{"id":1414,"date":"2018-10-15T07:54:03","date_gmt":"2018-10-15T07:54:03","guid":{"rendered":"http:\/\/chamsocmebe.net\/co-nen-mang-thai-khi-bi-tieu-duong\/"},"modified":"2018-10-15T07:54:03","modified_gmt":"2018-10-15T07:54:03","slug":"co-nen-mang-thai-khi-bi-tieu-duong","status":"publish","type":"post","link":"https:\/\/beyeu.vnno1.net\/?p=1414","title":{"rendered":"C\u00f3 n\u00ean mang thai khi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng?"},"content":{"rendered":"

Ti\u1ec3u \u0111\u01b0\u1eddng n\u1eb1m trong nh\u00f3m \u201cnh\u1eefng b\u1ec7nh l\u00fd c\u1ea7n th\u1eadn tr\u1ecdng n\u1ebfu c\u00f3 \u00fd \u0111\u1ecbnh mang thai\u201d, \u0111i\u1ec1u \u0111\u00f3 khi\u1ebfn kh\u00f4ng \u00edt thai ph\u1ee5 lo l\u1eafng khi r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng n\u00e0y. C\u00f3 n\u00ean mang thai khi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng? Trong tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n c\u00f3 thai khi \u0111ang m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u00ec ph\u1ea3i x\u1eed tr\u00ed nh\u01b0 th\u1ebf n\u00e0o \u0111\u00e2y?<\/strong><\/p>\n

Nh\u1eefng th\u00f4ng tin do Th\u1ea1c s\u0129 \u2013 B\u00e1c s\u0129 V\u00f5 Thanh Li\u00ean Anh, Tr\u01b0\u1edfng khoa L\u00e2m s\u00e0ng \u2013 Khoa Sinh s\u1ea3n h\u1ed7 tr\u1ee3, B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf H\u1ea1nh Ph\u00fac s\u1ebd gi\u00fap m\u1ecdi ng\u01b0\u1eddi hi\u1ec3u h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n

\"C\u00f3<\/p>\n

H\u1eadu qu\u1ea3 trong thai k\u00ec c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/h2>\n

Tr\u01b0\u1edbc h\u1ebft, \u1edf nh\u1eefng thai ph\u1ee5 b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 s\u1ea3y thai, nguy c\u01a1 tr\u1ebb sinh ra ph\u1ea3i n\u1eb1m \u1edf khoa ch\u0103m s\u00f3c t\u00edch c\u1ef1c, nguy c\u01a1 t\u1eed vong chu sinh. Hi\u1ec7n t\u1ea1i, d\u1ecb t\u1eadt b\u1ea9m sinh l\u00e0 nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ea7u c\u1ee7a t\u1eed vong chu sinh \u1edf s\u1ea3n ph\u1ee5 b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ee5 thu\u1ed9c insulin. \u1ede thai ph\u1ee5 b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, nguy c\u01a1 tr\u1ebb sinh ra b\u1ecb d\u1ecb t\u1eadt b\u1ea9m sinh c\u0169ng t\u0103ng g\u1ea5p 3- 4 l\u1ea7n so v\u1edbi nh\u1eefng tr\u1ebb sinh ra t\u1eeb thai ph\u1ee5 b\u00ecnh th\u01b0\u1eddng.<\/p>\n

C\u00f3 th\u1ec3 n\u00f3i, t\u1ea5t c\u1ea3 c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra li\u00ean quan ch\u1ee7 y\u1ebfu \u0111\u1ebfn vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a thai ph\u1ee5. Do glucose qua \u0111\u01b0\u1ee3c nhau thai n\u00ean t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u1edf thai ph\u1ee5 s\u1ebd d\u1eabn \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a thai nhi. Trong 3 th\u00e1ng \u0111\u1ea7u thai k\u00ec, t\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd g\u00e2y n\u00ean s\u1ef1 b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh c\u00e1c c\u01a1 quan c\u1ee7a thai nhi . \u1ede giai \u0111o\u1ea1n sau c\u1ee7a thai k\u00ec, \u0111\u01b0\u1eddng huy\u1ebft cao d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng insulin m\u00e1u thai nhi l\u00e0m thai to qu\u00e1 m\u1ee9c, ph\u1ed5i l\u1ea1i k\u00e9m tr\u01b0\u1edfng th\u00e0nh; tr\u1ebb sinh ra d\u1ec5 b\u1ecb suy h\u00f4 h\u1ea5p.<\/p>\n

T\u1ea7m so\u00e1t ch\u1eb7t ch\u1ebd tr\u01b0\u1edbc v\u00e0 khi mang thai<\/h2>\n

Ti\u1ec3u \u0111\u01b0\u1eddng chi\u1ebfm 3-5 % trong nh\u1eefng b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf thai k\u1ef3. Trong \u0111\u00f3, kho\u1ea3ng 90% xu\u1ea5t hi\u1ec7n \u1edf thai ph\u1ee5 l\u1ea7n \u0111\u1ea7u mang thai, c\u00f2n g\u1ecdi l\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3, 10% c\u00f2n l\u1ea1i thu\u1ed9c nh\u00f3m bi\u1ebft b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng (lo\u1ea1i 1- lo\u1ea1i 2) tr\u01b0\u1edbc khi mang thai.<\/p>\n

V\u00ec v\u1eady, \u1edf ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng n\u1ebfu mu\u1ed1n c\u00f3 thai, c\u1ea7n \u0111i kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n kh\u00e1m tr\u01b0\u1edbc nh\u1eb1m bi\u1ebft c\u00e1ch ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1eddng huy\u1ebft; duy tr\u00ec hemoglobin A1c < 6%; b\u1ed5 sung acid folic 4mg\/ng\u00e0y, nh\u1eb1m gi\u1ea3m nguy c\u01a1 d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh; \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a ti\u1ec3u \u0111\u01b0\u1eddng tr\u00ean b\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c, th\u1ea7n kinh v\u00e0 m\u1ea1ch v\u00e0nh.<\/p>\n

\u0110\u1ec3 duy tr\u00ec \u0111\u01b0\u1eddng huy\u1ebft \u1ed5n \u0111\u1ecbnh, ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p: \u0102n nhi\u1ec1u b\u1eefa nh\u1ecf trong ng\u00e0y (3 b\u1eefa ch\u00ednh, 3 b\u1eefa ph\u1ee5); thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n, gi\u1ea3m \u0111\u01b0\u1eddng, b\u1ed9t, sao cho n\u0103ng l\u01b0\u1ee3ng cung c\u1ea5p cho c\u01a1 th\u1ec3 kho\u1ea3ng 2000-2400kcal\/ng\u00e0y; Trong thai k\u00ec, ch\u1ec9 n\u00ean t\u0103ng c\u00e2n t\u1eeb 10-11kg; c\u1ea7n ch\u00edch insulin theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

\u0110\u1eb7c bi\u1ec7t, khi mang thai m\u1edbi ph\u00e1t hi\u1ec7n ti\u1ec3u \u0111\u01b0\u1eddng th\u00ec thai ph\u1ee5 c\u1ea7n \u0111\u1ebfn b\u00e1c s\u0129 s\u1ea3n khoa kh\u00e1m c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh th\u1eadt ch\u00ednh x\u00e1c tu\u1ed5i thai. B\u00ean c\u1ea1nh \u0111\u00f3, c\u1ea7n theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft t\u1ea1i nh\u00e0 (c\u00f3 th\u1ec3 mua m\u00e1y th\u1eed \u0111\u01b0\u1eddng huy\u1ebft mao m\u1ea1ch t\u1ea1i nh\u00e0 tr\u01b0\u1edbc v\u00e0 sau \u0103n), duy tr\u00ec n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng 60-140mg\/dl.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ti\u1ec3u \u0111\u01b0\u1eddng n\u1eb1m trong nh\u00f3m \u201cnh\u1eefng b\u1ec7nh l\u00fd c\u1ea7n th\u1eadn tr\u1ecdng n\u1ebfu c\u00f3 \u00fd \u0111\u1ecbnh mang thai\u201d, \u0111i\u1ec1u \u0111\u00f3 khi\u1ebfn kh\u00f4ng \u00edt thai ph\u1ee5 lo l\u1eafng khi r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng n\u00e0y. C\u00f3 n\u00ean mang thai khi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng? Trong tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n c\u00f3 thai khi \u0111ang m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u00ec ph\u1ea3i […]<\/p>\n","protected":false},"author":2,"featured_media":1415,"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\/1414"}],"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=1414"}],"version-history":[{"count":0,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/posts\/1414\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=\/wp\/v2\/media\/1415"}],"wp:attachment":[{"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1414"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1414"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/beyeu.vnno1.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1414"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}