{"id":19627,"date":"2023-04-13T11:11:47","date_gmt":"2023-04-13T04:11:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=19627"},"modified":"2023-04-21T09:12:41","modified_gmt":"2023-04-21T02:12:41","slug":"huong-dan-xu-tri-benh-nhan-bang-huyet-sau-sinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/13\/huong-dan-xu-tri-benh-nhan-bang-huyet-sau-sinh\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh"},"content":{"rendered":"

B\u0103ng huy\u1ebft sau sinh l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft d\u00e0i h\u01a1n 500ml sau sinh th\u00f4ng th\u01b0\u1eddng ho\u1eb7c 1000ml sau sinh \u0111\u1ebb m\u1ed5. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef sau khi sinh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, b\u0103ng huy\u1ebft sau sinh c\u00f3 th\u1ec3 g\u00e2y ra h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng, bao g\u1ed3m s\u1ed1c, t\u1eed vong, suy h\u00f4 h\u1ea5p v\u00e0 suy tim. B\u0103ng huy\u1ebft sau sinh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn t\u1eed vong c\u1ee7a ph\u1ee5 n\u1eef sau khi sinh tr\u00ean to\u00e0n c\u1ea7u.<\/strong><\/p>\n

1 Nguy\u00ean nh\u00e2n g\u00e2y ra b\u0103ng huy\u1ebft sau sinh v\u00e0 ph\u01b0\u01a1ng ph\u00e1p x\u1eed tr\u00ed<\/strong><\/h2>\n

1.1 B\u0103ng huy\u1ebft sau sinh do \u0111\u1edd t\u1eed cung<\/strong><\/p>\n

1.1.1 Nh\u1eadn bi\u1ebft b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh do \u0111\u1edd t\u1eed cung<\/strong><\/p>\n

\u0110\u1edd t\u1eed cung chi\u1ebfm 80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u0103ng huy\u1ebft sau sinh.<\/p>\n

    \n
  • Vi\u1ec7c co th\u1eaft c\u1ee7a c\u01a1 t\u1eed cung quan tr\u1ecdng h\u01a1n c\u01a1 ch\u1ebf \u0111\u00f4ng m\u00e1u trong vi\u1ec7c ng\u0103n ng\u1eeba ch\u1ea3y m\u00e1u t\u1eeb v\u1ecb tr\u00ed nhau b\u00e1m.<\/li>\n
  • Th\u00f4ng th\u01b0\u1eddng, sau khi s\u1ed5 nhau t\u1eed cung s\u1ebd co h\u1ed3i ngay l\u1eadp t\u1ee9c, l\u00e0m co th\u1eaft c\u00e1c \u0111\u1ed9ng m\u1ea1ch xo\u1eafn \u1edf gi\u01b0\u1eddng b\u00e1nh nhau gi\u00fap tr\u00e1nh ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t sau sanh. Vi\u1ec7c co th\u1eaft c\u1ee7a c\u01a1 t\u1eed cung quan tr\u1ecdng h\u01a1n c\u01a1 ch\u1ebf \u0111\u00f4ng m\u00e1u trong vi\u1ec7c ng\u0103n ng\u1eeba ch\u1ea3y m\u00e1u t\u1eeb v\u1ecb tr\u00ed nhau b\u00e1m. Khi s\u1ef1 co th\u1eaft t\u1ef1 nhi\u00ean n\u00e0y kh\u00f4ng xu\u1ea5t hi\u1ec7n, do \u0111\u1edd t\u1eed cung, s\u1ebd d\u1eabn \u0111\u1ebfn b\u0103ng huy\u1ebft sau sinh.<\/li>\n
  • Nh\u1eefng \u0111i\u1ec1u ki\u1ec7n th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn \u0111\u1edd t\u1eed cung bao g\u1ed3m t\u00ecnh tr\u1ea1ng t\u1eed cung c\u0103ng qu\u00e1 m\u1ee9c (\u0111a \u1ed1i, \u0111a thai), chuy\u1ec3n d\u1ea1 b\u1ea5t th\u01b0\u1eddng (chuy\u1ec3n d\u1ea1 qu\u00e1 nhanh, chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i, t\u0103ng co v\u1edbi oxytocin), u x\u01a1 t\u1eed cung, hay s\u1eed d\u1ee5ng magnesium sulfate c\u0169ng l\u00e0m cho t\u1eed cung k\u00e9m co h\u1ed3i.<\/li>\n
  • T\u1eed cung b\u1ecb \u0111\u1edd m\u1ec1m nh\u00e3o, kh\u00f4ng co h\u1ed3i, kh\u00f4ng c\u00f3 kh\u1ed1i c\u1ea7u an to\u00e0n ho\u1eb7c t\u1eed cung ch\u1ec9 co h\u1ed3i khi \u0111\u01b0\u1ee3c xoa b\u00f3p v\u00e0 tr\u1edf l\u1ea1i m\u1ec1m nh\u00e3o ngay sau \u0111\u00f3.<\/li>\n
  • \n

    \"B\u0103ng
    B\u0103ng huy\u1ebft sau sinh<\/figcaption><\/figure><\/li>\n<\/ul>\n

    1.1.2 C\u00e1ch x\u1eed tr\u00ed<\/strong><\/p>\n

      \n
    • X\u1eed tr\u00ed t\u00edch c\u1ef1c giai \u0111o\u1ea1n 3<\/strong> chuy\u1ec3n d\u1ea1 gi\u00fap l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u m\u1ea5t sau sinh. V\u1ec1 d\u1ef1 ph\u00f2ng \u0111\u1edd t\u1eed cung, x\u1eed tr\u00ed t\u00edch c\u1ef1c giai \u0111o\u1ea1n 3 c\u1ee7a chuy\u1ec3n d\u1ea1 c\u00f3 l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 b\u0103ng huy\u1ebft sau sinhdo \u0111\u1edd t\u1eed cung. Theo \u0111\u00f3, oxytocin<\/strong> \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau khi \u0111\u00e3 s\u1ed5 vai tr\u01b0\u1edbc c\u1ee7a thai nhi, k\u00e9o d\u00e2y r\u1ed1n nh\u1eb9 nh\u00e0ng c\u00f3 ki\u1ec3m so\u00e1t v\u00e0 xoa \u0111\u00e1y t\u1eed cung sau sanh l\u00e0 nh\u1eefng \u0111i\u1ec3m ch\u00ednh y\u1ebfu c\u1ee7a vi\u1ec7c x\u1eed tr\u00ed t\u00edch c\u1ef1c n\u00e0y.<\/li>\n
    • Cho b\u00fa m\u1eb9 s\u1edbm sau sanh<\/strong> c\u0169ng l\u00e0m t\u1eed cung co h\u1ed3i t\u1ed1t h\u01a1n v\u00e0 qua \u0111\u00f3 l\u00e0m gi\u1ea3m m\u1ea5t m\u00e1u sau sanh.<\/li>\n<\/ul>\n

      Khi \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n \u0111\u1edd t\u1eed cung, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a<\/strong> tr\u00ean t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 ph\u1ee5 thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng m\u00e1u m\u1ea5t, m\u1ee9c \u0111\u1ed9 \u0111\u1edd t\u1eed cung, t\u00ecnh tr\u1ea1ng c\u1ee7a s\u1ea3n ph\u1ee5, mong mu\u1ed1n c\u00f3 th\u00eam con sau n\u00e0y\u2026<\/p>\n

        \n
      • Lu\u00f4n th\u1ef1c hi\u1ec7n xoa b\u00f3p t\u1eed cung b\u1eb1ng tay.<\/strong><\/li>\n
      • Thu\u1ed1c gi\u00fap co h\u1ed3i t\u1eed cung: oxytocin, methylergonovine, 15-methylprostaglandine F2\u03b1<\/sub>, misoprostol, dinoprostone.\u00a0 <\/strong>Nh\u1eefng thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ri\u00eang l\u1ebb ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi nhau m\u1ed9t c\u00e1ch h\u1ee3p l\u00fd.<\/li>\n<\/ul>\n

        Trong \u0111\u1edd t\u1eed cung, khi xoa b\u00f3p t\u1eed cung v\u00e0 thu\u1ed1c co h\u1ed3i kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng th\u00ec ph\u1ea3i ngh\u0129 t\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c.<\/p>\n

          \n
        • \u0110\u1eb7t b\u00f3ng ch\u00e8n l\u00f2ng t\u1eed cung c\u00f3 th\u1ec3 xem x\u00e9t nh\u01b0 l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p t\u1ea1m th\u1eddi, mang t\u00ednh tr\u00ec ho\u00e3n cho s\u1ea3n ph\u1ee5.<\/strong><\/li>\n
        • Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb \u0111\u1edd t\u1eed cung <\/strong>bao g\u1ed3m may ch\u00e8n \u00e9p t\u1eed cung (m\u0169i B-Lynch), th\u1eaft \u0111\u1ed9ng t\u1eed cung, \u0111\u1ed9ng m\u1ea1ch t\u1eed cung- bu\u1ed3ng tr\u1ee9ng, \u0111\u1ed9ng m\u1ea1ch ch\u1eadu trong, thuy\u00ean t\u1eafc ch\u1ecdn l\u1ecdc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung ho\u1eb7c c\u1eaft t\u1eed cung.<\/li>\n<\/ul>\n

          1.2 T\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh v\u00e0 m\u00e1u t\u1ee5\u00a0<\/strong><\/p>\n

          1.2.1 Nh\u1eadn bi\u1ebft b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh do t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh v\u00e0 m\u00e1u t\u1ee5\u00a0<\/strong><\/p>\n

            \n
          • T\u1ed5n th\u01b0\u01a1ng sinh d\u1ee5c c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed l\u00fd ngo\u1ea1i khoa t\u1ee9c th\u00ec.<\/li>\n
          • T\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh d\u1ee5c d\u01b0\u1edbi g\u00e2y b\u0103ng huy\u1ebft sau sinh th\u01b0\u1eddng \u00edt g\u1eb7p h\u01a1n so v\u1edbi \u0111\u1edd t\u1eed cung, tuy nhi\u00ean n\u00f3 c\u0169ng c\u00f3 th\u1ec3 n\u1eb7ng n\u1ec1 v\u00e0 \u0111\u00f2i h\u1ecfi c\u1ea7n ph\u1ea3i s\u1eeda ch\u1eefa ngay l\u1eadp t\u1ee9c.<\/li>\n
          • C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh d\u1ee5c th\u01b0\u1eddng g\u1eb7p l\u00e0 gi\u00fap sanh b\u1eb1ng d\u1ee5ng c\u1ee5, sanh ng\u00f4i m\u00f4ng, sanh nhanh, thai to, ng\u00f4i ch\u1ea9m ki\u1ec3u th\u1ebf sau. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u m\u1ea5t m\u00e1u do t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh d\u1ee5c, c\u00e1c s\u1ea3n ph\u1ee5 c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 k\u1ec3 tr\u00ean n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u01b0\u1eddng sinh d\u1ee5c d\u01b0\u1edbi m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn sau sanh.<\/li>\n<\/ul>\n

            1.2.1 C\u00e1ch x\u1eed tr\u00ed<\/strong><\/p>\n

              \n
            • Vi\u1ec7c ki\u1ec3m tra \u0111\u01b0\u1eddng sanh b\u1eb1ng d\u1ee5ng c\u1ee5 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi c\u00e1c s\u1ea3n ph\u1ee5 m\u1ea5t m\u00e1u nhi\u1ec1u sau sanh nh\u01b0ng kh\u00e1m th\u1ea5y m\u1ed9t t\u1eed cung co h\u1ed3i r\u1ea5t t\u1ed1t.<\/li>\n
            • L\u01b0u \u00fd nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng quanh ni\u1ec7u \u0111\u1ea1o s\u1ebd l\u00e0m ph\u00f9 n\u1ec1 m\u00f4 xung quanh, h\u1eb9p ni\u1ec7u \u0111\u1ea1o d\u1eabn t\u1edbi n\u01b0\u1edbc ti\u1ec3u b\u1ecb \u1ee9 \u0111\u1ecdng. V\u00ec th\u1ebf, sau khi kh\u00e2u ph\u1ee5c h\u1ed3i t\u1ea7ng sinh m\u00f4n n\u00ean th\u1ef1c hi\u1ec7n vi\u1ec7c l\u01b0u th\u00f4ng ti\u1ec3u 12-24 gi\u1edd theo khuy\u1ebfn c\u00e1o.<\/li>\n
            • Kh\u1ed1i m\u00e1u t\u1ee5 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ecdi n\u01a1i trong \u0111\u01b0\u1eddng sinh d\u1ee5c d\u01b0\u1edbi do sang ch\u1ea5n trong qu\u00e1 tr\u00ecnh sanh g\u00e2y ra nh\u01b0 \u1edf \u00e2m h\u1ed9, \u00e2m \u0111\u1ea1o, v\u1ebft c\u1eaft t\u1ea7ng sinh m\u00f4n, v\u1ebft r\u00e1ch \u1edf \u0111\u00e1y ch\u1eadu\u2026 \u0111\u00f4i khi kh\u1ed1i m\u00e1u t\u1ee5 x\u1ea3y ra kh\u00f4ng k\u00e8m theo t\u1ed5n th\u01b0\u01a1ng ni\u00eam m\u1ea1c \u00e2m \u0111\u1ea1o n\u00ean d\u1ec5 b\u1ecb b\u1ecf s\u00f3t khi th\u0103m kh\u00e1m.<\/li>\n<\/ul>\n

              T\u00ecm ra \u0111\u01b0\u1ee3c \u0111i\u1ec3m ch\u1ea3y m\u00e1u l\u00e0 ch\u00eca kh\u00f3a cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u1ed1i m\u00e1u t\u1ee5.<\/p>\n

                \n
              • Nh\u1eefng kh\u1ed1i m\u00e1u t\u1ee5 d\u01b0\u1edbi 5 cm \u0111\u01b0\u1eddng k\u00ednh v\u00e0 kh\u00f4ng ph\u00e1t tri\u1ec3n l\u1edbn ra th\u00eam c\u00f3 th\u1ec3 ch\u01b0a c\u1ea7n can thi\u1ec7p, theo d\u00f5i s\u00e1t k\u00edch th\u01b0\u1edbc c\u1ee7a kh\u1ed1i m\u00e1u t\u1ee5, sinh hi\u1ec7u c\u1ee7a s\u1ea3n ph\u1ee5, l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u l\u00e0 c\u1ea7n thi\u1ebft.<\/li>\n
              • Khi kh\u1ed1i m\u00e1u t\u1ee5 n\u00e0y l\u1edbn ra th\u00ec c\u1ea7n thi\u1ebft can thi\u1ec7p b\u1eb1ng ngo\u1ea1i khoa.<\/li>\n<\/ul>\n

                1.3 S\u00f3t m\u00f4 nhau<\/strong><\/p>\n

                1.3.1<\/strong> Nh\u1eadn bi\u1ebft b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh do S\u00f3t m\u00f4 nhau<\/strong><\/p>\n

                  \n
                • S\u00f3t m\u00f4 nhau \u0111\u00f4i khi g\u00e2y ra ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t.<\/li>\n
                • Th\u00f4ng th\u01b0\u1eddng, sau khi sanh s\u1ef1 co h\u1ed3i c\u1ee7a t\u1eed cung s\u1ebd l\u00e0m cho b\u00e1nh nhau bong tr\u00f3c v\u00e0 t\u1ed1ng xu\u1ea5t ra ngo\u00e0i. Khi qu\u00e1 tr\u00ecnh bong nhau ho\u1eb7c t\u1ed1ng xu\u1ea5t b\u00e1nh nhau di\u1ec5n ra kh\u00f4ng ho\u00e0n to\u00e0n s\u1ebd d\u1eabn t\u1edbi s\u00f3t nhau.<\/li>\n
                • Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 k\u1ec3 ra bao g\u1ed3m ti\u1ec1n c\u0103n m\u1ed5 l\u1ea5y thai, u x\u01a1 t\u1eed cung, ti\u1ec1n c\u0103n h\u00fat n\u1ea1o l\u00f2ng t\u1eed cung, b\u00e1nh nhau ph\u1ee5\u2026 M\u00f4 nhau b\u1ecb s\u00f3t trong t\u1eed cung s\u1ebd l\u00e0m cho t\u1eed cung co h\u1ed3i k\u00e9m, \u0111\u1edd t\u1eed cung v\u00e0 ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t.<\/li>\n<\/ul>\n

                  1.3.2 H\u01b0\u1edbng x\u1eed tr\u00ed<\/h3>\n
                    \n
                  • Vi\u1ec7c c\u1ea7n thi\u1ebft sau khi s\u1ed5 nhau l\u00e0 ki\u1ec3m tra k\u1ef9 b\u00e1nh nhau \u0111\u1ec3 \u0111\u1ea3o b\u1ea3o kh\u00f4ng b\u1ecb s\u00f3t m\u00f4 nhau trong l\u00f2ng t\u1eed cung.<\/li>\n
                  • Khi ki\u1ec3m tra th\u1ea5y thi\u1ebfu m\u00fai nhau ho\u1eb7c khi ch\u1ea3y m\u00e1u nhi\u1ec1u nghi s\u00f3t nhau n\u00ean ti\u1ebfn h\u00e0nh so\u00e1t l\u00f2ng t\u1eed cung b\u1eb1ng tay.<\/li>\n
                  • Si\u00eau \u00e2m c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f3 kh\u0103n. Khi c\u1ea7n h\u00fat n\u1ea1o \u0111\u1ec3 l\u1ea5y h\u1ebft m\u00f4 nhau b\u1ecb s\u00f3t c\u1ea7n ti\u1ebfn h\u00e0nh c\u1ea9n th\u1eadn tr\u00e1nh th\u1ee7ng t\u1eed cung c\u0169ng nh\u01b0 nh\u1eefng bi\u1ebfn ch\u1ee9ng v\u1ec1 sau nh\u01b0 d\u00ednh l\u00f2ng t\u1eed cung l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn chu k\u1ef3 kinh v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u1ec1 sau.<\/li>\n
                  • Khi s\u1ef1 b\u00e1m b\u1ea5t th\u01b0\u1eddng ch\u1ec9 x\u1ea3y ra \u1edf m\u1ed9t ph\u1ea7n th\u00ec b\u00e1nh nhau s\u1ebd bong tr\u00f3c m\u1ed9t ph\u1ea7n v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i n\u1eb1m trong t\u1eed cung. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t \u0111e d\u1ecda nghi\u00eam tr\u1ecdng sinh m\u1ea1ng c\u1ee7a s\u1ea3n ph\u1ee5. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y th\u00f4ng th\u01b0\u1eddng c\u1ea7n ph\u1ea3i c\u1eaft t\u1eed cung, tuy nhi\u00ean trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3, ch\u1ec9 s\u00f3t m\u1ed9t ph\u1ea7n b\u00e1nh nhau th\u00ec c\u00e1c bi\u1ec7n ph\u00e1p nh\u1eb1m l\u1ea5y h\u1ebft m\u00f4 nhau s\u00f3t nh\u01b0 h\u00fat n\u1ea1o l\u00f2ng t\u1eed cung, kh\u00e2u ch\u00e8n \u00e9p, th\u1eaft \u0111\u1ed9ng m\u1ea1ch t\u1eed cung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t c\u1ea9n th\u1eadn nh\u1eb1m b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng sinh s\u1ea3n cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef v\u1ec1 sau.<\/li>\n<\/ul>\n

                    1.4 R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/strong><\/p>\n

                    1.4.1<\/strong> Nh\u1eadn bi\u1ebft b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh do r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/strong><\/p>\n

                      \n
                    • R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 do b\u1ec7nh l\u00fd n\u1ec1n tr\u01b0\u1edbc \u0111\u00f3 nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a m\u1ed9t bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa.<\/li>\n
                    • B\u1ea5t k\u1ef3 m\u1ed9t t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u b\u1ea9m sinh hay m\u1eafc ph\u1ea3i n\u00e0o c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn b\u0103ng huy\u1ebft sau sinh<\/li>\n
                    • V\u1ec1 s\u1ea3n khoa, nhau bong non, thuy\u00ean t\u1eafc \u1ed1i, nhi\u1ec5m tr\u00f9ng, ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng l\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch.<\/li>\n<\/ul>\n

                      1.4.2 C\u00e1ch x\u1eed tr\u00ed<\/strong><\/p>\n

                        \n
                      • Thuy\u00ean t\u1eafc \u1ed1i l\u00e0 bi\u1ebfn ch\u1ee9ng c\u00f3 ti l\u1ec7 t\u1eed vong r\u1ea5t cao. \u0110i\u1ec1u tr\u1ecb c\u1ea7n t\u1eadp trung v\u00e0o vi\u1ec7c b\u1ed3i ho\u00e0n th\u00e0nh ph\u1ea7n \u0111\u00f4ng m\u00e1u n\u00e0o b\u1ecb khi\u1ebfm khuy\u1ebft. C\u1ea7n l\u01b0u \u00fd t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u l\u01b0\u1ee3ng l\u1edbn b\u1ea3n th\u00e2n n\u00f3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 t\u1ea1o th\u00e0nh m\u1ed9t v\u00f2ng xo\u1eafn b\u1ec7nh l\u00fd nguy hi\u1ec3m.<\/li>\n<\/ul>\n

                        1.5 L\u1ed9n t\u1eed cung<\/strong><\/p>\n

                        1.5.1 Nh\u1eadn bi\u1ebft b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh do l\u1ed9n t\u1eed cung<\/strong><\/p>\n

                          \n
                        • L\u1ed9n t\u1eed cung l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p. \u0110\u00e1y t\u1eed cung b\u1ecb l\u1ed9n ng\u01b0\u1ee3c ra ngo\u00e0i qua c\u1ed5 t\u1eed cung v\u00e0o trong \u00e2m \u0111\u1ea1o. Th\u1ec9nh tho\u1ea3ng, t\u1eed cung b\u1ecb l\u1ed9n ng\u01b0\u1ee3c ra ngo\u00e0i \u00e2m h\u1ed9.<\/li>\n
                        • Ch\u1ea3y m\u00e1u do l\u1ed9n t\u1eed cung c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 \u0111\u1ed9t ng\u1ed9t v\u00e0 th\u01b0\u1eddng nghi\u00eam tr\u1ecdng.<\/li>\n<\/ul>\n

                          1.5.2 C\u00e1ch x\u1eed tr\u00ed<\/strong><\/p>\n

                          \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch d\u00f9ng tay tr\u1ea3 t\u1eed cung v\u1ec1 l\u1ea1i v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng, vi\u1ec7c n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh t\u1ea1i ph\u00f2ng m\u1ed5, v\u1edbi c\u00e1c t\u00e1c g\u00e2y l\u00e0m m\u1ec1m t\u1eed cung nh\u01b0 ng\u1eadm nitroglycerine d\u01b0\u1edbi l\u01b0\u1ee1i, terbutaline, magnesium sulfate v\u00e0 g\u00e2y m\u00ea to\u00e0n th\u00e2n.<\/p>\n

                          2. Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u0103ng huy\u1ebft sau sinh<\/h2>\n

                          \u0110\u1ec3 ph\u00f2ng ng\u1eeba b\u0103ng huy\u1ebft sau sinh, ch\u00fang ta c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/p>\n

                            \n
                          1. Theo d\u00f5i thai k\u1ef3<\/strong>: Theo d\u00f5i thai k\u1ef3 th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u1ec1n s\u1ea3n khoa, gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u0103ng huy\u1ebft sau sinh.<\/li>\n
                          2. S\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ebb t\u1ef1 nhi\u00ean<\/strong>: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ebb t\u1ef1 nhi\u00ean, nh\u01b0 ch\u00edch oxytocin, r\u1eb7n t\u1ef1 nhi\u00ean, s\u1eed d\u1ee5ng bong b\u00f3ng, gi\u00fap c\u01a1 t\u1eed cung co r\u00fat m\u1ea1nh h\u01a1n, gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u0103ng huy\u1ebft sau sinh.<\/li>\n
                          3. Ti\u00eam oxytocin<\/strong>: Ti\u00eam oxytocin sau khi \u0111\u1ebb gi\u00fap c\u01a1 t\u1eed cung co r\u00fat, gi\u1ea3m thi\u1ec3u nguy c\u01a1 .<\/li>\n
                          4. Ph\u1eabu thu\u1eadt c\u1eaft c\u1eaft r\u1ed1n ngay sau sinh:<\/strong> Ph\u1eabu thu\u1eadt c\u1eaft r\u1ed1n s\u1edbm trong v\u00f2ng 1 ph\u00fat sau khi \u0111\u1ebb gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 .<\/li>\n
                          5. S\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng coagulation<\/strong><\/li>\n
                          6. T\u01b0 v\u1ea5n b\u1ec7nh nh\u00e2n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u1ed1t:<\/strong> Gi\u1eef s\u1ee9c kh\u1ecfe t\u1ed1t b\u1eb1ng c\u00e1ch \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, \u0111\u1ee7 gi\u1ea5c ng\u1ee7, gi\u1ea3m stress, tr\u00e1nh c\u00e1c b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ea3n khoa v\u00e0 ti\u00eau h\u00f3a.<\/li>\n<\/ol>\n

                            Qua \u0111\u00f3, ch\u00fang ta c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u0103ng huy\u1ebft sau sinh v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e0 m\u1eb9 v\u00e0 thai nhi.<\/p>\n

                            Ngu\u1ed3n tham kh\u1ea3o:<\/p>\n

                            B\u00e0i gi\u1ea3ng Nguy\u00ean l\u00fd c\u1ee7a x\u1eed tr\u00ed b\u0103ng huy\u1ebft sau sanh theo nguy\u00ean nh\u00e2n \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, t\u00e1c gi\u1ea3 Tr\u1ea7n Nh\u1eadt Huy, \u00c2u Nh\u1ef1t Lu\u00e2n<\/p>\n","protected":false},"excerpt":{"rendered":"

                            B\u0103ng huy\u1ebft sau sinh l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft d\u00e0i h\u01a1n 500ml sau sinh th\u00f4ng th\u01b0\u1eddng ho\u1eb7c 1000ml sau sinh \u0111\u1ebb m\u1ed5. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef sau khi sinh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, b\u0103ng huy\u1ebft sau sinh c\u00f3 […]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"\nH\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb b\u0103ng huy\u1ebft sau sinh bao g\u1ed3m \u0111\u1edd t\u1eeb cung, t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh v\u00e0 m\u00e1u t\u1ee5\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n b\u0103ng huy\u1ebft sau sinh - 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