{"id":22362,"date":"2023-04-16T16:44:20","date_gmt":"2023-04-16T09:44:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22362"},"modified":"2023-04-17T13:11:59","modified_gmt":"2023-04-17T06:11:59","slug":"dai-cuong-hoi-chung-thieu-mau-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/dai-cuong-hoi-chung-thieu-mau-o-tre-em\/","title":{"rendered":"\u0110\u1ea1i c\u01b0\u01a1ng h\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u \u1edf\u00a0 tr\u1ebb em"},"content":{"rendered":"<p><b>Tr\u1ebb b\u1ecb thi\u1ebfu m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00e1 th\u01b0\u1eddng g\u1eb7p, c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o \u1edf tr\u1ebb. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, thi\u1ebfu m\u00e1u s\u1ebd \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a tr\u1ebb. <\/b><strong>Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em l\u00e0 tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m n\u1ed3ng \u0111\u1ed9 hemoglobin hay kh\u1ed1i h\u1ed3ng c\u1ea7u, th\u1ea5p h\u01a1n gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng c\u1ee7a ng\u01b0\u1eddi c\u00f9ng l\u1ee9a tu\u1ed5i.<\/strong><\/p>\n<p><strong>Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi, g\u1ecdi l\u00e0 thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em khi l\u01b0\u1ee3ng hemoglobin (Hb) d\u01b0\u1edbi gi\u1edbi h\u1ea1n sau \u0111\u00e2y:<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"371\"><strong>Tu\u1ed5i \/ gi\u1edbi t\u00ednh<\/strong><\/td>\n<td width=\"198\"><strong>Hb b\u00ecnh th\u01b0\u1eddng<\/strong><\/p>\n<p><strong>(g\/dL)<\/strong><\/td>\n<td width=\"180\"><strong>Thi\u1ebfu m\u00e1u<\/strong><\/p>\n<p><strong>(Hb \u2264 gi\u1edbi h\u1ea1n)<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"371\"><strong>Tr\u1ebb s\u01a1 sinh (\u0111\u1ee7 th\u00e1ng)<\/strong><\/p>\n<p><strong>Tr\u1ebb t\u1eeb 2 \u2013 6 th\u00e1ng<\/strong><\/p>\n<p><strong>Tr\u1ebb t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 2 tu\u1ed5i<\/strong><\/p>\n<p><strong>Tr\u1ebb t\u1eeb 2 \u2013 6 tu\u1ed5i<\/strong><\/p>\n<p><strong>Tr\u1ebb t\u1eeb 6 \u2013 12 tu\u1ed5i<\/strong><\/p>\n<p><strong>Nam tr\u01b0\u1edfng th\u00e0nh<\/strong><\/p>\n<p><strong>N\u1eef tr\u01b0\u1edfng th\u00e0nh (kh\u00f4ng mang thai)<\/strong><\/td>\n<td width=\"198\"><strong>13.5 \u2013 18.5<\/strong><\/p>\n<p><strong>9.5 \u2013 13.5<\/strong><\/p>\n<p><strong>10.5-13.5<\/strong><\/p>\n<p><strong>11.0 \u2013 14.4<\/strong><\/p>\n<p><strong>11.5 \u2013 15.5<\/strong><\/p>\n<p><strong>13.0 \u2013 17.0<\/strong><\/p>\n<p><strong>12.0 \u2013 15.0<\/strong><\/td>\n<td width=\"180\"><strong>13.5 (Hct 34%)<\/strong><\/p>\n<p><strong>9.5 (Hct 28%)<\/strong><\/p>\n<p><strong>10.5 (Hct 33%)<\/strong><\/p>\n<p><strong>11.0 (Hct 33%)<\/strong><\/p>\n<p><strong>11.5 (Hct 34%)<\/strong><\/p>\n<p><strong>13.0 (Hct 39%)<\/strong><\/p>\n<p><strong>12.0 (Hct 36%)<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>1. Nguy\u00ean<strong>\u00a0nh\u00e2n, c\u01a1 ch\u1ebf b\u1ec7nh sinh thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em<\/strong><\/h2>\n<p><strong>Thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra c\u1ea5p t\u00ednh ho\u1eb7c m\u00e3n t\u00ednh do 3 nh\u00f3m nguy\u00ean nh\u00e2n: gi\u1ea3m s\u1ea3n xu\u1ea5t, t\u0103ng ph\u00e1 h\u1ee7y h\u1ed3ng c\u1ea7u v\u00e0 m\u1ea5t m\u00e1u.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-22374 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/17fa52b3-0455-4930-ba66-76944a04c7d2-300x300.jpg\" alt=\"minh-hoa-thieu-mau-tre-em\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/17fa52b3-0455-4930-ba66-76944a04c7d2-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/17fa52b3-0455-4930-ba66-76944a04c7d2-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/17fa52b3-0455-4930-ba66-76944a04c7d2-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/17fa52b3-0455-4930-ba66-76944a04c7d2.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/tre-bi-thieu-mau-gay-ra-cac-van-de-nao\/\">Thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra c\u1ea5p<\/a> t\u00ednh ho\u1eb7c m\u00e3n t\u00ednh do 3 nh\u00f3m nguy\u00ean nh\u00e2n: gi\u1ea3m s\u1ea3n xu\u1ea5t, t\u0103ng ph\u00e1 h\u1ee7y h\u1ed3ng c\u1ea7u v\u00e0 m\u1ea5t m\u00e1u.<\/p>\n<p><strong>1.1 Gi\u1ea3m s\u1ea3n xu\u1ea5t<\/strong>, r\u1ed1i lo\u1ea1n tr\u01b0\u1edfng th\u00e0nh c\u1ee7a d\u00f2ng h\u1ed3ng c\u1ea7u ho\u1eb7c ph\u00f3ng th\u00edch h\u1ed3ng c\u1ea7u t\u1eeb t\u1ee7y x\u01b0\u01a1ng.<\/p>\n<ul>\n<li>Suy t\u1ee7y: B\u1ea9m sinh hay m\u1eafc ph\u1ea3i.<\/li>\n<li>Suy t\u1ee7y d\u00f2ng h\u1ed3ng c\u1ea7u: H\u1ed9i ch\u1ee9ng Diamond-Blacfan, thi\u1ebfu nguy\u00ean h\u1ed3ng c\u1ea7u tho\u00e1ng qua \u1edf tr\u1ebb em (transient erythroblastopenia of childhood)<\/li>\n<li>T\u1ee7y b\u1ecb thay th\u1ebf: B\u1ec7nh l\u00fd \u00e1c t\u00ednh, B\u1ec7nh x\u01b0\u01a1ng \u0111\u00e1, X\u01a1 t\u1ee7y<\/li>\n<li>Gi\u1ea3m s\u1ea3n xu\u1ea5t erythropoietin<\/li>\n<li>Suy th\u1eadn m\u00e3n<\/li>\n<li>Suy gi\u00e1p, suy tuy\u1ebfn y\u00ean<\/li>\n<li>Vi\u00eam nhi\u1ec5m m\u00e3n<\/li>\n<li>Suy dinh d\u01b0\u1ee1ng protein<\/li>\n<li>Thi\u1ebfu s\u1eaft, vitamin B12, \u0111\u1ed3ng.<\/li>\n<li>H\u1ed9i ch\u1ee9ng thalassemia, ng\u1ed9 \u0111\u1ed9c ch\u00ec, thi\u1ebfu m\u00e1u nguy\u00ean b\u00e0o s\u1eaft, thi\u1ebfu vitamin B6<\/li>\n<\/ul>\n<p><strong>1.2 T\u0103ng ph\u00e1 h\u1ee7y<\/strong><\/p>\n<ul>\n<li>H\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m v\u00e0 c\u00e1c b\u1ec7nh l\u00fd hemoglobin.<\/li>\n<li>Khi\u1ebfm khuy\u1ebft m\u00e0ng h\u1ed3ng c\u1ea7u.<\/li>\n<li>Thi\u1ebfu men c\u1ee7a h\u1ed3ng c\u1ea7u.<\/li>\n<li>Thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft mi\u1ec5n d\u1ecbch.<\/li>\n<li>H\u1ed9i ch\u1ee9ng t\u00e1n huy\u1ebft ur\u00ea huy\u1ebft cao.<\/li>\n<li>Van tim nh\u00e2n t\u1ea1o.<\/li>\n<li>Ti\u1ec3u huy\u1ebft s\u1eafc t\u1ed1 k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam<\/li>\n<\/ul>\n<p><strong>1.3 M\u1ea5t m\u00e1u<\/strong><\/p>\n<ul>\n<li>Ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, sinh d\u1ee5c, ti\u1ebft ni\u1ec7u.<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n xu\u1ea5t huy\u1ebft.<\/li>\n<\/ul>\n<h2>2. \u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n<h3><strong>2.1 B\u1ec7nh s\u1eed<\/strong><\/h3>\n<p><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong>Ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u kh\u00f4ng kh\u00f3 d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng da ni\u00eam xanh xao, l\u00f2ng b\u00e0n tay nh\u1ea1t v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng Hb, Hct. V\u1ea5n \u0111\u1ec1 l\u00e0 ph\u1ea3i ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3. Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n g\u00e2y thi\u1ebfu m\u00e1u c\u1ea7n khai th\u00e1c b\u1ec7nh s\u1eed chi ti\u1ebft, kh\u00e1m l\u00e2m s\u00e0ng k\u1ef9 l\u01b0\u1ee1ng v\u00e0 ch\u1ecdn l\u1ecdc x\u00e9t nghi\u1ec7m t\u1eebng b\u01b0\u1edbc.<\/p>\n<table width=\"952\">\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"245\"><strong>Y\u1ebfu t\u1ed1<\/strong><\/td>\n<td width=\"707\"><strong>Nguy\u00ean nh\u00e2n li\u00ean quan<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" width=\"65\">Tu\u1ed5i<\/td>\n<td width=\"180\">S\u01a1 sinh<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb sinh \u0111\u00f4i, thi\u1ebfu th\u00e1ng, nh\u1eb9 c\u00e2n, m\u1ea5t m\u00e1u do r\u1ec9 m\u00e1u r\u1ed1n do thi\u1ebfu Vitamin K, t\u00e1n huy\u1ebft do b\u1ea5t \u0111\u1ed3ng nh\u00f3m m\u00e1u m\u1eb9 con, nhi\u1ec5m tr\u00f9ng s\u01a1 sinh.<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">3-6 th\u00e1ng<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u dinh d\u01b0\u1ee1ng, thi\u1ebfu s\u1eaft, b\u1ec7nh m\u00e1u \u00e1c t\u00ednh, thalassemia<\/td>\n<\/tr>\n<tr>\n<td width=\"180\">Tr\u00ean 5 tu\u1ed5i<\/td>\n<td width=\"707\">Nhi\u1ec5m giun m\u00f3c, suy tu\u1ef7, b\u1ec7nh m\u00e1u \u00e1c t\u00ednh, nhi\u1ec5m tr\u00f9ng m\u00e3n.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Gi\u1edbi<\/td>\n<td width=\"707\">B\u1ec7nh li\u00ean quan nhi\u1ec5m s\u1eafc th\u1ec3 X: thi\u1ebfu h\u1ee5t G6PD, hemophillia.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Kh\u1edfi ph\u00e1t thi\u1ebfu m\u00e1u<\/td>\n<td width=\"707\">R\u1ea5t nhanh: ch\u1ea3y m\u00e1u c\u1ea5p, t\u00e1n huy\u1ebft c\u1ea5p<\/p>\n<p>T\u1eeb t\u1eeb: thi\u1ebfu m\u00e1u do nhi\u1ec1u nguy\u00ean nh\u00e2n, thi\u1ebfu m\u00e1u th\u1ee9 ph\u00e1t do b\u1ec7nh h\u1ec7 th\u1ed1ng, to\u00e0n th\u1ec3.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Dinh d\u01b0\u1ee1ng<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft, thi\u1ebfu protein \u2013 n\u0103ng l\u01b0\u1ee3ng, c\u00f2i x\u01b0\u01a1ng, thi\u1ebfu acid folic, thi\u1ebfu vitamin B<sub>12<\/sub>.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Nhi\u1ec5m tr\u00f9ng<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u do nhi\u1ec5m tr\u00f9ng m\u00e3n t\u00ednh, s\u1ed1t r\u00e9t, vi\u00eam gan m\u1ea1n, lao<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Thu\u1ed1c, nhi\u1ec5m \u0111\u1ed9c<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u suy t\u1ee7y, t\u00e1n huy\u1ebft<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Ti\u1ec1n s\u1eed gia \u0111\u00ecnh<\/td>\n<td width=\"707\">Thalassemia, thi\u1ebfu G6PD, hemophillia<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Ch\u1ea5n th\u01b0\u01a1ng<\/td>\n<td width=\"707\">M\u1ea5t m\u00e1u c\u1ea5p<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"245\">Ti\u1ec1n s\u1eed ch\u1ea3y m\u00e1u<\/td>\n<td width=\"707\">Thi\u1ebfu m\u00e1u th\u1ee9 ph\u00e1t sau m\u1ea5t m\u00e1u do gi\u1ea3m ti\u1ec3u c\u1ea7u, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, ti\u00eau ph\u00e2n \u0111en do giun m\u00f3c, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, suy gan.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>2.2 Kh\u00e1m th\u1ef1c th\u1ec3<\/strong><\/p>\n<table width=\"992\">\n<tbody>\n<tr>\n<td width=\"596\"><strong>L\u00e2m s\u00e0ng<\/strong><\/td>\n<td width=\"396\"><strong>H\u01b0\u1edbng ch\u1ea9n \u0111o\u00e1n<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb s\u01a1 sinh k\u00e8m theo:<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1ea3y m\u00e1u r\u1ed1n k\u00e9o d\u00e0i, ti\u00eau ph\u00e2n \u0111en, c\u00f3 tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh \u2013 m\u00e0ng n\u00e3o.<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 V\u00e0ng da s\u1eabm m\u00e0u, tr\u1ebb l\u1edd \u0111\u1edd, co c\u1ee9ng<\/p>\n<p>&nbsp;<\/td>\n<td width=\"396\">&nbsp;<\/p>\n<p>Thi\u1ebfu m\u00e1u do xu\u1ea5t huy\u1ebft thi\u1ebfu Vitamin K.<\/p>\n<p>T\u00e1n huy\u1ebft do b\u1ea5t \u0111\u1ed3ng nh\u00f3m m\u00e1u m\u1eb9 \u2013 con.<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb nh\u1ecf, thi\u1ebfu s\u1eefa m\u1eb9, SDD, \u0111\u1ebb non, sinh \u0111\u00f4i<\/td>\n<td width=\"396\">TMTS, thi\u1ebfu y\u1ebfu t\u1ed1 t\u1ea1o m\u00e1u<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb l\u1edbn, \u0111au b\u1ee5ng, ti\u00eau ph\u00e2n \u0111en<\/td>\n<td width=\"396\">Thi\u1ebfu m\u00e1u giun m\u00f3c<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, v\u00e0ng da, gan l\u00e1ch to, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u<\/td>\n<td width=\"396\">Thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, s\u1ed1t c\u01a1n, l\u00e1ch to<\/td>\n<td width=\"396\">S\u1ed1t r\u00e9t<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, xu\u1ea5t huy\u1ebft, nhi\u1ec5m tr\u00f9ng<\/td>\n<td width=\"396\">Suy t\u1ee7y<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, xu\u1ea5t huy\u1ebft, gan l\u00e1ch h\u1ea1ch to, \u0111au x\u01b0\u01a1ng, s\u1ed1t k\u00e9o d\u00e0i<\/td>\n<td width=\"396\">B\u1ea1ch huy\u1ebft c\u1ea5p, HC th\u1ef1c b\u00e0o m\u00e1u<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, s\u1ed1t k\u00e9o d\u00e0i, t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n<\/td>\n<td width=\"396\">Nhi\u1ec5m khu\u1ea9n m\u00e3n t\u00ednh<\/td>\n<\/tr>\n<tr>\n<td width=\"596\">Thi\u1ebfu m\u00e1u, cao huy\u1ebft \u00e1p<\/td>\n<td width=\"396\">Suy th\u1eadn m\u00e3n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>2.3 \u0110\u1ec1 ngh\u1ecb c\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p><strong>X\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy<\/strong><\/p>\n<ul>\n<li>Hct<\/li>\n<li>Huy\u1ebft \u0111\u1ed3 (Hb, c\u00e1c ch\u1ec9 s\u1ed1 h\u1ed3ng c\u1ea7u: MCV, MCH,\u2026)<\/li>\n<li>Ph\u1ebft m\u00e1u ngo\u1ea1i bi\u00ean, KSTSR<\/li>\n<li>H\u1ed3ng c\u1ea7u l\u01b0\u1edbi<\/li>\n<\/ul>\n<p><strong>X\u00e9t nghi\u1ec7m h\u01b0\u1edbng t\u1edbi nguy\u00ean nh\u00e2n<\/strong><\/p>\n<ul>\n<li>TPTNT, Hb \/ ni\u1ec7u<\/li>\n<li>Bilirubin gi\u00e1n ti\u1ebfp \/ m\u00e1u<\/li>\n<li>S\u1eaft huy\u1ebft thanh, Ferritin<\/li>\n<li>Test de Coombs TT, GT<\/li>\n<li>Kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>\u0110i\u1ec7n di Hb<\/li>\n<li>\u0110\u1ecbnh l\u01b0\u1ee3ng G6PD<\/li>\n<li>Tu\u1ef7 \u0111\u1ed3<\/li>\n<\/ul>\n<h2><strong>3. H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em<\/strong><\/h2>\n<h3><strong>3.1 Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em:<\/strong><\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n<\/li>\n<\/ul>\n<h3><strong>3.2 \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong><\/h3>\n<ul>\n<li>Truy\u1ec1n m\u00e1u: Ch\u1ec9 \u0111\u1ecbnh truy\u1ec1n m\u00e1u t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng, Hct, Hb v\u00e0 t\u00f9y b\u1ec7nh n\u1ec1n.<\/li>\n<\/ul>\n<h3><strong>3.3 \u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n:<\/strong><\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n \u0111\u1eb7c hi\u1ec7u \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong c\u00e1c b\u00e0i ri\u00eang nh\u01b0: suy t\u1ee7y, thalassemia, s\u1ed1t r\u00e9t, thi\u1ebfu m\u00e1u thi\u1ebfu s\u1eaft, thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft mi\u1ec5n d\u1ecbch.<\/li>\n<li>Thi\u1ebfu m\u00e1u do thi\u1ebfu acid folic, vitamine B12:\n<ul>\n<li>Folic: 1 \u2013 5 mg\/ng\u00e0y, u\u1ed1ng t\u1eeb 1-2 th\u00e1ng.<\/li>\n<li>Vitamine B12: 1mg ti\u00eam b\u1eafp\/ng\u00e0y, trong 10 \u2013 14 ng\u00e0y. Sau \u0111\u00f3 1mg ti\u00eam b\u1eafp m\u1ed7i th\u00e1ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u1ebb b\u1ecb thi\u1ebfu m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00e1 th\u01b0\u1eddng g\u1eb7p, c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o \u1edf tr\u1ebb. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, thi\u1ebfu m\u00e1u s\u1ebd \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a tr\u1ebb. Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em l\u00e0 [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ea1i c\u01b0\u01a1ng h\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u \u1edf\u00a0 tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Thi\u1ebfu m\u00e1u \u1edf tr\u1ebb em l\u00e0 tr\u01b0\u1eddng h\u1ee3p gi\u1ea3m n\u1ed3ng \u0111\u1ed9 hemoglobin hay kh\u1ed1i h\u1ed3ng c\u1ea7u, th\u1ea5p h\u01a1n gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng c\u1ee7a ng\u01b0\u1eddi c\u00f9ng l\u1ee9a tu\u1ed5i.\" \/>\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=\"\u0110\u1ea1i c\u01b0\u01a1ng h\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u \u1edf\u00a0 tr\u1ebb em - 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