{"id":28859,"date":"2023-04-27T17:33:21","date_gmt":"2023-04-27T10:33:21","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28859"},"modified":"2023-04-29T14:56:24","modified_gmt":"2023-04-29T07:56:24","slug":"cac-nguyen-nhan-gay-tao-bon-o-tre","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/cac-nguyen-nhan-gay-tao-bon-o-tre\/","title":{"rendered":"C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n \u1edf tr\u1ebb"},"content":{"rendered":"
\n

T\u00e1o b\u00f3n l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f3 \u0111i \u0111\u1ea1i ti\u1ec7n, ph\u00e2n kh\u00f4 c\u1ee9ng, mu\u1ed1n \u0111i \u0111\u1ea1i ti\u1ec3u m\u00e0 kh\u00f4ng \u0111i \u0111\u01b0\u1ee3c ph\u1ea3i r\u1eb7n m\u1ea1nh ph\u00e2n kh\u00f3 tho\u00e1t ra, th\u1eddi gian \u0111i l\u00e2u ho\u1eb7c nhi\u1ec1u ng\u00e0y m\u1edbi \u0111i m\u1ed9t l\u1ea7n. Th\u00f4ng th\u01b0\u1eddng, hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y ch\u1ec9 di\u1ec5n ra v\u00e0 k\u1ebft th\u00fac trong v\u00e0i ng\u00e0y. Tuy nhi\u00ean, nh\u1eefng ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean b\u1ecb t\u00e1o b\u00f3n c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o b\u1ec7nh \u0111\u1ea1i tr\u00e0ng, suy gi\u00e1p tr\u1ea1ng, t\u0103ng canxi m\u00e1u, nhi\u1ec5m \u0111\u1ed9c ch\u00ec, suy nh\u01b0\u1ee3c c\u01a1 th\u1ec3<\/a>…<\/strong><\/p>\n<\/div>\n

1. Nguy\u00ean nh\u00e2n:<\/strong><\/h2>\n

T\u00e1o b\u00f3n c\u00f3 th\u1ec3 ph\u00e2n th\u00e0nh 2 nh\u00f3m nguy\u00ean nh\u00e2n l\u00e0 c\u01a1 n\u0103ng v\u00e0 th\u1ef1c th\u1ec3:<\/p>\n

1.1. Nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3: <\/strong><\/h3>\n

Chi\u1ebfm t\u1eeb 5- <10% nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n nh\u01b0ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00ec \u0111\u00f2i h\u1ecfi bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u v\u00e0 \u0111\u1ec1 ph\u00f2ng nh\u1eefng bi\u1ebfn ch\u1ee9ng.<\/p>\n

Nguy\u00ean nh\u00e2n t\u1ea1i \u0111\u1ea1i tr\u1ef1c tr\u00e0ng:<\/strong>
\n– B\u1ec7nh Hirschprung
\n– B\u1ec7nh gi\u1ea3 t\u1eafc ru\u1ed9t m\u1ea1n t\u00ednh
\n– H\u1eb9p \u0111\u1ea1i tr\u00e0ng
\n– H\u1eb9p tr\u1ef1c tr\u00e0ng h\u1eadu m\u00f4n b\u1ea9m sinh, tr\u1ef1c tr\u00e0ng \u0111\u1ed5 ra tr\u01b0\u1edbc<\/p>\n

Nguy\u00ean nh\u00e2n th\u1ea7n kinh<\/strong>
\n– T\u1ed5n th\u01b0\u01a1ng v\u00f9ng c\u00f9ng c\u1ee5t
\n– Tho\u00e1t v\u1ecb m\u00e0ng n\u00e3o t\u1ee7y ch\u00e8n \u00e9p t\u1ee7y
\n– B\u1ec7nh n\u00e3o b\u1ea9n sinh, b\u1ea1i n\u00e3o
\n– B\u1ec7nh c\u01a1 v\u00e2n (Lo\u1ea1n d\u01b0\u1ee1ng c\u01a1 )<\/p>\n

Nguy\u00ean nh\u00e2n to\u00e0n th\u00e2n<\/strong>
\n– Suy gi\u00e1p
\n– Gi\u1ea3m Kali m\u00e1u, t\u0103ng Canxi m\u00e1u<\/p>\n

Nguy\u00ean nh\u00e2n kh\u00e1c:<\/strong> D\u1ecb \u1ee9ng \u0111\u1ea1m s\u1eefa b\u00f2<\/p>\n

\"T\u00e1o
T\u00e1o b\u00f3n c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 \u0111\u1ea1i tr\u00e0ng<\/figcaption><\/figure>\n

C\u1ee5 th\u1ec3:<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n
B\u1ec7nh hirschsprung<\/strong><\/td>\nB\u1ec7nh Hirschsprung l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u1ee7a \u0111\u1ea1i tr\u00e0ng do thi\u1ebfu t\u1ebf b\u00e0o h\u1ea1ch b\u1ea9m sinh \u1edf h\u1eadu m\u00f4n v\u00e0 \u0111\u1ea1i tr\u00e0ng \u0111o\u1ea1n xa. K\u1ebft qu\u1ea3 l\u00e0 l\u00e0m cho \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng b\u1ecb \u1ea3nh h\u01b0\u1edfng kh\u00f4ng th\u1ec3 gi\u00e3n ra \u0111\u01b0\u1ee3c, g\u00e2y ra m\u1ed9t s\u1ef1 t\u1eafc ngh\u1ebdn ch\u1ee9c n\u0103ng. M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ed5 bi\u1ebfn (x\u1ea5p x\u1ec9 1\/5000 tr\u1ebb sinh ra s\u1ed1ng), ch\u1ea9n \u0111o\u00e1n nhanh l\u00e0 \u0111i\u1ec1u quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng m\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. B\u1ec7nh Hirschsprung c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u00e0 h\u1ed9i ch\u1ee9ng b\u1ea9m sinh, bao g\u1ed3m h\u1ed9i ch\u1ee9ng Down v\u00e0 b\u1ec7nh tim m\u1ea1ch (\u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c khi\u1ebfm khuy\u1ebft c\u1ee7a van tim)<\/p>\n

B\u1ec7nh Hirschsprung n\u00ean \u0111\u01b0\u1ee3c nghi ng\u1edd trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n

c\u1ee7a b\u1ec7nh Hirschsprung, g\u1ed3m:<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ch\u1eadm \u0111i ph\u00e2n su (>48h sau sinh)<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 t\u00e1o b\u00f3n t\u1eeb nh\u1eefng tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ch\u01b0\u1edbng b\u1ee5ng k\u00e9o d\u00e0i k\u00e8m n\u00f4n m\u1eeda<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tr\u1ebb kh\u00f4ng bao gi\u1edd c\u00f3 c\u1ea3m gi\u00e1c m\u00f3t r\u1eb7n v\u00e0 r\u1eb7n \u1ec9a v\u00ec ph\u00e2n hi\u1ebfn khi xu\u1ed1ng \u0111\u01b0\u1ee3c v\u00e0 t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng.<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 k\u00e9m \u0103n ch\u1eadm t\u0103ng tr\u01b0\u1edfng<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 b\u1ec7nh Hirschsprung<\/p>\n

\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 th\u0103m tr\u1ef1c tr\u00e0ng: :\u00a0 sonde N\u00e9laton (ho\u1eb7c b\u1eb1ng ng\u00f3n tay \u00fat), kh\u00f4ng c\u00f3 ph\u00e2n, khi r\u00fat sonde ra c\u00f3 \u201cd\u1ea5u th\u00e1o c\u1ed1ng\u201d ngh\u0129a l\u00e0 ph\u00e2n, d\u1ecbch v\u00e0 h\u01a1i \u0111\u00f9n ra nhi\u1ec1u \u1edf h\u1eadu m\u00f4n v\u00e0 b\u1ee5ng x\u1eb9p h\u1eb3n \u0111i.<\/p>\n

 <\/p>\n

– H\u00ecnh \u1ea3nh v\u00f9ng chuy\u1ec3n ti\u1ebfp tr\u00ean phim \u0111\u1ea1i tr\u00e0ng c\u1ea3n quang<\/p>\n

B\u1ec7nh Hirschsprung th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 trong v\u00f2ng v\u00e0i th\u00e1ng \u0111\u1ea7u c\u1ee7a cu\u1ed9c \u0111\u1eddi. Nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n kh\u00e1c ho\u1eb7c l\u00e0m ch\u1eadm \u0111i ph\u00e2n su \u1edf tr\u1ebb s\u01a1 sinh giai \u0111o\u1ea1n s\u1edbm \u0111\u00e3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea trong b\u1ea3ng. \u0110\u00f4i khi, b\u1ec7nh Hirschsprung \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n mu\u1ed9n \u1edf tr\u1ebb nh\u0169 nhi v\u00e0 tr\u1ebb l\u1edbn n\u1ebfu b\u1ec7nh nh\u1eb9 h\u01a1n (nh\u01b0 b\u1ec7nh Hirschsprung \u201c\u0111o\u1ea1n r\u1ea5t ng\u1eafn\u201d). nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y th\u01b0\u1eddng c\u00f3 ti\u1ec1n s\u1eed t\u00e1o b\u00f3n m\u1ea1n t\u00ednh <\/strong>v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n<\/strong>. Kh\u00e1m th\u1ef1c th\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u1ed1ng h\u1eadu m\u00f4n \u0111\u00f3ng ch\u1eb7t\u00a0 v\u00e0 b\u00f3ng tr\u1ef1c tr\u00e0ng r\u1ed7ng. R\u1ea5t hi\u1ebfm khi, b\u1ec7nh Hirschsprung \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

** C\u1ea7n ch\u00fa \u00fd Hirschprung c\u00f3 3 th\u1ec3 c\u1ea5p t\u00ednh, b\u00e1n c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.\u00a0 Th\u1ec3 b\u00e1n c\u1ea5p(6-10cm) v\u00e0 m\u1ea1n (<6cm ) th\u01b0\u1eddng v\u00e0o vi\u1ec7n v\u00ec t\u00e1o b\u00f3n t\u00e1i di\u1ec5n d\u1eabn \u0111\u1ebfn ch\u1eadm l\u1edbn suy dinh d\u01b0\u1ee1ng c\u1ea7n ch\u1ee5p phim \u0111\u1ea1i tr\u00e0ng c\u00f3 c\u1ea3n quang n\u1ebfu c\u00f3 nghi ng\u1edd v\u00e0 kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n b\u1eb1ng sinh thi\u1ebft.<\/td>\n<\/tr>\n

Gi\u1ea3 t\u1eafc ru\u1ed9t m\u1ea1n t\u00ednh<\/strong><\/td>\n– <\/strong>Nguy\u00ean nh\u00e2n l\u00e0 do s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng c\u1ee7a h\u1ec7 th\u1ea7n kinh th\u1ef1c v\u1eadt chi ph\u1ed1i cho ru\u1ed9t. C\u01b0\u1eddng h\u1ec7 giao c\u1ea3m l\u00e0m gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t\u00a0 g\u00e2y\u00a0 tri\u1ec7u ch\u1ee9ng t\u1eafc ru\u1ed9t m\u00e0 kh\u00f4ng c\u00f3 t\u1eafc ngh\u1ebdn c\u01a1 h\u1ecdc. Bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng ph\u1ee5 thu\u1ed9c v\u00e0o \u0111o\u1ea1n \u1ed1ng ti\u00eau h\u00f3a b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, t\u00e1o b\u00f3n, v\u00e0\/ho\u1eb7c c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u01b0\u1edbng b\u1ee5ng do l\u00f2ng ru\u1ed9t gi\u1ea3m nhu \u0111\u1ed9ng b\u1ecb gi\u00e3n ra. D\u1ea1ng hay g\u1eb7p nh\u1ea5t l\u00e0 b\u1ea9m sinh; c\u00e1c r\u1ed1i lo\u1ea1n th\u1ee9 ph\u00e1t \u00edt g\u1eb7p \u1edf tr\u1ebb.<\/td>\n<\/tr>\n
H\u1eb9p tr\u1ef1c tr\u00e0ng h\u1eadu m\u00f4n b\u1ea9m sinh<\/strong><\/td>\nT\u00e1o b\u00f3n ch\u00ednh l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean v\u00e0 th\u01b0\u1eddng g\u1eb7p \u1edf nhi\u1ec1u \u1edf h\u1eb9p h\u1eadu m\u00f4n.Tr\u01b0\u1edbc khi \u0111\u1ea1i ti\u1ec7n th\u01b0\u1eddng \u0111au qu\u1eb7n b\u1ee5ng, khi \u0111\u1ea1i ti\u1ec7n ph\u1ea3i r\u1eb7n nhi\u1ec1u v\u00e0 v\u00f9ng h\u1eadu m\u00f4n th\u01b0\u1eddng c\u00f3 c\u1ea3m gi\u00e1c \u0111au t\u1ee9c. Nguy\u00ean nh\u00e2n l\u00e0 do h\u1eadu m\u00f4n b\u1ecb h\u1eb9p kh\u00f4ng \u0111\u1ee7 r\u1ed9ng \u0111\u1ec3 c\u00f3 th\u1ec3 t\u1ed1ng ph\u00e2n ra ngo\u00e0i.<\/p>\n

– H\u1eb9p h\u1eadu m\u00f4n c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u khi \u0111\u1ea1i ti\u1ec7n<\/p>\n

– \u0110\u1ea1i ti\u1ec7n ra ph\u00e2n nh\u1ecf v\u00e0 d\u1eb9t, ph\u00e2n h\u00ecnh th\u1ecfi b\u00fat ch\u00ec.<\/td>\n<\/tr>\n

Tr\u1ef1c tr\u00e0ng \u0111\u1ed5 ra tr\u01b0\u1edbc<\/strong><\/td>\n\u00a0-Tr\u1ef1c tr\u00e0ng \u0111\u1ed5 ra tr\u01b0\u1edbc lu\u00f4n g\u00e2y ra cho tr\u1ebb t\u00e1o b\u00f3n s\u1edbm v\u00e0 k\u00e9o d\u00e0i.<\/p>\n

\u00a0– <\/strong>X\u00e1c \u0111\u1ecbnh b\u1edfi ch\u1ec9 s\u1ed1 t\u01b0 th\u1ebf tr\u1ef1c tr\u00e0ng API. D\u01b0\u01a1ng t\u00ednh khi API <0.29 \u1edf tr\u1ebb g\u00e1i , <0.40 \u1edf tr\u1ebb trai.<\/p>\n

-Ch\u1ec9 s\u1ed1 API ch\u1ec9 c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n c\u00f2n ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt kh\u00f4ng ch\u1ec9 d\u1ef1a v\u00e0o ch\u1ec9 s\u1ed1 n\u00e0y.<\/td>\n<\/tr>\n

Th\u1ea7n kinh<\/strong><\/td>\n– T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng l\u01b0ng, \u0111\u00e1m r\u1ed1i c\u00f9ng c\u1ee5t: <\/strong>\u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u00f9m \u0111u\u00f4i ng\u1ef1a, \u0111\u00e1m r\u1ed1i th\u1ea7n kinh \u1edf v\u00f9ng c\u00f9ng c\u1ee5t.T\u00f9y theo m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng g\u00e2y r\u1ed1i lo\u1ea1n co b\u00f3p c\u01a1 th\u1eaft ngo\u00e0i, c\u01a1 n\u00e2ng h\u1eadu m\u00f4n, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c v\u1eadn \u0111\u1ed9ng \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/p>\n

– Tho\u00e1t v\u1ecb m\u00e0ng n\u00e3o t\u1ee7y – ch\u00e8n \u00e9p t\u1ee7y.<\/p>\n

– B\u1ec7nh n\u00e3o b\u1ea9m sinh, b\u1ea1i n\u00e3o.<\/p>\n

– B\u1ec7nh c\u01a1 v\u00e2n ( lo\u1ea1n d\u01b0\u1ee1ng c\u01a1 Duchene).<\/td>\n<\/tr>\n

Suy gi\u00e1p<\/strong><\/td>\nT\u00e1o b\u00f3n c\u00f3 th\u1ec3 th\u1ea5y \u1edf tr\u1ebb b\u1ecb suy gi\u00e1p b\u1ea9m sinh hay m\u1eafc ph\u1ea3i. Tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u01a1 sinh bao g\u1ed3m m\u1ec7t m\u1ecfi, ch\u1eadm v\u1eadn \u0111\u1ed9ng,\u00a0 k\u00eau kh\u00f3c y\u1ebfu, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0103n u\u1ed1ng, t\u00e1o b\u00f3n, t\u1eadt l\u01b0\u1ee1i to, tho\u00e1t v\u1ecb r\u1ed1n, th\u00f3p l\u1edbn, gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/strong>, da kh\u00f4, gi\u1ea3m th\u00e2n nhi\u1ec7t v\u00e0 v\u00e0ng da sinh l\u00fd k\u00e9o d\u00e0i. M\u1ed9t s\u1ed1 tr\u1ebb s\u01a1 sinh b\u1ecb r\u1ed1i lo\u1ea1n t\u1ed5ng h\u1ee3p hormon gi\u00e1p c\u00f3 th\u1ec3 s\u1edd \u0111\u01b0\u1ee3c b\u01b0\u1edbu gi\u00e1p, nh\u01b0ng \u0111i\u1ec1u n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n mu\u1ed9n. H\u01a1n 95% tr\u1ebb s\u01a1 sinh b\u1ecb suy gi\u00e1p b\u1ea9m sinh c\u00f3 \u00edt bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a suy gi\u00e1p do m\u1ed9t s\u1ed1 T4 qua \u0111\u01b0\u1ee3c nhau thai. Bi\u1ec3u hi\u1ec7n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a suy gi\u00e1p \u1edf tr\u1ebb em b\u1ecb suy gi\u00e1p m\u1eafc ph\u1ea3i l\u00e0 th\u1ea5p.<\/td>\n<\/tr>\n
R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i<\/strong><\/td>\nGi\u1ea3m Kali , t\u0103ng Canxi m\u00e1u: tr\u1ebb c\u00f3 nguy c\u01a1\u00a0 r\u1ed1i lo\u1ea1n c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i(v\u00ed d\u1ee5 nh\u01b0 tr\u1ebb c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 chuy\u1ec3n h\u00f3a ho\u1eb7c kh\u00f4ng dung n\u1ea1p v\u1edbi dung d\u1ecbch t\u01b0\u01a1ng \u1ee9ng), \u0111\u1ec1 ngh\u1ecb \u0111o l\u01b0\u1eddng n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh c\u1ee7a c\u00e1c ch\u1ea5t \u0111i\u1ec7n\u00a0 gi\u1ea3i v\u00e0 canxi.<\/p>\n

\u00a0<\/strong><\/td>\n<\/tr>\n

D\u1ecb \u1ee9ng \u0111\u1ea1m s\u1eefa b\u00f2<\/strong><\/td>\nM\u1ed9t s\u1ef1 li\u00ean quan vi\u1ec7c d\u00f9ng s\u1eefa b\u00f2 v\u00e0 t\u00e1o b\u00f3n \u0111\u01b0\u1ee3c g\u1ee3i \u00fd qua c\u00e1c quan s\u00e1t th\u1ea5y s\u1ef1 c\u1ea3i thi\u1ec7n sau khi lo\u1ea1i b\u1ecf s\u1eefa b\u00f2 ra kh\u1ecfi ch\u1ebf \u0111\u1ed9 \u0103n \u1edf m\u1ed9t s\u1ed1 tr\u1ebb nh\u0169 nhi v\u00e0 tre nh\u1ecf. V\u00ed d\u1ee5, m\u1ed9t nghi\u00ean c\u1ee9u t\u1eadp trung v\u00e0o 65 tr\u1ebb 11-72 th\u00e1ng tu\u1ed5i) b\u1ecb t\u00e1o b\u00f3n m\u1ea1n t\u00ednh \u0111\u1ebfn kh\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m chuy\u00ean khoa nhi ti\u00eau h\u00f3a. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c b\u1ed1 sung s\u1eefa b\u00f2 ho\u1eb7c s\u1eefa \u0111\u1eadu n\u00e0nh trong 2 tu\u1ea7n; th\u1ee9c \u0103n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ea3o ng\u01b0\u1ee3c sau th\u1eddi gian l\u00e0m s\u1ea1ch m\u1ed9t tu\u1ea7n. S\u1ef1 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng t\u00e1o b\u00f3n \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf 68% tr\u1ebb\u00a0 \u0111\u01b0\u1ee3c cho \u0103n s\u1eefa \u0111\u1eadu n\u00e0nh \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi kh\u00f4ng tr\u1ebb s\u1eed d\u1ee5ng s\u1eefa b\u00f2.<\/p>\n

C\u01a1 ch\u1ebf c\u1ee7a s\u1ef1 li\u00ean quan n\u00e0y kh\u00f4ng r\u00f5, nh\u01b0ng c\u01a1 s\u1edf d\u1ecb \u1ee9ng<\/strong> \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t. Trong nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 \u1edf tr\u1ebb, tr\u1ebb \u0111\u00e1p \u1ee9ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng c\u00f2n b\u1ecb vi\u00eam m\u0169i, vi\u00eam da, ho\u1eb7c co th\u1eaft ph\u1ebf qu\u1ea3n. Ch\u00fang c\u00f2n c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb n\u1ee9t h\u1eadu m\u00f4n v\u00e0 ph\u00e1t ban ho\u1eb7c ph\u00f9 \u0111\u01b0\u1eddng c\u01a1 s\u1edf, b\u1eb1ng ch\u1ee9ng c\u1ee7a vi\u00eam ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng, v\u00e0 d\u1ea5u hi\u1ec7u t\u0103ng nh\u1ea1y c\u1ea3m (nh\u01b0 kh\u00e1ng th\u1ec3 immunoglobulin \u0111\u1eb7c hi\u1ec7u E [IgE] \u0111\u1ed1i v\u1edbi kh\u00e1ng nguy\u00ean s\u1eefa b\u00f2). C\u00f3 th\u1ec3 t\u00e1o b\u00f3n l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a \u201cb\u1ea5t dung n\u1ea1p s\u1eefa b\u00f2\u201d, th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n trong su\u1ed1t tu\u1ed5i nh\u0169 nhi v\u1edbi vi\u00eam \u0111\u1ea1i tr\u00e0ng ho\u1eb7c vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t.<\/p>\n

V\u1eabn c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch m\u1ed1i quan h\u1ec7 gi\u1eefa s\u1eefa b\u00f2 v\u00e0 t\u00e1o b\u00f3n b\u1eb1ng c\u00e1c c\u01a1 ch\u1ebf kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 s\u1ef1 thay \u0111\u1ed5i \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n do thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

1.2. Nguy\u00ean nh\u00e2n t\u00e1o b\u00f3n c\u01a1 n\u0103ng:<\/strong><\/h3>\n

L\u00e0 t\u00e1o b\u00f3n khi \u0111\u00e3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3 v\u1ec1 gi\u1ea3i ph\u1eabu, t\u1ed5 ch\u1ee9c sinh h\u00f3a h\u1ecdc, t\u00e1o b\u00f3n do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u1ed1ng ti\u00eau h\u00f3a.<\/p>\n

– Ch\u01b0a ho\u00e0n thi\u1ec7n c\u01a1 ch\u1ebf b\u00e0i xu\u1ea5t ph\u00e2n.<\/strong>
\n+ Ch\u01b0a ho\u00e0n thi\u1ec7n qu\u00e1 tr\u00ecnh myelin h\u00f3a s\u1ee3i th\u1ea7n kinh t\u1ee7y s\u1ed1ng v\u00e0 v\u00f9ng c\u00f9ng c\u1ee5t.
\n+ C\u00e1c c\u01a1 th\u1eb3ng b\u1ee5ng v\u00e0 \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa ch\u01b0a ph\u00e1t tri\u1ec3n.
\n+ Tr\u1ebb nh\u1ecf kh\u00f3 ph\u1ed1i h\u1ee3p c\u00e1c \u0111\u1ed9ng t\u00e1c l\u00e0m t\u0103ng \u00e1p l\u1ef1c trong \u1ed5 b\u1ee5ng.<\/p>\n

– B\u1ec7nh c\u1ea5p t\u00ednh:<\/strong> c\u00e1c thu\u1ed1c gi\u1ea3m co b\u00f3p ru\u1ed9t, c\u00e1c thu\u1ed1c gi\u1ea3m ho, an th\u1ea7n, thu\u1ed1c phi\u1ec7n, atropin, cholestyramine.<\/p>\n

– Y\u1ebfu t\u1ed1 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c:<\/strong>
\n\u2022 S\u1ee3 b\u1ea9n
\n\u2022 Quen d\u00f9ng thu\u1ed1c nhu\u1eadn tr\u01b0\u1eddng ( tr\u1ebb l\u1edbn).
\n\u2022 Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb b\u1ecb \u00e9p bu\u1ed9c \u0111i h\u1ecdc qu\u00e1 s\u1edbm l\u00e0m \u00e1m \u1ea3nh \u0111\u1ed1i v\u1edbi \u0111\u1ee9a tr\u1ebb t\u1eeb \u0111\u00f3 tr\u1ebb ch\u1ed1ng \u0111\u1ed1i, h\u1eadu qu\u1ea3 l\u00e0 t\u00e1o b\u00f3n.
\n\u2022 H\u1ecdc h\u00e0nh qu\u00e1 n\u1eb7ng n\u1ec1, s\u1ee3 c\u00f4 gi\u00e1o.
\n\u2022 Ch\u1ea5n th\u01b0\u01a1ng t\u00e2m l\u00ed b\u1edfi nh\u1eefng s\u1ef1 ki\u1ec7n c\u1ee7a gia \u0111\u00ecnh.
\n\u2022 T\u00e1o b\u00f3n x\u1ea3y ra trong nh\u1eefng giai \u0111o\u1ea1n c\u1ea5p: sau \u0111\u1ee3t ti\u00eau ch\u1ea3y, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau can thi\u1ec7p ngo\u1ea1i khoa.
\n\u2022 T\u00e1o b\u00f3n x\u1ea3y ra b\u1edfi v\u1ebft n\u1ee9t h\u1eadu m\u00f4n do t\u00e2m l\u00ed s\u1ee3 \u0111i ti\u00eau.<\/p>\n

– Y\u1ebfu t\u1ed1 dinh d\u01b0\u1ee1ng:<\/strong><\/p>\n

+ U\u1ed1ng \u00edt n\u01b0\u1edbc.
\n+ Ch\u1ebf \u0111\u1ed9 \u0103n m\u1ea5t c\u00e2n b\u1eb1ng: qu\u00e1 nhi\u1ec1u \u0111\u1ea1m, tinh b\u1ed9t.
\n+ \u0102n s\u1ed1 l\u01b0\u1ee3ng qu\u00e1 \u00edt.
\n+ Tr\u1ebb \u00edt v\u1eadn \u0111\u1ed9ng.
\n+ Thi\u1ebfu ch\u1ea5t x\u01a1.<\/p>\n

* C\u00e1c th\u1eddi \u0111i\u1ec3m t\u00e1o b\u00f3n c\u01a1 n\u0103ng th\u01b0\u1eddng x\u1ea3y ra:<\/strong><\/p>\n

– Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n:<\/strong>
\n+ S\u1ef1 chuy\u1ec3n \u0111\u1ed5i sang ch\u1ebf \u0111\u1ed9 \u0103n th\u1ee9c \u0103n \u0111\u1eb7c \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn l\u00e0m k\u00edch ho\u1ea1t t\u00e1o b\u00f3n \u1edf tr\u1ebb. \u0110i\u1ec1u \u0111\u00f3 l\u00e0 b\u1edfi v\u00ec ch\u1ebf \u0111\u1ed9 \u0103n chuy\u1ec3n ti\u1ebfp n\u00e0y kh\u00f4ng \u0111\u1ee7 l\u01b0\u1ee3ng ch\u1ea5t x\u01a1 v\u00e0 ch\u1ea5t l\u1ecfng. \u0110\u1ea3m b\u1ea3o \u0111\u1ee7 ch\u1ea5t x\u01a1 v\u00e0 ch\u1ea5t l\u1ecfng c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c ng\u0103n ng\u1eeba t\u00e1o b\u00f3n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n nh\u1eb9 t\u1eebng \u0111\u1ee3t. Ng\u01b0\u1ee3c l\u1ea1i, c\u00f3 r\u1ea5t \u00edt b\u1eb1ng ch\u1ee9ng cho th\u1ea5y th\u00eam ch\u1ea5t l\u1ecfng ho\u1eb7c ch\u1ea5t x\u01a1 v\u00e0o ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n m\u1ea1n t\u00ednh nghi\u00eam tr\u1ecdng.<\/p>\n

+ Chuy\u1ec3n ti\u1ebfp t\u1eeb b\u00fa s\u1eefa m\u1eb9 ho\u1eb7c s\u1eefa c\u00f4ng th\u1ee9c sang s\u1eefa b\u00f2 c\u0169ng g\u00e2y xu\u1ea5t hi\u1ec7n t\u00e1o b\u00f3n \u1edf m\u1ed9t v\u00e0i tr\u1ebb, m\u1eb7c d\u00f9 m\u1ed1i li\u00ean quan n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh. N\u1ebfu s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a t\u00e1o b\u00f3n n\u00e0y l\u00e0 t\u1ea1m th\u1eddi li\u00ean quan \u0111\u1ebfn s\u1ef1 chuy\u1ec3n \u0111\u1ed5i sang s\u1eefa b\u00f2, vi\u1ec7c h\u1ee3p l\u00fd c\u1ea7n l\u00e0m l\u00e0 m\u1ed9t th\u1eed nghi\u1ec7m h\u1ea1n ch\u1ebf s\u1eefa b\u00f2 \u0111\u1ebfn (475 \u0111\u1ebfn 700 mL), v\u00e0 \/ ho\u1eb7c m\u1ed9t th\u1eed nghi\u1ec7m c\u1ee7a m\u1ed9t s\u1eefa \u0111\u1eadu n\u00e0nh canxi ho\u1eb7c c\u00f4ng th\u1ee9c chuy\u1ec3n ti\u1ebfp. Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a nh\u1eefng tr\u1ebb em n\u00e0y c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ch\u00fang nh\u1eadn \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng ch\u1ea5t x\u01a1 th\u00edch h\u1ee3p<\/p>\n

+ Th\u1eddi \u0111i\u1ec3m h\u01b0\u1edbng d\u1eabn tr\u1ebb c\u00e1ch ki\u1ec3m so\u00e1t vi\u1ec7c \u0111i v\u1ec7 sinh:<\/p>\n

Tr\u1ebb em l\u1ee9a tu\u1ed5i b\u1eaft \u0111\u1ea7u t\u1eadp \u0111i\u1ec1u khi\u1ec3n vi\u1ec7c \u0111i v\u1ec7 sinh d\u1ec5 b\u1ecb t\u00e1o b\u00f3n do nhi\u1ec1u l\u00fd do nh\u01b0 sau:
\n– C\u01a1 ch\u1ebf b\u00e0i xu\u1ea5t ph\u00e2n ch\u01b0a ho\u00e0n thi\u1ec7n
\n– \u0110i c\u1ea7u sai t\u01b0 th\u1ebf
\n– Tr\u1ebb ch\u01b0a nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c th\u1eddi \u0111i\u1ec3m \u0111i c\u1ea7u h\u1ee3p l\u00fd
\n– N\u1ebfu l\u00fac \u0111i c\u1ea7u, ph\u00e2n di chuy\u1ec3n g\u00e2y \u0111au \u0111\u1edbn, tr\u1ebb c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u nh\u1ecbn \u0111i c\u1ea7u, \u0111i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn tr\u1ebb c\u00e0ng ng\u00e0y c\u00e0ng b\u1ecb t\u00e1o b\u00f3n n\u1eb7ng v\u00e0 t\u1ea1o th\u00e0nh m\u1ed9t v\u00f2ng lu\u1ea9n qu\u1ea9n l\u00e0m tr\u1ebb \u0111i c\u1ea7u kh\u00f3 kh\u0103n h\u01a1n v\u00e0 \u0111au \u0111\u1edbn h\u01a1n khi nh\u1ecbn qu\u00e1 l\u00e2u ph\u00e2n l\u1ea1i c\u00e0ng c\u1ee9ng.
\n– Khi n\u00e0o n\u00ean t\u1eadp cho tr\u1ebb ki\u1ec3m so\u00e1t \u0111i c\u1ea7u.
\n– Khi tr\u1ebb c\u00f3 th\u1ec3 ng\u1ed3i v\u00e0 \u0111i l\u1ea1i \u0111\u01b0\u1ee3c
\n– B\u1eaft \u0111\u1ea7u c\u00f3 nh\u1eefng h\u00e0nh \u0111\u1ed9ng th\u1ec3 hi\u1ec7n b\u1ea3n th\u00e2n
\n– Hi\u1ec3u \u0111\u01b0\u1ee3c nh\u1eefng h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u1ed1 m\u1eb9
\n– C\u00f3 th\u1ec3 b\u1eaft ch\u01b0\u1edbc h\u00e0nh vi c\u1ee7a ng\u01b0\u1eddi kh\u00e1c
\n– Mu\u1ed1n \u0111\u01b0\u1ee3c khen ng\u1ee3i
\n– Th\u1eddi \u0111i\u1ec3m cho tr\u1ebb \u0111\u1ebfn tr\u01b0\u1eddng<\/p>\n

Vi\u1ec7c tr\u1ebb chuy\u1ec3n sang giai \u0111o\u1ea1n \u0111i h\u1ecdc \u1edf tr\u01b0\u1eddng l\u00e0m kh\u1edfi ph\u00e1t t\u00e1o b\u00f3n v\u00ec tr\u1ebb s\u1ebd nh\u1ecbn \u0111i c\u1ea7u v\u00ec kh\u00f4ng mu\u1ed1n s\u1eed d\u1ee5ng nh\u00e0 v\u1ec7 sinh \u1edf tr\u01b0\u1eddng, ho\u1eb7c do s\u1ef1 thay \u0111\u1ed5i th\u1eddi gian \u0111i v\u1ec7 sinh l\u00e0m c\u1ea3n tr\u1edf vi\u1ec7c \u0111i c\u1ea7u c\u1ee7a tr\u1ebb. Ngo\u00e0i ra, tr\u1ebb em \u0111\u1ed9 tu\u1ed5i \u0111\u1ebfn tr\u01b0\u1eddng th\u01b0\u1eddng t\u1ef1 t\u1eafm m\u1ed9t m\u00ecnh v\u00e0 cha m\u1eb9 c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn ra t\u1ea7n su\u1ea5t \u0111i c\u1ea7u ho\u1eb7c lo\u1ea1i ph\u00e2n c\u1ee7a tr\u1ebb n\u00ean d\u1ec5 b\u1ecb b\u1ecf qua g\u00e2y n\u00ean t\u00e1o b\u00f3n m\u1ea1n t\u00ednh.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>
\n1. \u2018T\u00e1o b\u00f3n \u1edf tr\u1ebb em\u2019 trang 163 Gi\u00e1o tr\u00ecnh Nhi khoa \u0110\u1ea1i h\u1ecdc y d\u01b0\u1ee3c Hu\u1ebf
\n2. NCBI. nlm. nih. gov\/pmc\/articles
\n3. NCBI. nlm. nih. gov\/pubmed<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00e1o b\u00f3n l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f3 \u0111i \u0111\u1ea1i ti\u1ec7n, ph\u00e2n kh\u00f4 c\u1ee9ng, mu\u1ed1n \u0111i \u0111\u1ea1i ti\u1ec3u m\u00e0 kh\u00f4ng \u0111i \u0111\u01b0\u1ee3c ph\u1ea3i r\u1eb7n m\u1ea1nh ph\u00e2n kh\u00f3 tho\u00e1t ra, th\u1eddi gian \u0111i l\u00e2u ho\u1eb7c nhi\u1ec1u ng\u00e0y m\u1edbi \u0111i m\u1ed9t l\u1ea7n. Th\u00f4ng th\u01b0\u1eddng, hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y ch\u1ec9 di\u1ec5n ra v\u00e0 k\u1ebft th\u00fac trong v\u00e0i ng\u00e0y. Tuy nhi\u00ean, nh\u1eefng […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[],"yoast_head":"\nC\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n \u1edf tr\u1ebb - Vinmec<\/title>\n<meta name=\"description\" content=\"g\u00e2y t\u00e1o b\u00f3n l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f3 \u0111i \u0111\u1ea1i ti\u1ec7n, ph\u00e2n kh\u00f4 c\u1ee9ng, bu\u1ed3n \u0111i \u0111\u1ea1i ti\u1ec3u m\u00e0 kh\u00f4ng \u0111i \u0111\u01b0\u1ee3c ph\u1ea3i r\u1eb7n m\u1ea1nh ph\u00e2n kh\u00f3 tho\u00e1t ra, th\u1eddi gian \u0111i l\u00e2u\" \/>\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=\"C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n \u1edf tr\u1ebb - 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