{"id":27303,"date":"2023-04-23T12:20:10","date_gmt":"2023-04-23T05:20:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27303"},"modified":"2023-04-23T12:20:10","modified_gmt":"2023-04-23T05:20:10","slug":"hoi-chung-hellp-trieu-chung-bien-chung-va-xu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/hoi-chung-hellp-trieu-chung-bien-chung-va-xu-tri\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng HELLP: Tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed?"},"content":{"rendered":"<p style=\"font-weight: 400;\"><strong>M\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u n\u1eb7ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 h\u1ed9i ch\u1ee9ng HELLP v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m tan m\u00e1u vi th\u1ec3, t\u0103ng c\u00e1c men gan v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u g\u00e2y ra nh\u1eefng nguy c\u01a1 \u0111e do\u1ea1 t\u00ednh m\u1ea1ng s\u1ea3n ph\u1ee5, thai nhi r\u1ea5t cao.<\/strong><\/p>\n<h2><strong>1. H\u1ed9i ch\u1ee9ng HELLP l\u00e0 g\u00ec?<\/strong><\/h2>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng HELLP l\u00e0:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hemolysis: tan m\u00e1u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Elevated Liver enzymes: t\u0103ng c\u00e1c enzym gan<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low Platelets: gi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_27316\" aria-describedby=\"caption-attachment-27316\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-27316\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/DA4FA26E-5C76-4CB9-B7E9-E0B9D4B12554.jpeg\" alt=\"Tien-san-giat-mac-hoi-chung-HELLP-khoang-2%-12%\" width=\"600\" height=\"360\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/DA4FA26E-5C76-4CB9-B7E9-E0B9D4B12554.jpeg 600w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/DA4FA26E-5C76-4CB9-B7E9-E0B9D4B12554-300x180.jpeg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-27316\" class=\"wp-caption-text\">C\u00f3 kho\u1ea3ng 2%-12% b\u1ec7nh nh\u00e2n b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt m\u1eafc h\u1ed9i ch\u1ee9ng HELLP<\/figcaption><\/figure>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">B\u1ec7nh sinh h\u1ed9i ch\u1ee9ng HELLP ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, c\u00e1c ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng b\u1ec7nh l\u00fd n\u00e0y \u0111\u01b0\u1ee3c cho bi\u1ebft l\u00e0 b\u1ea5t th\u01b0\u1eddng m\u1ea1ch m\u00e1u, co m\u1ea1ch v\u00e0 thi\u1ebfu h\u1ee5t y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u. V\u1edbi s\u1ef1 ho\u1ea1t ho\u00e1 ti\u1ec3u c\u1ea7u, thromboxanA v\u00e0 serotonin \u0111\u01b0\u1ee3c t\u1ea1o ra, g\u00e2y n\u00ean co m\u1ea1ch, k\u1ebft d\u00ednh v\u00e0 ng\u01b0ng t\u1eadp ti\u1ec3u c\u1ea7u g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u00eam n\u1ed9i m\u1ea1ch.\u00a0<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u0103ng men gan l\u00e0 th\u1ee9 ph\u00e1t do fibrin l\u00e0m t\u1eafc c\u00e1c xoang m\u1ea1ch m\u00e1u \u1edf gan r\u1ed3i ho\u1ea1i t\u1eed kho\u1ea3ng c\u1eeda, trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng g\u00e2y ch\u1ea3y m\u00e1u trong gan h\u00ecnh th\u00e0nh kh\u1ed1i m\u00e1u t\u1ee5 d\u01b0\u1edbi bao gan ho\u1eb7c v\u1ee1 gan.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gi\u1ea3m ti\u1ec3u c\u1ea7u do t\u0103ng ti\u00eau th\u1ee5 ho\u1eb7c hu\u1ef7 ho\u1ea1i ti\u1ec3u c\u1ea7u.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 h\u1ecdc thuy\u1ebft cho r\u1eb1ng b\u1ea5t th\u01b0\u1eddng v\u1ecb tr\u00ed rau b\u00e1m g\u00e2y \u1ea3nh h\u01b0\u1edfng thi\u1ebfu m\u00e1u thai v\u00e0 ch\u1ea5t \u0111\u1ed9c l\u01b0u th\u00f4ng trong tu\u1ea7n ho\u00e0n g\u00e2y n\u00ean t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1ch. Ch\u00ednh t\u1ed5n th\u01b0\u01a1ng n\u00e0y g\u00e2y h\u1eb9p l\u00f2ng m\u1ea1ch \u1edf nhi\u1ec1u h\u1ec7 th\u1ed1ng c\u01a1 quan, ho\u1ea1t ho\u00e1 h\u1ec7 th\u1ed1ng \u0111\u00f4ng m\u00e1u, t\u0103ng t\u00ednh th\u1ea5m mao m\u1ea1ch, ho\u1ea1t ho\u00e1 ti\u1ec3u c\u1ea7u v\u1edbi s\u1ef1 ti\u00eau th\u1ee5 ti\u1ec3u c\u1ea7u \u1edf vi m\u1ea1ch d\u1eabn \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p, protein ni\u1ec7u, ph\u00f9 v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/span><\/p>\n<h2><strong>2. L\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng h\u1ed9i ch\u1ee9ng HELLP?<\/strong><\/h2>\n<h3 style=\"font-weight: 400;\"><strong>2.1 Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng h\u1ed9i ch\u1ee9ng HELLP<\/strong><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Th\u01b0\u1eddng x\u1ea3y ra tr\u00ean thai ph\u1ee5 ti\u1ec1n s\u1ea3n gi\u1eadt xu\u1ea5t hi\u1ec7n v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng bi\u1ec3u hi\u1ec7n m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u v\u00f9ng ch\u1ea9m, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n kh\u00e1c<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1eaft nh\u00ecn m\u1edd, hoa m\u1eaft<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c h\u1ea1 s\u01b0\u1eddn ph\u1ea3i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">D\u1ea5u hi\u1ec7u c\u1ee7a tr\u00e0n d\u1ecbch \u0111a m\u00e0ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u \u00edt d\u1ea7n<\/span><\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>2.2 C\u1eadn l\u00e2m s\u00e0ng h\u1ed9i ch\u1ee9ng HELLP<\/strong><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u0103ng bilirubin to\u00e0n ph\u1ea7n &gt; 20 umol\/l, bilirubin gi\u00e1n ti\u1ebfp huy\u1ebft thanh t\u0103ng v\u00e0 hemoglobin gi\u1ea3m<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gi\u1ea3m ti\u1ec3u c\u1ea7u &lt; 50000\/mm3<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Suy gi\u1ea3m ch\u1ee9c n\u0103ng gan: t\u0103ng enzym gan AST &gt;70 IU\/L v\u00e0 ALT &gt;70 IU\/L<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tan m\u00e1u: LDH &gt; 600 IU\/L<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Creatinin huy\u1ebft thanh t\u0103ng &gt; mg\/dl\u00a0<\/span><\/p>\n<h2><strong>3. Bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng HELLP?<\/strong><\/h2>\n<h3 style=\"font-weight: 400;\"><strong>3.1 Suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, ch\u1ea3y m\u00e1u v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/strong><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng gan: Nh\u1eefng s\u1ea3n ph\u1ee5 c\u00f3 h\u1ed9i ch\u1ee9ng HELLP, gan c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng v\u1edbi t\u00ecnh tr\u1ea1ng: ch\u1ea3y m\u00e1u d\u01b0\u1edbi bao gan, v\u1ee1 gan.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">N\u1ebfu v\u1ee1 huy\u1ebft kh\u1ed1i d\u01b0\u1edbi bao gan c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch v\u00e0 tr\u01b0\u1edbc th\u1eddi \u0111i\u1ec3m v\u1ee1 gan c\u00f3 c\u01a1n \u0111au v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i th\u01b0\u1eddng lan sau l\u01b0ng.<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u do xu\u1ea5t huy\u1ebft n\u00e3o.<\/span><\/p>\n<h3 style=\"font-weight: 400;\"><strong>3.2 Rau bong non<\/strong><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Rau bong non c\u00f3 li\u00ean quan h\u1ed9i ch\u1ee9ng HELLP v\u00e0 l\u00e0m t\u0103ng th\u00eam nguy c\u01a1 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u c\u0169ng nh\u01b0 nguy c\u01a1 ph\u00f9 ph\u1ed5i, suy th\u1eadn.<\/span><\/p>\n<h3 style=\"font-weight: 400;\"><strong>3.3 T\u1ed5n th\u01b0\u01a1ng th\u1eadn<\/strong><\/h3>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng th\u1eadn thay \u0111\u1ed5i t\u1eeb t\u0103ng creatinine huy\u1ebft thanh cho \u0111\u1ebfn suy th\u1eadn c\u1ea5p, ho\u1ea1i t\u1eed \u1ed1ng th\u1eadn t\u1ea1m th\u1eddi c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c ho\u1eb7c ho\u1ea1i t\u1eed tu\u1ef7 th\u1eadn nghi\u00eam tr\u1ecdng kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/span><\/p>\n<h3 style=\"font-weight: 400;\"><strong>3.4 S\u1ea3n gi\u1eadt<\/strong><\/h3>\n<p>S\u1ea3n gi\u1eadt l\u00e0 m\u1ed9t tai bi\u1ebfn k\u1ecbch ph\u00e1t c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt khi kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb, c\u00f3 bi\u1ec3u hi\u1ec7n th\u1ea7n kinh chi\u1ebfm \u01b0u th\u1ebf. \u0110\u1eb7c \u0111i\u1ec3m l\u00e0 t\u00ecnh tr\u1ea1ng co gi\u1eadt nhi\u1ec1u l\u1ea7n, ti\u1ebfp theo l\u00e0 tr\u1ea1ng th\u00e1i h\u00f4n m\u00ea.<\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">S\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa s\u1ea3n gi\u1eadt v\u00e0 HELLP l\u00e0m t\u0103ng nguy c\u01a1 t\u1eed vong v\u00e0 b\u1ec7nh t\u1eadt cho m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh so v\u1edbi s\u1ea3n gi\u1eadt \u0111\u01a1n \u0111\u1ed9c.<\/span><\/p>\n<h3><strong>3.5 T\u1eed vong<\/strong><\/h3>\n<p>T\u1eed vong x\u1ea3y ra trong b\u1ec7nh c\u1ea3n \u0111a d\u1ea1ng: nhi\u1ec5m khu\u1ea9n, cho\u00e1ng m\u1ea5t m\u00e1u, suy tim c\u1ea5p, suy th\u1eadn c\u1ea5p, ph\u00f9 ph\u1ed5i c\u1ea5p, xu\u1ea5t huy\u1ebft ho\u1eb7c v\u1ee1 d\u01b0\u1edbi bao gan, bong v\u00f5ng m\u1ea1c, v\u1ec1 s\u1ea3n khoa c\u00f3 th\u1ec3 g\u1eb7p rau bong non. Ph\u1ea7n l\u1edbn nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1eed vong \u0111\u1ec1u c\u00f3 bi\u1ebfn lo\u1ea1n tr\u1ea7m tr\u1ecdng \u1edf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng h\u01b0: xu\u1ea5t huy\u1ebft h\u1ed9p s\u1ecd v\u00e0 trong nhu m\u00f4 n\u00e3o, ph\u00f9 n\u00e3o nghi\u00eam tr\u1ecdng d\u1eabn \u0111\u1ebfn tho\u00e1t v\u1ecb n\u00e3o, huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>3.5 Bi\u1ebfn ch\u1ee9ng cho con<\/strong><\/h3>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thai ch\u1eadm ph\u00e1t tri\u1ec3n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Non th\u00e1ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thai ch\u1ebft l\u01b0u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u0103ng t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh chu sinh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ebft ngay sau sinh<\/span><\/li>\n<\/ul>\n<h2><strong>4. Th\u00e1i \u0111\u1ed9 x\u1eed tr\u00ed?<\/strong><\/h2>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc t\u00ecnh tr\u1ea1ng h\u1ed9i ch\u1ee9ng HELLP x\u1ea3y ra tr\u00ean nh\u1eefng thai ph\u1ee5 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/benh-tien-san-giat-nhung-dieu-me-bau-can-biet\/\">ti\u1ec1n s\u1ea3n gi\u1eadt<\/a> v\u1ea5n \u0111\u1ec1 x\u1eed tr\u00ed \u0111\u1ea7u ti\u00ean l\u00e0 thai ph\u1ea3i \u0111\u01b0\u1ee3c l\u1ea5y ra c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t nh\u1eb1m h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 di\u1ec5n bi\u1ebfn nhanh ch\u00f3ng \u0111\u1ed1i v\u1edbi m\u1eb9 v\u00e0 con.\u00a0<\/span><\/p>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa:<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u1ea1 huy\u1ebft \u00e1p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ed1ng co gi\u1eadt, ph\u00f9 n\u00e3o, co m\u1ea1ch<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb gi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110i\u1ec1u ch\u1ec9nh d\u1ecbch truy\u1ec1n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Corticoid: tr\u01b0\u1edfng th\u00e0nh ph\u1ed5i thai nhi d\u00f9ng khi tu\u1ed5i thai 27-34 tu\u1ea7n.<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Can thi\u1ec7p s\u1ea3n khoa: thai \u0111\u01b0\u1ee3c l\u1ea5y ra c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t khi t\u00ecnh tr\u1ea1ng m\u1eb9 qu\u00e1 n\u1eb7ng.<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00ecnh ch\u1ec9 thai ngh\u00e9n khi ph\u00e1t hi\u1ec7n h\u1ed9i ch\u1ee9ng HEELP \u1edf tu\u1ed5i thai tr\u00ean 34 tu\u1ea7n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00ecnh ch\u1ec9 thai ngh\u00e9n trong v\u00f2ng 48 gi\u1edd n\u1ebfu t\u00ecnh tr\u1ea1ng m\u1eb9 v\u00e0 thai cho ph\u00e9p tr\u00ec ho\u00e3n \u0111\u1ec3 d\u00f9ng thu\u1ed1c tr\u01b0\u1edfng th\u00e0nh ph\u1ed5i c\u00f3 t\u00e1c d\u1ee5ng<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ch\u0103m s\u00f3c sau sinh<\/span><\/p>\n<ul style=\"font-weight: 400;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u0103m s\u00f3c m\u1eb9 th\u1eddi k\u1ef3 h\u1eadu s\u1ea3n: theo d\u00f5i t\u1ea1i ph\u00f2ng h\u1ed3i s\u1ee9c xem s\u1ed1 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u, s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, huy\u1ebft \u00e1p v\u00e0 c\u1ea3i thi\u1ec7n d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng, theo d\u00f5i v\u00e0 x\u1eed tr\u00ed suy \u0111a t\u1ea1ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00f2ng b\u1ec7nh v\u00e0 t\u01b0 v\u1ea5n mang thai l\u1ea7n sau<\/span><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng HELLP th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o 3 th\u00e1ng cu\u1ed1i thai k\u1ef3 \u1edf c\u00e1c thai ph\u1ee5 c\u00f3 ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng. C\u01a1 ch\u1ebf b\u1ec7nh sinh ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5, \u0111i\u1ec1u tr\u1ecb c\u00f2n l\u00e0 v\u1ea5n \u0111\u1ec1 kh\u00e1 ph\u1ee9c t\u1ea1p, di\u1ec5n bi\u1ebfn v\u00e0 ti\u00ean l\u01b0\u1ee3ng kh\u00f3 d\u1ef1 \u0111o\u00e1n do t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u c\u01a1 quan. V\u1eady n\u00ean c\u00e1c thai ph\u1ee5 c\u1ea7n ph\u00f2ng b\u1ec7nh ngay t\u1eeb khi ti\u1ec1n s\u1ea3n gi\u1eadt x\u1ea3y ra v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u1ec3 c\u00f3 nh\u1eefng ph\u01b0\u01a1ng \u00e1n x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u n\u1eb7ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 h\u1ed9i ch\u1ee9ng HELLP v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m tan m\u00e1u vi th\u1ec3, t\u0103ng c\u00e1c men gan v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u g\u00e2y ra nh\u1eefng nguy c\u01a1 \u0111e do\u1ea1 t\u00ednh m\u1ea1ng s\u1ea3n ph\u1ee5, thai nhi r\u1ea5t cao. 1. H\u1ed9i ch\u1ee9ng HELLP l\u00e0 g\u00ec? H\u1ed9i ch\u1ee9ng HELLP l\u00e0: Hemolysis: [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1ed9i ch\u1ee9ng HELLP: Tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed? - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u n\u1eb7ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 h\u1ed9i ch\u1ee9ng HELLP v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m tan m\u00e1u vi th\u1ec3, t\u0103ng c\u00e1c men gan v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u\" \/>\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\u1ed9i ch\u1ee9ng HELLP: Tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed? 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