edbp x\u00ea m\u0103ng b\u1ecdc quanh ch\u00e2n r\u0103ng v\u00e0 x\u01b0\u01a1ng \u1ed5 r\u0103ng. B\u1ec7nh nha chu, bao g\u1ed3m c\u1ea3 vi\u00eam n\u01b0\u1edbu v\u00e0 vi\u00eam nha chu, \u0111\u01b0\u1ee3c […]<\/p>\n","protected":false},"author":2,"featured_media":1331,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"_links":{"self":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1330"}],"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=1330"}],"version-history":[{"count":0,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1330\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/media\/1331"}],"wp:attachment":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
![\"Vi\u00eam](\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/anh-huong-cua-viem-nha-chu-voi-thai-ky-2-e1497929681547-1.png\" "\\"Vi\u00eam")
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