{"id":2177,"date":"2023-04-08T19:35:11","date_gmt":"2023-04-08T12:35:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2177"},"modified":"2023-04-21T10:17:47","modified_gmt":"2023-04-21T03:17:47","slug":"dai-thao-duong-thai-ky-moi-ban-tam-cua-me-bau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/dai-thao-duong-thai-ky-moi-ban-tam-cua-me-bau\/","title":{"rendered":"\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, m\u1ed1i b\u1eadn t\u00e2m c\u1ee7a m\u1eb9 b\u1ea7u?"},"content":{"rendered":"

\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> thai k\u1ef3 l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ph\u00e1t hi\u1ec7n trong thai k\u1ef3. X\u1ea3y ra khi c\u01a1 th\u1ec3 c\u1ee7a m\u1eb9 b\u1ea7u kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u1ea3 m\u1eb9 b\u1ea7u v\u00e0 thai nhi. Khi \u0111\u00f3, m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a m\u1eb9 b\u1ea7u s\u1ebd t\u0103ng cao v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 b\u1ea7u v\u00e0 thai nhi. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef mang thai, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 2-10% ph\u1ee5 n\u1eef mang thai \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n v\u00e0 \u0111\u1ebfn 10-20% \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho m\u1eb9 b\u1ea7u v\u00e0 thai nhi.<\/strong><\/p>\n

1. Nguy c\u01a1 v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a \u0111\u00e1i \u0111\u1ed1i v\u1edbi m\u1eb9 b\u1ea7u v\u00e0 thai nhi<\/h2>\n

\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u nguy c\u01a1 v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 b\u1ea7u v\u00e0 thai nhi. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 t\u00e1c \u0111\u1ed9ng v\u00e0 nguy c\u01a1 c\u1ee5 th\u1ec3:<\/p>\n

\"\u0110\u00e1i
\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3<\/figcaption><\/figure>\n
    \n
  1. Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng<\/strong>:\u00a0 C\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u. \u0110i\u1ec1u n\u00e0y l\u00e0 do m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao, khi\u1ebfn vi khu\u1ea9n d\u1ec5 d\u00e0ng t\u1ea5n c\u00f4ng v\u00e0 sinh s\u00f4i trong ni\u1ec7u \u0111\u1ea1o.<\/li>\n
  2. Nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1ead<\/strong>t: C\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eb9 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1eb9 b\u1ecb t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch.<\/li>\n
  3. Nguy c\u01a1 sinh non v\u00e0 t\u1eed vong thai nhi<\/strong>: Thai nhi trong b\u1ee5ng m\u1eb9 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi t\u00ecnh tr\u1ea1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 c\u00f3 nguy c\u01a1 cao h\u01a1n sinh non, t\u1ee9c l\u00e0 sinh ra tr\u01b0\u1edbc 37 tu\u1ea7n tu\u1ed5i thai, c\u0169ng nh\u01b0 nguy c\u01a1 t\u1eed vong.<\/li>\n
  4. Nguy c\u01a1 d\u1ecb t\u1eadt thai nhi<\/strong>: C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u00e3o v\u00e0 tim. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y r\u1eb1ng, thai nhi c\u1ee7a ph\u1ee5 n\u1eef b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb d\u1ecb t\u1eadt tim<\/li>\n<\/ol>\n

    2. C\u00e1ch ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 \u1edf m\u1eb9 b\u1ea7u<\/h2>\n

    Th\u00f4ng th\u01b0\u1eddng, c\u00e1c b\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft \u1edf l\u1ea7n kh\u00e1m \u0111\u1ea7u ti\u00ean c\u1ee7a m\u1eb9 b\u1ea7u, n\u1ebfu m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft cao h\u01a1n ng\u01b0\u1ee1ng cho ph\u00e9p, c\u00e1c x\u00e9t nghi\u1ec7m ti\u1ebfp theo s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c c\u00f3 m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 hay kh\u00f4ng.<\/p>\n

    C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m:<\/p>\n

      \n
    1. X\u00e9t nghi\u1ec7m dung n\u1ea1p \u0111\u01b0\u1eddng glucose (OGTT)<\/strong>: X\u00e9t nghi\u1ec7m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong kho\u1ea3ng tu\u1ea7n th\u1ee9 24-28 c\u1ee7a thai k\u1ef3. Trong qu\u00e1 tr\u00ecnh n\u00e0y, b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u m\u1eb9 b\u1ea7u u\u1ed1ng m\u1ed9t l\u01b0\u1ee3ng dung d\u1ecbch ch\u1ee9a \u0111\u01b0\u1eddng glucose v\u00e0 \u0111o m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u sau khi u\u1ed1ng.<\/li>\n
    2. \u0110o m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u t\u1ea1i nh\u00e0 ho\u1eb7c trong ph\u00f2ng kh\u00e1m<\/strong>: M\u1eb9 b\u1ea7u s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u00e1ch t\u1ef1 \u0111o m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u t\u1ea1i nh\u00e0 tuy nhi\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o v\u00ec c\u00f3 th\u1ec3 g\u00e2y ra sai s\u00f3t. \u0110\u1ec3 bi\u1ebft ch\u00ednh x\u00e1c c\u00f3 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 hay kh\u00f4ng b\u1ec7nh nh\u00e2n n\u00ean \u0111\u1ebfm ph\u00f2ng kh\u00e1m\u00a0 ho\u1eb7c b\u1ec7nh vi\u1ec7n \u0111\u1ec3 ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u.<\/li>\n<\/ol>\n

      3. M\u1ed1i b\u1eadn t\u00e2m c\u1ee7a m\u1eb9 b\u1ea7u khi b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3<\/h2>\n
        \n
      • T\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a m\u1eb9 b\u1ea7u<\/strong>. C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a m\u1eb9 b\u1ea7u. C\u00e1c t\u00e1c \u0111\u1ed9ng bao g\u1ed3m:\n
          \n
        1. Nguy c\u01a1 l\u1edbn nh\u1ea5t c\u1ea7n c\u1ea9n tr\u1ecdng, m\u1eb9 b\u1ea7u c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 th\u00e0nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, s\u1ebd kh\u00f3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t h\u01a1n<\/li>\n
        2. T\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch: M\u1eb9 b\u1ea7u c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh tim m\u1ea1ch sau khi sinh.<\/li>\n
        3. T\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5: M\u1eb9 b\u1ea7u c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc \u0111\u1ed9t qu\u1ef5 sau khi sinh.<\/li>\n
        4. Nguy c\u01a1 cao huy\u1ebft \u00e1p: M\u1eb9 b\u1ea7u c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc huy\u1ebft \u00e1p cao trong thai k\u1ef3.<\/li>\n
        5. Kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh sinh:\u00a0 C\u00f3 nguy c\u01a1 cao h\u01a1n kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 sinh m\u1ed5.<\/li>\n
        6. \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t h\u00e0ng ng\u00e0y: M\u1eb9 b\u1ea7u c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, kh\u00f3 ch\u1ecbu v\u00e0 kh\u00f3 ng\u1ee7. H\u1ecd c\u0169ng ph\u1ea3i gi\u00e1m s\u00e1t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c \u0111\u1ec3 gi\u1eef m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u \u1ed5n \u0111\u1ecbnh.<\/li>\n<\/ol>\n<\/li>\n
        7. Lo l\u1eafng v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi<\/strong><\/li>\n<\/ul>\n

          C\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t. C\u00e1c t\u00e1c \u0111\u1ed9ng bao g\u1ed3m:<\/p>\n

            \n
          1. \n
              \n
            1. Nguy c\u01a1 t\u1eed vong cao h\u01a1<\/strong>n: Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch, thai nhi c\u00f3 nguy c\u01a1 cao h\u01a1n t\u1eed vong.<\/li>\n
            2. B\u1ec7nh tim v\u00e0 th\u1ea7n kinh<\/strong>: Thai nhi c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan v\u00e0 b\u1ed9 ph\u1eadn quan tr\u1ecdng, nh\u01b0 tim v\u00e0 th\u1ea7n kinh. D\u1eabn \u0111\u1ebfn c\u00e1c b\u1ec7nh tim b\u1ea9m sinh, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n tr\u00ed tu\u1ec7 c\u1ee7a tr\u1ebb\u00a0trong t\u01b0\u01a1ng lai.<\/li>\n
            3. Kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/strong>: Thai nhi c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng sau n\u00e0y.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

              Vi\u1ec7c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi. M\u1eb9 b\u1ea7u c\u1ea7n th\u01b0\u1eddng xuy\u00ean \u0111i kh\u00e1m thai \u0111\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi, c\u0169ng nh\u01b0 h\u1ee3p t\u00e1c v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3.<\/p>\n

               <\/p>\n","protected":false},"excerpt":{"rendered":"

              \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ph\u00e1t hi\u1ec7n trong thai k\u1ef3. X\u1ea3y ra khi c\u01a1 th\u1ec3 c\u1ee7a m\u1eb9 b\u1ea7u kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u1ea3 m\u1eb9 b\u1ea7u v\u00e0 thai nhi. Khi \u0111\u00f3, m\u1ee9c \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a m\u1eb9 b\u1ea7u s\u1ebd t\u0103ng cao […]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,32],"tags":[3],"yoast_head":"\n\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, m\u1ed1i b\u1eadn t\u00e2m c\u1ee7a m\u1eb9 b\u1ea7u? - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a m\u1eb9 b\u1ea7u. 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