{"id":26791,"date":"2023-04-22T18:30:46","date_gmt":"2023-04-22T11:30:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26791"},"modified":"2023-04-25T15:41:59","modified_gmt":"2023-04-25T08:41:59","slug":"pha-thai-ngoai-khoa-phuong-phap-nong-va-gap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/","title":{"rendered":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp"},"content":{"rendered":"<p><strong>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa (h\u00fat thai ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp). M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf ri\u00eang. C\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ea7n xem x\u00e9t khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai l\u00e0 \u0111\u1ed9 an to\u00e0n, hi\u1ec7u qu\u1ea3, chi ph\u00ed, kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n v\u00e0 tu\u1ed5i thai. T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 th\u1eddi \u0111i\u1ec3m thai k\u1ef3, b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<h2>1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai<\/h2>\n<p>Ph\u00e1 thai b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ngo\u1ea1i khoa: s\u1eed d\u1ee5ng c\u00e1c th\u1ee7 thu\u1eadt qua c\u1ed5 t\u1eed cung \u0111\u1ec3 ch\u1ea5m d\u1ee9t thai k\u1ef3 bao g\u1ed3m h\u00fat ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp<\/p>\n<p>Ph\u00e1 thai b\u1eb1ng thu\u1ed1c (ph\u00e1 thai n\u1ed9i khoa): Trong ph\u00e1 thai n\u1ed9i khoa s\u1ebd d\u00f9ng hai thu\u1ed1c ph\u1ed1i h\u1ee3p, m\u1ed9t l\u00e0\u00a0<em>mifepriston<\/em>\u00a0(c\u00f2n g\u1ecdi RU486, bi\u1ec7t d\u01b0\u1ee3c Mifestad<sup>\u00ae<\/sup>200 ho\u00e0n to\u00e0n kh\u00e1c v\u1edbi Mifestad<sup>\u00ae<\/sup>10 d\u00f9ng tr\u00e1nh thai kh\u1ea9n c\u1ea5p) v\u00e0 hai l\u00e0\u00a0<em>misoprostol<\/em>. Mifepriston c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m cho ni\u00eam m\u1ea1c t\u1eed cung kh\u00f4ng ph\u00e1t tri\u1ec3n thu\u1eadn l\u1ee3i cho vi\u1ec7c l\u00e0m t\u1ed5 c\u1ee7a tr\u1ee9ng th\u1ee5 tinh. C\u00f2n misoprostol c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y co th\u1eaft t\u1eed cung \u0111\u1ec3 t\u1ed1ng tr\u1ee9ng th\u1ee5 tinh \u0111\u00e3 tr\u1edf th\u00e0nh b\u00e0o thai ra ngo\u00e0i.\u00a0Khi \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai b\u1eb1ng thu\u1ed1c c\u1ea7n ph\u1ea3i c\u00f3 s\u1eb5n d\u1ecbch v\u1ee5 ph\u00e1 thai b\u1eb1ng h\u00fat ch\u00e2n kh\u00f4ng \u0111\u1ec3 x\u1eed t\u00ed nh\u1eefng tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i.<\/p>\n<h2>2. K\u1ef9 thu\u1eadt ph\u00e1 thai ngo\u1ea1i khoa: Nong v\u00e0 g\u1eafp<\/h2>\n<p>Ph\u00e1 thai b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)<\/p>\n<p>&#8211; Nong v\u00e0 g\u1eafp l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea5m d\u1ee9t thai ngh\u00e9n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c misoprotol\u00a0 \u0111\u1ec3 chu\u1ea9n b\u1ecb c\u1ed5 t\u1eed cung sau \u0111\u00f3 nong c\u1ed5 t\u1eed cung v\u00e0 c\u00f9ng b\u01a1m h\u00fat ch\u1ea5n kh\u00f4ng k\u1ebft h\u1ee3p v\u1edbi k\u1eb9p g\u1eafp thai, \u00e1p d\u1ee5ng cho tu\u1ed5i thai t\u1eeb tu\u1ea7n th\u1ee9 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n th\u1ee9 18<\/p>\n<p><strong>2.1 Ch\u1ec9 \u0111\u1ecbnh\u00a0<\/strong><\/p>\n<ul>\n<li>Thai t\u1eeb tu\u1ea7n th\u1ee9 17 (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi chi\u1ec1u d\u00e0i \u0111\u1ea7u m\u00f4ng 52 mm) \u0111\u1ebfn h\u1ebft tu\u1ea7n th\u1ee9 18 (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi \u0111\u01b0\u1eddng k\u00ednh l\u01b0\u1ee1ng \u0111\u1ec9nh 40 mm)<\/li>\n<\/ul>\n<p><strong>2.2 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/strong><\/p>\n<ul>\n<li>S\u1eb9o m\u1ed5 c\u1ee7 \u1edf th\u00e2n t\u1eed cung<\/li>\n<li>\u0110ang m\u1eafc c\u00e1c b\u1ec7nh n\u1ed9i khoa c\u1ea5p t\u00ednh<\/li>\n<li>\u0110ang vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng sinh d\u1ee5c c\u1ea5p t\u00ednh (c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb)<\/li>\n<li>Ti\u1ec1n s\u1eed v\u1edbi s\u1eed dung misoprotol<\/li>\n<\/ul>\n<p>Th\u1eadn tr\u1ecdng: D\u1ecb d\u1ea1ng t\u1eed cung, u x\u01a1 c\u1ed5 t\u1eed cung, &#8230;<\/p>\n<p><strong>2.3 Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5\u00a0<\/strong><\/p>\n<ul>\n<li>B\u1ed9 d\u1ee5ng c\u1ee5 nong, g\u1eafp thai: K\u1eb9p d\u00e0i s\u00e1t khu\u1ea9n, k\u1eb9p c\u1ed5 t\u1eed cung, nong t\u1eeb s\u1ed1 8 \u0111\u1ebfn s\u1ed1 17, k\u1eb9p g\u1eafp thai Sopher, Bierre v\u00e0 th\u00eca n\u1ea1o c\u00f9n<\/li>\n<li>B\u1ed9 h\u00fat thai ch\u00e2n kh\u00f4ng v\u1edbi \u1ed1ng h\u00fat s\u1ed1 12 \u0111\u1ebfn s\u1ed1 16<\/li>\n<li>Khay \u0111\u1ef1ng m\u00f4 thai v\u00e0 nhau<\/li>\n<li>M\u00e1y si\u00eau \u00e2m<\/li>\n<li>Thu\u1ed1c mifeprison, misoprotol, gi\u1ea3m \u0111au, ti\u1ec1n m\u00ea, ch\u1ed1ng cho\u00e1ng v\u00e0 thu\u1ed1c t\u0103ng go c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<p><strong>2.4 Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n\u00a0<\/strong><\/p>\n<ul>\n<li>H\u1ecfi ti\u1ec1n s\u1eed v\u1ec1 b\u1ec7nh n\u1ed9i, ngo\u1ea1i, s\u1ea3n khoa ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng,..<\/li>\n<li>Kh\u00e1m to\u00e0n th\u00e2n<\/li>\n<li>Kh\u00e1m ph\u1ee5 khoa lo\u1ea1i tr\u1eeb ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/li>\n<li>Si\u00eau \u00e2m x\u00e1c \u0111\u1ecbnh tu\u1ed5i thai<\/li>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u: C\u00f4ng th\u1ee9c m\u00e1u, nh\u00f3m m\u00e1u, \u0111\u00f4ng m\u00e1u c\u01a1 b\u1ea3n, HIV<\/li>\n<li>B\u1ec7nh nh\u00e2n cam k\u1ebft ph\u00e1 thai ( d\u01b0\u1edbi 18 tu\u1ed5i ph\u1ea3i c\u00f3 \u0111\u01a1n cam c\u1ee7a b\u1ed1 ho\u1eb7c m\u1eb9 l\u00e0m ng\u01b0\u1eddi d\u00e1m h\u1ed9)<\/li>\n<\/ul>\n<figure id=\"attachment_26808\" aria-describedby=\"caption-attachment-26808\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26808\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-300x300.png\" alt=\"Ph\u00e1 thai ngo\u1ea1i khoa: Nong v\u00e0 g\u1eafp\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26808\" class=\"wp-caption-text\">Ph\u00e1 thai ngo\u1ea1i khoa: Nong v\u00e0 g\u1eafp<\/figcaption><\/figure>\n<h2>3. Quy tr\u00ecnh k\u1ef9 thu\u1eadt ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp<\/h2>\n<p><strong>3.1 T\u01b0 v\u1ea5n\u00a0<\/strong><\/p>\n<ul>\n<li>Th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea5m d\u1ee9t thai ngh\u00e9n \u1edf b\u1ec7nh nh\u00e2n<\/li>\n<li>C\u00e1c nguy c\u01a1, tai bi\u1ebfn v\u00e0 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra khi ph\u00e1 thai to<\/li>\n<li>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai to<\/li>\n<li>C\u00e1c b\u01b0\u1edbc c\u1ee7a th\u1ee7 thu\u1eadt nong v\u00e0 g\u1eafp<\/li>\n<li>T\u1ef1 theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c sau ph\u00e1 thai<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ea7n \u0111i kh\u00e1m l\u1ea1i ngay<\/li>\n<\/ul>\n<p><strong>3.2. Quy tr\u00ecnh k\u1ef9 thu\u1eadt\u00a0<\/strong><\/p>\n<p><strong>3.2.1 Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt\u00a0<\/strong><\/p>\n<ul>\n<li>R\u1eeda tay th\u01b0\u1eddng quy b\u1eb1ng x\u00e0 ph\u00f2ng d\u01b0\u1edbi v\u00f2i n\u01b0\u1edbc ch\u1ea3y<\/li>\n<li>Trang ph\u1ee5c y t\u1ebf: \u00c1o cho\u00e0ng, qu\u1ea7n m\u0169, kh\u1ea9u trang, \u0111eo k\u00ednh b\u1ea3o h\u1ed9<\/li>\n<\/ul>\n<p><strong>3.2.2. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh th\u1eed thu\u1eadt\u00a0<\/strong><\/p>\n<p><strong>Chu\u1ea9n b\u1ecb c\u1ed5 t\u1eed cung\u00a0<\/strong><\/p>\n<ul>\n<li>Ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i ho\u1eb7c b\u00ean trong m\u00e1 400mcg misoprotol, theo d\u00f5i trong v\u00f2ng 4-6 gi\u1edd<\/li>\n<li>\u0110\u00e1nh gi\u00e1 l\u1ea1i t\u00ecnh tr\u1ea1ng c\u1ed5 t\u1eed cung, n\u1ebfu t\u1eed cung ch\u01b0a \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb t\u1ed1t th\u00ec c\u00f3 th\u1ec3 d\u00f9ng ti\u1ebfp 400 mcg misoprotol<\/li>\n<\/ul>\n<p><strong>Ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt\u00a0<\/strong><\/p>\n<p>Gi\u1ea3m \u0111au to\u00e0n th\u00e2n<\/p>\n<p>Kh\u00e1m x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc v\u00e0 t\u01b0 th\u1ebf t\u1eed cung, \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c \u0111\u1ed1i v\u1edbi t\u1eed cung, kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh n\u1ebfu nh\u01b0 t\u1eed cung ch\u01b0a \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb t\u1ed1t<\/p>\n<p>Thay g\u0103ng v\u00f4 khu\u1ea9n<\/p>\n<p>S\u00e1t khu\u1ea9n ngo\u00e0i, tr\u1ea3i kh\u0103n s\u1ea1ch d\u01b0\u1edbi m\u00f4ng<\/p>\n<p>\u0110\u1eb7t van, b\u1ed9c l\u1ed9 c\u1ed5 t\u1eed cung v\u00e0 s\u00e1t khu\u1ea9n c\u1ed5 t\u1eed cung, \u00e2m \u0111\u1ea1o<\/p>\n<p>K\u1eb9p c\u1ed5 t\u1eed cung<\/p>\n<p>G\u00e2y t\u00ea c\u1ea1nh c\u1ed5 t\u1eed cung<\/p>\n<p>Nong c\u1ed5 t\u1eed cung<\/p>\n<p>D\u00f9ng b\u01a1m hai van v\u1edbi \u1ed1ng h\u00fat ph\u00f9 h\u1ee3p \u0111\u1ec3 h\u00fat n\u01b0\u1edbc \u1ed1i v\u00e0 k\u00e9o ph\u1ea7n thai xu\u1ed1ng th\u1ea5p<\/p>\n<p>Ti\u1ebfn h\u00e0nh g\u1eafp thai, nhau. Kh\u00f4ng \u0111\u01b0a k\u1eb9p g\u1eafp qu\u00e1 s\u00e2u trong bu\u1ed3n t\u1eed cung \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 th\u1ee7ng t\u1eed cung<\/p>\n<p>N\u1ebfu\u00a0 g\u1eafp thai kh\u00f3 kh\u0103n th\u00ec c\u00f3 th\u1ec3 g\u1eafp thai d\u01b0\u1edbi si\u00eau \u00e2m<\/p>\n<p>Ki\u1ec3m tra l\u1ea1i bu\u1ed3n t\u1eed cung b\u1eb1ng th\u00eca c\u00f9n ho\u1eb7c \u1ed1ng h\u00fat<\/p>\n<p>Ki\u1ec3m tra l\u1ea1i c\u00e1c ph\u1ea7n thai v\u00e0 nhau l\u1ea5y ra \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u1ee7 thu\u1eadt ho\u00e0n th\u00e0nh hay ch\u01b0a<\/p>\n<p>X\u1eed l\u00fd d\u1ee5ng c\u1ee5 v\u00e0 ch\u1ea5t th\u1ea3i<\/p>\n<h2>4. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/h2>\n<p><strong>4.1 Tai bi\u1ebfn\u00a0<\/strong><\/p>\n<ul>\n<li>Cho\u00e1ng, th\u1ee7ng t\u1eed cung, r\u00e1ch t\u1eed cung, ch\u1ea3y m\u00e1u, s\u00f3t nhau, s\u00f3t thai, \u1ee9 m\u00e1 trong t\u1eed cung, nhi\u1ec5m khu\u1ea9n<\/li>\n<li>X\u1eed tr\u00ed theo ph\u00e1c \u0111\u1ed3 cho t\u1eebng tai bi\u1ebfn<\/li>\n<\/ul>\n<p><strong>4.2 Theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c<\/strong><\/p>\n<p>Theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, ra m\u00e1u \u00e2m \u0111\u1ea1o, \u0111au b\u1ee5ng, co h\u1ed3i t\u1eed cung 30 ph\u00fat m\u1ed9t l\u1ea7n trong v\u00f2ng 1-2 gi\u1edd, sau \u0111\u00f3 c\u00f3 th\u1ec3 cho b\u1ec7nh nh\u00e2n v\u1ec1<\/p>\n<p>K\u00ea \u0111\u01a1n kh\u00e1ng sinh<\/p>\n<p>T\u01b0 v\u1ea5n sau th\u1ee7 thu\u1eadt<\/p>\n<p>H\u1eb9n kh\u00e1m l\u1ea1i sau 2 tu\u1ea7n<\/p>\n<h2>5. Nh\u1eefng l\u01b0u \u00fd c\u1ea7n quan t\u00e2m sau khi ph\u00e1 thai<\/h2>\n<p>Ph\u00e1 thai l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u1ea3 s\u1ee9c kh\u1ecfe c\u01a1 th\u1ec3 v\u00e0 tinh th\u1ea7n c\u1ee7a ph\u1ee5 n\u1eef. Do \u0111\u00f3, c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 t\u00e2m l\u00fd c\u1ee7a ch\u00ednh b\u1ea3n th\u00e2n.<\/p>\n<ul>\n<li>Ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3: n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe v\u00e0 theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/li>\n<li>Ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe: Ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7 v\u00e0 tr\u00e1nh ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh, c\u1ea7n b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe b\u1eb1ng c\u00e1ch \u0103n u\u1ed1ng v\u00e0 luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c h\u1ee3p l\u00fd. H\u1ea1n ch\u1ebf u\u1ed1ng r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1.<\/li>\n<li>T\u00ecm ngu\u1ed3n h\u1ed7 tr\u1ee3 v\u1ec1 tinh th\u1ea7n: N\u00ean t\u00ecm ngu\u1ed3n h\u1ed7 tr\u1ee3 t\u1eeb gia \u0111\u00ecnh, b\u1ea1n b\u00e8 ho\u1eb7c c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 gi\u1ea3i t\u1ecfa n\u1ed7i lo v\u00e0 t\u00e2m s\u1ef1. Kh\u00f4ng suy ngh\u0129 nhi\u1ec1u d\u1eabn \u0111\u1ebfn tr\u1ea7m c\u1ea3m.<\/li>\n<li>H\u1ea1n ch\u1ebf t\u00ecnh d\u1ee5c: \u0110\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra, ph\u1ee5 n\u1eef c\u1ea7n h\u1ea1n ch\u1ebf t\u00ecnh d\u1ee5c trong kho\u1ea3ng th\u1eddi gian h\u1ed3i ph\u1ee5c.<\/li>\n<li>Theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng: Ph\u1ee5 n\u1eef c\u1ea7n theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, ch\u1ea3y m\u00e1u nhi\u1ec1u, s\u1ed1t, m\u1ec7t m\u1ecfi, \u0111\u1ec3 c\u00f3 bi\u1ec7n ph\u00e1p \u0111\u1ed1i ph\u00f3 k\u1ecbp th\u1eddi.<\/li>\n<li>T\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd: Sau khi ph\u00e1 thai c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng ch\u00e1n n\u1ea3n, lo \u00e2u, hoang t\u01b0\u1edfng. N\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i, c\u1ea7n \u0111\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>S\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai an to\u00e0n: n\u00ean s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai an to\u00e0n \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1 thai v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe sinh s\u1ea3n.<\/li>\n<\/ul>\n<p>Ngu\u1ed3n tham kh\u1ea3o: T\u00e0i li\u1ec7u t\u1eeb B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa (h\u00fat thai ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp). M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf ri\u00eang. C\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ea7n xem x\u00e9t khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai l\u00e0 \u0111\u1ed9 an to\u00e0n, [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)\" \/>\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=\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T11:30:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-25T08:41:59+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-300x300.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/\",\"name\":\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T11:30:46+00:00\",\"dateModified\":\"2023-04-25T08:41:59+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\"},\"description\":\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\",\"name\":\"Yen Cao Thi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"caption\":\"Yen Cao Thi\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec","description":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec","og_description":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T11:30:46+00:00","article_modified_time":"2023-04-25T08:41:59+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-6-1-300x300.png"}],"author":"Yen Cao Thi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Yen Cao Thi","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/","name":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T11:30:46+00:00","dateModified":"2023-04-25T08:41:59+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684"},"description":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1o nong v\u00e0 g\u1eafp, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho thai nhi t\u1eeb tu\u1ea7n 13 \u0111\u1ebfn h\u1ebft tu\u1ea7n 18 (CQG 2010)","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-phuong-phap-nong-va-gap\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ph\u00e1 thai ngo\u1ea1i khoa: Ph\u01b0\u01a1ng ph\u00e1p nong v\u00e0 g\u1eafp"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684","name":"Yen Cao Thi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","caption":"Yen Cao Thi"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26791"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=26791"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26791\/revisions"}],"predecessor-version":[{"id":26813,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26791\/revisions\/26813"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=26791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=26791"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=26791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}