{"id":1393,"date":"2018-10-15T07:39:06","date_gmt":"2018-10-15T07:39:06","guid":{"rendered":"http:\/\/chamsocmebe.net\/phuong-phap-chuan-doan-va-xet-nghiem-tien-san-giat\/"},"modified":"2018-10-15T07:39:06","modified_gmt":"2018-10-15T07:39:06","slug":"phuong-phap-chuan-doan-va-xet-nghiem-tien-san-giat","status":"publish","type":"post","link":"https:\/\/beyeu.vnno1.net\/?p=1393","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n gi\u1eadt"},"content":{"rendered":"<p><strong>Vi\u1ec7c chu\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n gi\u1eadt khi mang thai \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng, gi\u00fap thai ph\u1ee5 tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m t\u1eeb c\u0103n b\u1ec7nh n\u00e0y g\u00e2y ra. Khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n m\u1eafc ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt th\u00ec c\u1ea3 m\u1eb9 v\u00e0 thai nhi s\u1ebd \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd trong su\u1ed1t ph\u1ea7n th\u1eddi gian c\u00f2n l\u1ea1i c\u1ee7a thai k\u1ef3.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" title=\"Ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n gi\u1eadt 1\" class=\"aligncenter  wp-image-217\" src=\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/tien-san-giat-2-1.jpg\" alt=\"Ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n gi\u1eadt 1\" width=\"551\" height=\"367\" srcset=\"http:\/\/beyeu.vnno1.net\/wp-content\/uploads\/2018\/10\/tien-san-giat-2-1.jpg 600w, https:\/\/dinhduongbabau.net\/wp-content\/uploads\/2016\/03\/tien-san-giat-2-300x200.jpg 300w\" sizes=\"(max-width: 551px) 100vw, 551px\" \/><\/p>\n<h2><strong>1, Kh\u00e1m ti\u1ec1n s\u1ea3n gi\u1eadt<\/strong><\/h2>\n<p>Khi th\u1ea5y xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u1ec1 b\u1ec7nh ti\u1ec1n s\u1ea3n gi\u1eadt nh\u01b0:<\/p>\n<ul>\n<li>\u0110\u1ed9t ng\u1ed9t ph\u00f9 tay, m\u1eb7t ho\u1eb7c ch\u00e2n.<\/li>\n<li>\u0110au b\u1ee5ng v\u00f9ng th\u01b0\u1ee3ng v\u1ecb<\/li>\n<li>\u0110au \u0111\u1ea7u d\u1eef d\u1ed9i<\/li>\n<li>M\u1edd m\u1eaft, th\u1ecb l\u1ef1c gi\u1ea3m s\u00fat, c\u00f3 th\u1ec3 m\u1ea5t th\u1ecb l\u1ef1c t\u1ea1m th\u1eddi<\/li>\n<li>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n.<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u c\u00f3 m\u00e0u \u0111\u1ee5c h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>Thai ph\u1ee5 c\u1ea7n \u0111\u1ebfn c\u00e1c trung t\u00e2m y t\u1ebf \u0111\u1ec3 ki\u1ec3m tra v\u00e0 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 t\u01b0 v\u1ea5n. M\u1ed9t s\u1ed1 b\u00e0i ki\u1ec3m tra s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a ra trong m\u1ed7i l\u1ea7n kh\u00e1m thai \u0111\u1ec3 ki\u1ec3m tra ti\u1ec1n s\u1ea3n gi\u1eadt, bao g\u1ed3m:<\/p>\n<ul>\n<li><strong><em>\u0110o huy\u1ebft \u00e1p:<\/em><\/strong> Vi\u1ec7c \u0111o huy\u1ebft \u00e1p c\u1ee7a thai ph\u1ee5 lu\u00f4n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd trong su\u1ed1t thai k\u1ef3, n\u1ebfu th\u1ea5y c\u00f3 b\u1ea5t th\u01b0\u1eddng khi huy\u1ebft \u00e1p \u0111\u1ed9t ng\u1ed9t t\u0103ng cao ho\u1eb7c h\u1ea1 th\u1ea5p, c\u00e1c b\u00e1c s\u0129 s\u1ebd c\u00f3 bi\u1ec7n ph\u00e1p x\u1eed l\u00fd.<\/li>\n<li><strong><em>Ki\u1ec3m tra c\u00e2n n\u1eb7ng: <\/em><\/strong>t\u0103ng c\u00e2n qu\u00e1 nhanh khi mang thai c\u0169ng l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt ( tr\u00ean 2kg\/tu\u1ea7n).<\/li>\n<\/ul>\n<p>Nh\u1eefng thai ph\u1ee5 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u00f3 nguy c\u01a1 m\u1eafc ph\u1ea3i ti\u1ec1n s\u1ea3n gi\u1eadt s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean h\u01a1n.<\/p>\n<p><strong>\u0110\u1ecdc th\u00eam: <a title=\"Ti\u1ec1n s\u1ea3n gi\u1eadt: Nguy\u00ean nh\u00e2n, h\u1eadu qu\u1ea3 v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb\" href=\"http:\/\/chamsocmebe.net\/tag\/tien-san-giat-nguyen-nhan-va-cach-dieu-tri\/\" target=\"_blank\">Ti\u1ec1n s\u1ea3n gi\u1eadt: Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/a><\/strong><\/p>\n<h2><strong>2, C\u00e1c x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n ti\u1ec1n s\u1ea3n gi\u1eadt<\/strong><\/h2>\n<p>N\u1ebfu b\u00e1c s\u0129 nghi ng\u1edd thai ph\u1ee5 c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt cao, thai ph\u1ee5 s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m nh\u01b0 c\u00f4ng th\u1ee9c m\u00e1u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, ch\u1ee9c n\u0103ng gan, ch\u1ee9c n\u0103ng th\u1eadn, c\u1ee5 th\u1ec3:<\/p>\n<ul>\n<li><strong><em>X\u00e9t nghi\u1ec7m m\u00e1u<\/em><\/strong>: \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c h\u1ed9i ch\u1ee9ng nh\u01b0 HELLP v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1eadn. HELLP \u2013 vi\u1ebft t\u1eaft c\u1ee7a t\u00e1n huy\u1ebft (s\u1ef1 ph\u00e1 h\u1ee7y c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u00e1u \u0111\u1ecf), men gan cao v\u00e0 s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng HELLP bao g\u1ed3m bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au \u0111\u1ea7u v\u00e0 \u0111au b\u1ee5ng tr\u00ean b\u00ean ph\u1ea3i. N\u1ebfu c\u00f3 qu\u00e1 nhi\u1ec1u axit uric trong m\u00e1u th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm nh\u1ea5t c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt.<\/li>\n<li><strong><em>X\u00e9t nghi\u1ec7m ch\u1ec9 s\u1ed1 \u0111\u1ed9 thanh th\u1ea3i creatinine:<\/em><\/strong> (clearance creatinine) \u0111\u1ec3 ki\u1ec3m tra ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn. X\u00e9t nghi\u1ec7m n\u00e0y c\u1ea7n c\u00f3 m\u1eabu m\u00e1u v\u00e0 n\u01b0\u1edbc m\u1eabu n\u01b0\u1edbc ti\u1ec3u trong 24 gi\u1edd c\u1ee7a thai ph\u1ee5.<\/li>\n<li><strong><em>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u<\/em><\/strong>: \u0111\u1ec3 ki\u1ec3m tra \u0111\u1ea1m trong n\u01b0\u1edbc ti\u1ec3u su\u1ed1t 24 gi\u1edd c\u1ee7a thai ph\u1ee5. N\u1ebfu \u0111\u1ea1m qu\u00e1 cao, tr\u00ean 300mcg l\u00e0 d\u1ea5u hi\u1ec7u th\u1eadn \u0111\u00e3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng do ti\u1ec1n s\u1ea3n gi\u1eadt.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, n\u1ebfu thai ph\u1ee5 c\u00f3 m\u1ed9t c\u01a1n \u0111\u1ed9ng kinh, co gi\u1eadt th\u00ec s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/p>\n<ul>\n<li>Ch\u1ee5p c\u1eaft l\u1edbp CT ho\u1eb7c MRI \u0111\u1ec3 ki\u1ec3m tra c\u00e1c c\u01a1 quan v\u00e0 c\u1ea5u tr\u00fac b\u00ean trong c\u01a1 th\u1ec3 thai ph\u1ee5.<\/li>\n<li>\u0110o \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 (EEG).<\/li>\n<\/ul>\n<p>N\u1ebfu thai ph\u1ee5 m\u1eafc ph\u1ea3i h\u1ed9i ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd. C\u00e1c x\u00e9t nghi\u1ec7m g\u1ed3m c\u00f3:<\/p>\n<ul>\n<li>Theo d\u00f5i tim thai, ghi l\u1ea1i nh\u1ecbp tim c\u1ee7a b\u00e9.<\/li>\n<li>Si\u00eau \u00e2m \u0111\u1ec3 ki\u1ec3m tra nhau thai v\u00e0 l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i.<\/li>\n<li>Si\u00eau \u00e2m m\u00e0u Doppler \u0111\u1ec3 ki\u1ec3m tra ho\u1ea1t \u0111\u1ed9ng c\u1ee7a nhau thai.<\/li>\n<li>X\u00e9t nghi\u1ec7m ch\u1ecdc d\u00f2 n\u01b0\u1edbc \u1ed1i \u0111\u1ec3 ki\u1ec3m tra thai nhi. Ki\u1ec3m tra \u0111\u1ed9 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a ph\u1ed5i.<\/li>\n<\/ul>\n<h2><strong>3, C\u00f3 th\u1ec3 d\u1ef1 b\u00e1o ch\u00ednh x\u00e1c thai ph\u1ee5 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt kh\u00f4ng?<\/strong><\/h2>\n<p>Theo k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia \u1edf B\u1ec7nh vi\u1ec7n Mayo tr\u00ecnh b\u00e0y t\u1ea1i Hi\u1ec7p h\u1ed9i Th\u1eadn h\u1ecdc M cho bi\u1ebft k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m m\u1edbi gi\u00fap nh\u1eadn di\u1ec7n podocytes, lo\u1ea1i t\u1ebf b\u00e0o th\u1eadn \u0111\u1eb7c bi\u1ec7t, trong n\u01b0\u1edbc ti\u1ec3u. Tr\u01b0\u1edbc \u0111\u00f3, h\u1ecd t\u1eebng ph\u00e1t hi\u1ec7n podocytes hi\u1ec7n di\u1ec7n \u1edf b\u1ec7nh nh\u00e2n b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt l\u00fac h\u1ecd l\u00e2m b\u1ed3n. Trong nghi\u00ean c\u1ee9u, c\u00e1c chuy\u00ean gia ti\u1ebfn h\u00e0nh x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u1ee7a 300 thai ph\u1ee5 v\u00e0 nh\u1eadn th\u1ea5y t\u1ea5t c\u1ea3 15 thai ph\u1ee5 \u0111ang ph\u00e1t tri\u1ec3n ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u1ec1u c\u00f3 podocyte, trong khi nh\u1eefng b\u00e0 b\u1ea7u b\u1ecb cao huy\u1ebft \u00e1p ho\u1eb7c s\u1ee9c kh\u1ecfe t\u1ed1t kh\u00f4ng h\u1ec1 c\u00f3 c\u00e1c t\u1ebf b\u00e0o n\u00e0y. C\u00e1c chuy\u00ean gia tin r\u1eb1ng c\u00e1ch x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c d\u1ef1 \u0111o\u00e1n ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 c\u00f3 th\u1ec3 gi\u00fap c\u00e1c b\u00e1c s\u0129 s\u1edbm nh\u1eadn di\u1ec7n nguy c\u01a1 n\u00e0y \u1edf thai ph\u1ee5. Theo\u00a0h\u00e3ng th\u00f4ng t\u1ea5n <em>BBC <\/em>cho bi\u1ebft t\u1edbi nay, c\u00e1c b\u00e1c s\u0129 v\u1eabn x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ti\u1ec1n s\u1ea3n gi\u1eadt, nh\u01b0ng k\u1ebft qu\u1ea3 &#8220;ch\u01b0a \u0111\u1ee7 tin c\u1eady&#8221;. Trong khi \u0111\u00f3, x\u00e9t nghi\u1ec7m m\u1edbi \u0111\u01a1n gi\u1ea3n n\u00e0y l\u1ea1i cho k\u1ebft qu\u1ea3 ch\u00ednh x\u00e1c h\u01a1n. Do v\u1eady, \u0111\u00e2y l\u00e0 lo\u1ea1i x\u00e9t nghi\u1ec7m r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb. Hy v\u1ecdng t\u01b0\u01a1ng lai kh\u00f4ng xa, ch\u00fang ta s\u1ebd c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p <strong><a title=\"Ph\u00f2ng ng\u1eeba ti\u1ec1n s\u1ea3n gi\u1eadt th\u1ebf n\u00e0o?\" href=\"https:\/\/dinhduongbabau.net\/phong-ngua-tien-san-giat-the-nao-206\/\" target=\"_blank\">ph\u00f2ng ng\u1eeba ti\u1ec1n s\u1ea3n gi\u1eadt<\/a><\/strong> chu\u1ea9n x\u00e1c, ho\u1eb7c ch\u00ed \u00edt ti\u1ec1n s\u1ea3n gi\u1eadt s\u1ebd \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1c k\u1ecbp th\u1eddi nh\u1ea5t.<\/p>\n<p><strong>T\u00f3m l\u1ea1i, <\/strong>b\u1ec7nh\u00a0ti\u1ec1n s\u1ea3n gi\u1eadt th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t v\u00e0 ph\u00e1t tri\u1ec3n r\u1ea5t nhanh. Do \u0111\u00f3 bi\u1ec7n ph\u00e1p t\u1ed1t nh\u1ea5t hi\u1ec7n nay l\u00e0 qu\u1ea3n l\u00fd thai k\u1ef3 ch\u1eb7t ch\u1ebd, thai ph\u1ee5 c\u1ea7n ch\u1ee7 \u0111\u1ed9ng \u0111i kh\u00e1m th\u01b0\u1eddng xuy\u00ean, l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u, n\u01b0\u1edbc ti\u1ec3u\u2026 theo y\u00eau c\u1ea7u c\u1ee7a c\u00e1c b\u00e1c s\u0129. \u0110\u1eb7c bi\u1ec7t c\u1ea7n c\u00f3 ki\u1ebfn th\u1ee9c v\u1ec1 c\u0103n b\u1ec7nh ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm khi c\u00f3 s\u1ef1 thay \u0111\u1ed5i v\u1ec1 huy\u1ebft \u00e1p v\u00e0 nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong c\u01a1 th\u1ec3 \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ngay t\u1eeb \u0111\u1ea7u.<\/p>\n<div class=\"addthis_native_toolbox bottom_post\" style=\"float:right\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u1ec7c chu\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m ti\u1ec1n s\u1ea3n gi\u1eadt khi mang thai \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng, gi\u00fap thai ph\u1ee5 tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m t\u1eeb c\u0103n b\u1ec7nh n\u00e0y g\u00e2y ra. Khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n m\u1eafc ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt th\u00ec c\u1ea3 m\u1eb9 v\u00e0 thai nhi s\u1ebd \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1394,"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\/1393"}],"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=1393"}],"version-history":[{"count":0,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1393\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/media\/1394"}],"wp:attachment":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}