{"id":29106,"date":"2023-05-13T17:06:45","date_gmt":"2023-05-13T10:06:45","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29106"},"modified":"2023-05-13T17:06:45","modified_gmt":"2023-05-13T10:06:45","slug":"tat-nut-dot-song-dai-cuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/tat-nut-dot-song-dai-cuong\/","title":{"rendered":"T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng – \u0110a\u0323i c\u01b0\u01a1ng"},"content":{"rendered":"
\n

T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng l\u00e0 m\u1ed9t khuy\u1ebft t\u1eadt c\u1ee7a \u1ed1ng th\u1ea7n kinh do s\u1ef1 kh\u00f4ng \u0111\u00f3ng k\u00edn c\u1ee7a c\u1ed9t s\u1ed1ng. T\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh b\u1eb1ng si\u00eau \u00e2m ho\u1eb7c g\u1ee3i \u00fd b\u1edfi s\u1ef1 t\u0103ng n\u1ed3ng \u0111\u1ed9 \u03b1-fetoprotein trong n\u01b0\u1edbc \u1ed1i v\u00e0 huy\u1ebft thanh c\u1ee7a ng\u01b0\u1eddi m\u1eb9. N\u1ee9t \u0111\u1ed1t s\u1ed1ng l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ecb t\u1eadt b\u1ea9m sinh<\/b><\/a>\u00a0ph\u1ed5 bi\u1ebfn nh\u1ea5t, v\u1edbi t\u1ef7 l\u1ec7 \u1edf M\u1ef9 kho\u1ea3ng 1\/1500 tr\u1ebb em.<\/p>\n<\/div>\n

1. \u0110i\u0323nh nghi\u0303a t\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng<\/h2>\n

Lo\u1ea1n s\u1ea3n t\u1ee7y s\u1ed1ng c\u00f2n g\u1ecdi l\u00e0 khi\u1ebfm khuy\u1ebft \u1ed1ng th\u1ea7n kinh (NTD), c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Th\u1ea5t b\u1ea1i trong vi\u1ec7c \u0111\u00f3ng k\u00edn c\u1ee7a \u1ed1ng th\u1ea7n kinh c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o d\u1ecdc theo chi\u1ec1u d\u00e0i c\u1ee7a \u1ed1ng s\u1ed1ng, v\u1edbi s\u1ef1 li\u00ean quan c\u1ee7a t\u1ee7y s\u1ed1ng v\u00e0 n\u00e3o b\u1ed9. S\u1ef1 ph\u00e1t tri\u1ec3n b\u1ea5t th\u01b0\u1eddng n\u00e0y x\u1ea3y ra trong th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3, v\u00ec v\u1eady ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef bi\u1ebft h\u1ecd \u0111ang mang thai.<\/p>\n

T\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng c\u00f2n g\u1ecdi l\u00e0 t\u1eadt \u0111\u1ed1t s\u1ed1ng ch\u1ebb \u0111\u00f4i m\u1ed9t thu\u1eadt ng\u1eef \u0111\u1ec1 c\u1eadp \u0111\u1ebfn m\u1ed9t ph\u1ea1m vi r\u1ed9ng c\u00e1c d\u1ecb d\u1ea1ng. Trong c\u00e1c t\u00e0i li\u1ec7u g\u1ea7n \u0111\u00e2y, thu\u1eadt ng\u1eef \u201cn\u1ee9t \u0111\u1ed1t s\u1ed1ng\u201d \u0111\u01b0\u1ee3c tr\u00e1nh s\u1eed d\u1ee5ng c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t v\u00ec thu\u1eadt ng\u1eef n\u00e0y \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c d\u1ecb d\u1ea1ng m\u00e0 \u0111\u1ed1t s\u1ed1ng th\u1eadt s\u1ef1 b\u1ecb ch\u1ebb \u0111\u00f4i. Thu\u1eadt ng\u1eef \u201cD\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn\u201d bao g\u1ed3m nhi\u1ec1u t\u00ecnh tr\u1ea1ng h\u01a1n. Trong th\u1ef1c h\u00e0nh h\u00e0ng ng\u00e0y, v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng nh\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t l\u00e0 \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn th\u1ec3 \u1ea9n v\u00e0 \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn th\u1ec3 m\u1edf.<\/p>\n

\"T\u00e2\u0323t
T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng<\/figcaption><\/figure>\n

2. Ca\u0301c da\u0323ng di\u0323 t\u00e2\u0323t \u00f4\u0301ng s\u00f4\u0301ng<\/h2>\n

C\u00e1c d\u1ea1ng kh\u00e1c nhau c\u1ee7a d\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng r\u1ea5t kh\u00e1c nhau, c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng k\u00edn \u0111\u00e1o v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n m\u1ed9t c\u00e1ch t\u00ecnh c\u1edd ho\u1eb7c c\u00f3 bi\u1ec3u hi\u1ec7n n\u1eb7ng n\u1ec1 d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng ho\u1eb7c t\u1eed vong s\u1edbm. Tortori-Donati v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u01b0a ra b\u1ea3ng ph\u00e2n lo\u1ea1i nh\u01b0 sau:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
D\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn th\u1ec3 m\u1edf (95%)<\/strong><\/td>\n<\/tr>\n
>\u00a0 Tho\u00e1t v\u1ecb t\u1ee7y- m\u00e0ng t\u1ee7y (Myelomeningocele)<\/p>\n

>\u00a0 Tho\u00e1t v\u1ecb t\u1ee7y (Myelocele)<\/p>\n

>\u00a0 Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y- t\u1ee7y ch\u1ebb \u0111\u00f4i (hemimyelomeningocel)<\/p>\n

>\u00a0 Tho\u00e1t v\u1ecb t\u1ee7y ch\u1ebb \u0111\u00f4i (hemimyelocele)<\/td>\n<\/tr>\n

D\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn th\u1ec3 k\u00edn (5%)<\/strong><\/td>\n<\/tr>\n
C\u00f3 kh\u1ed1i d\u01b0\u1edbi da<\/em><\/td>\n<\/tr>\n
(1) V\u00f9ng th\u1eaft l\u01b0ng c\u00f9ng<\/td>\n<\/tr>\n
> U m\u1ee1 v\u1edbi khi\u1ebfm khuy\u1ebft m\u00e0ng c\u1ee9ng (Lipoma with dural defect)<\/p>\n

> Tho\u00e1t v\u1ecb t\u1ee7y- m\u00e0ng t\u1ee7y- m\u1ee1 (lipomyelomeningocele)<\/p>\n

> Tho\u00e1t v\u1ecb t\u1ee7y- m\u1ee1 (lipomyeloschisis)<\/p>\n

> Tho\u00e1t v\u1ecb t\u1ee7y d\u1ea1ng nang v\u00f9ng th\u1eaft l\u01b0ng c\u00f9ng (terminal myelcystocele)<\/p>\n

> Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y (Meningocele)<\/td>\n<\/tr>\n

(2) V\u00f9ng c\u1ed5 ng\u1ef1c<\/td>\n<\/tr>\n
> Tho\u00e1t v\u1ecb t\u1ee7y d\u1ea1ng nang v\u00f9ng c\u1ed5 ng\u1ef1c (Non-terminal myelocystocele)<\/p>\n

> Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y (Meningocele)<\/td>\n<\/tr>\n

Kh\u00f4ng c\u00f3 kh\u1ed1i d\u01b0\u1edbi da<\/em><\/td>\n<\/tr>\n
(1) N\u1ee9t \u0111\u1ed1t s\u1ed1ng \u0111\u01a1n thu\u1ea7n<\/td>\n<\/tr>\n
> U m\u1ee1 trong m\u00e0ng c\u1ee9ng (Intradural lipoma)<\/p>\n

> U m\u1ee1 d\u00e2y t\u1eadn c\u00f9ng (Filar lipoma)<\/p>\n

> D\u00e2y t\u1eadn c\u00f9ng d\u00ednh ch\u1eb7t (Tight filum terminale)<\/p>\n

> T\u1ed3n t\u1ea1i nang c\u00f9ng (Persisitent terminal ventricle)<\/p>\n

> Xoang b\u00ec (Dermal sinus)<\/td>\n<\/tr>\n

(2) N\u1ee9t \u0111\u1ed1t s\u1ed1ng ph\u1ee9c t\u1ea1p<\/td>\n<\/tr>\n
> R\u1ed1i lo\u1ea1n s\u1ef1 h\u1ee3p nh\u1ea5t c\u1ee7a s\u1ee5n s\u1ed1ng \u1edf \u0111\u01b0\u1eddng gi\u1eefa (Disorders of midline notochordal integration)<\/p>\n

> D\u00f2 ru\u1ed9t v\u00f9ng l\u01b0ng (dorsal enteric fistula)<\/p>\n

> Nang th\u1ea7n kinh ru\u1ed9t (Neurenteric cysts)<\/p>\n

> T\u1ee7y s\u1ed1ng ch\u1ebb \u0111\u00f4i (Diastematomyelia)<\/p>\n

> R\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh c\u1ea5u th\u00e0nh s\u1ee5n s\u1ed1ng (Disorders of notochodal formation)<\/p>\n

> Thi\u1ec3u s\u1ea3n c\u1ed9t s\u1ed1ng c\u00f9ng (caudal agenesis)<\/p>\n

> R\u1ed1i lo\u1ea1n ph\u00e1t tri\u1ec3n \u0111\u1ed1t s\u1ed1ng (segment spinal dysgenesis)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u0110\u1ed1i v\u1edbi t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng th\u1ec3 m\u1edf, sau khi sinh tr\u1ebb th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c m\u1ed5 \u0111\u00f3ng l\u1ea1i \u1edf v\u1ecb tr\u00ed b\u1ecb tho\u00e1t v\u1ecb, v\u00e0 h\u01a1n 85% tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u n\u00e3o th\u1ea5t ph\u00fac m\u1ea1c ho\u1eb7c n\u1ed9i soi ph\u00e1 s\u00e0n n\u00e3o th\u1ea5t III trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 gi\u00e3n n\u00e3o th\u1ea5t. M\u1ee9c \u0111\u1ed9 y\u1ebfu li\u1ec7t v\u00e0 kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u1ee7a tr\u1ebb s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u1ed1t s\u1ed1ng b\u1ecb khi\u1ebfm khuy\u1ebft.<\/p>\n

\u0110\u1ed1i v\u1edbi t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng th\u1ec3 k\u00edn, tr\u1ebb kh\u00f4ng c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt s\u1edbm sau sinh. Kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111\u1eb7t d\u1eabn l\u01b0u n\u00e3o th\u1ea5t ph\u00fac m\u1ea1c v\u00e0 kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u1ee7a tr\u1ebb kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n

Tr\u1ebb b\u1ecb d\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn c\u1ea7n \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p nhi\u1ec1u chuy\u00ean ng\u00e0nh trong \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd l\u00e2u d\u00e0i bao g\u1ed3m nh\u1eefng nguy\u00ean t\u1eafc s\u1ebd \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 k\u1ef9 h\u01a1n trong ph\u1ea7n h\u01b0\u1edbng d\u1eabn. Ti\u1ebfp c\u1eadn ng\u01b0\u1eddi b\u1ec7nh s\u1edbm nh\u1ea5t \u0111\u1ea7y \u0111\u1ee7 v\u00e0 to\u00e0n di\u1ec7n l\u00e0 n\u1ec1n t\u1ea3ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c v\u00e0 qu\u1ea3n l\u00fd t\u1ed1t nh\u1ea5t tr\u1ebb b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng.<\/p>\n

3. D\u1ecbch t\u1ec5 h\u1ecdc t\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng<\/h2>\n

Kho\u1ea3ng 5% d\u00e2n s\u1ed1 b\u1ecb d\u1ecb t\u1eadt \u1ed1ng s\u1ed1ng \u0111\u00f3ng kh\u00f4ng k\u00edn th\u1ec3 k\u00edn (Sandler, 2010). C\u00e1c lo\u1ea1i n\u1ee9t \u0111\u1ed1t s\u1ed1ng kh\u00e1c, t\u1ef7 l\u1ec7 thay \u0111\u1ed5i theo t\u1eebng n\u01b0\u1edbc t\u1eeb 0,1 \u0111\u1ebfn 5 tr\u00ean 1000 tr\u1ebb sinh ra (\u00d6zek v\u00e0 c\u1ed9ng s\u1ef1, 2008). \u1ede c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, t\u1ef7 l\u1ec7 trung b\u00ecnh l\u00e0 0,4 tr\u00ean 1000 tr\u1ebb sinh ra (Kondo v\u00e0 c\u1ed9ng s\u1ef1, 2009). \u1ede Hoa K\u1ef3 , t\u1ef7 l\u1ec7 n\u00e0y l\u00e0 0,7 tr\u00ean 1000 (Canfield, 2006), v\u00e0 \u1edf \u1ea4n \u0110\u1ed9 kho\u1ea3ng 1,9 tr\u00ean 1000 tr\u1ebb sinh ra (Bhide, 2013).<\/p>\n

Hi\u1ec7n t\u1ea1i, s\u1ed1 tr\u1ebb sinh ra b\u1ecb d\u1ecb t\u1eadt n\u1ee9t \u1ed1ng s\u1ed1ng gi\u1ea3m \u1edf nhi\u1ec1u n\u01b0\u1edbc do nh\u1eefng ng\u01b0\u1eddi trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng th\u01b0\u1eddng quy axit folic (vitamin B9) d\u1ef1 ph\u00f2ng. B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c t\u1ea7m so\u00e1t tr\u01b0\u1edbc sinh t\u1ed1t h\u01a1n trong nh\u1eefng th\u1eadp ni\u00ean g\u1ea7n \u0111\u00e2y b\u1eb1ng si\u00eau \u00e2m v\u00e0 alphafoetoprotein huy\u1ebft thanh trong thai k\u1ef3, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u00e1 thai sau \u0111\u00f3, n\u00ean s\u1ed1 tr\u1ebb b\u1ecb d\u1ecb t\u1eadt n\u00f3i chung v\u00e0 t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng n\u00f3i ri\u00eang sinh ra gi\u1ea3m.<\/p>\n

Nguy c\u01a1 tr\u1ebb b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c nhau. Tuy nhi\u00ean, nh\u1eefng c\u1eb7p b\u1ed1 m\u1eb9 \u0111\u00e3 c\u00f3 con b\u1ecb d\u1ecb t\u1eadt n\u00e0y ho\u1eb7c khi\u1ebfm khuy\u1ebft \u1ed1ng th\u1ea7n kinh kh\u00e1c th\u00ec nguy c\u01a1 sinh con th\u1ee9 2 b\u1ecb n\u1ee9t \u0111\u1ed1t s\u1ed1ng t\u0103ng l\u00ean 4%. C\u1eb7p b\u1ed1 m\u1eb9 \u0111\u00e3 c\u00f3 hai tr\u1ebb b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng th\u00ec c\u00f3 nguy c\u01a1 t\u0103ng 10% sinh th\u00eam tr\u1ebb b\u1ecb d\u1ecb t\u1eadt n\u00e0y. Khi b\u1ed1 ho\u1eb7c m\u1eb9 b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng, con sinh ra s\u1ebd c\u00f3 4% kh\u1ea3 n\u0103ng b\u1ecb d\u1ecb t\u1eadt n\u00e0y (Cheschier, 2003). M\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 1500 tr\u1ebb sinh ra b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng \u1edf Hoa K\u1ef3 (Canfield, 2006).<\/p>\n

V\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0y, ch\u00fang ta ch\u01b0a c\u00f3 \u0111\u01b0\u1ee3c con s\u1ed1 chi ti\u1ebft v\u1ec1 t\u1ef7 l\u1ec7 m\u1eafc h\u00e0ng n\u0103m v\u00e0 t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc d\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng\/n\u00e3o \u00fang th\u1ee7y \u1edf Vi\u1ec7t Nam. \u201cHi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u v\u1ec1 khi\u1ebfm khuy\u1ebft c\u1ee7a tr\u1ebb sinh ra \u1edf Vi\u1ec7t Nam. Ch\u00fang ta ch\u01b0a c\u00f3 m\u1ed9t b\u1ed9 ph\u1eadn ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 vi\u1ec7c \u0111\u0103ng k\u00fd ho\u1eb7c theo d\u00f5i tr\u1ebb sinh ra b\u1ecb khi\u1ebfm khuy\u1ebft. Tuy nhi\u00ean, Vi\u1ec7t Nam c\u00f3 nh\u1eefng ch\u00ednh s\u00e1ch m\u1ea1nh m\u1ebd nh\u1eb1m \u0111em l\u1ea1i s\u1ef1 c\u00f4ng b\u1eb1ng trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi d\u00e2n, c\u0169ng nh\u01b0 c\u1ea5u tr\u00fac ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ban \u0111\u1ea7u t\u1ed1t. V\u00ec v\u1eady, vi\u1ec7c theo d\u00f5i khuy\u1ebft t\u1eadt \u1edf tr\u1ebb sinh ra l\u00e0 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c.\u201d (Truong Hoang, 2013).<\/p>\n

4. Y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n

Nh\u1eefng ng\u01b0\u1eddi trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb c\u00f3 nguy c\u01a1 sinh ra tr\u1ebb b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng g\u1ed3m:<\/p>\n

    \n
  • C\u00e1c c\u1eb7p \u0111\u00f4i m\u00e0 m\u1ed9t ho\u1eb7c c\u1ea3 hai ng\u01b0\u1eddi b\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng, ho\u1eb7c gia \u0111\u00ecnh c\u00f3 ti\u1ec1n s\u1eed d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh.<\/li>\n
  • Con trong l\u1ea7n mang thai tr\u01b0\u1edbc b\u1ecb d\u1ecb t\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng.<\/li>\n
  • Ph\u1ee5 n\u1eef b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n
  • Ph\u1ee5 n\u1eef d\u00f9ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh (v\u00ed d\u1ee5: axit valproic).<\/li>\n
  • Ph\u1ee5 n\u1eef b\u1ecb b\u1ec7nh Coeliac (kh\u00f4ng dung n\u1ea1p gluten) ho\u1eb7c t\u00ecnh tr\u1ea1ng h\u1ea5p thu dinh d\u01b0\u1ee1ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/li>\n
  • Ph\u1ee5 n\u1eef t\u0103ng c\u00e2n tr\u1ea7m tr\u1ecdng (v\u00ed d\u1ee5 BMI>30).<\/li>\n
  • Ph\u1ee5 n\u1eef m\u1edbi \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb b\u00e9o ph\u00ec (kh\u00f4ng n\u00ean c\u00f3 thai trong 2 n\u0103m \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh).<\/li>\n
  • C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 \u0111\u00f3ng g\u00f3p v\u00e0o nguy c\u01a1 d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh: h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3u, t\u0103ng th\u00e2n nhi\u1ec7t, y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng (v\u00ed d\u1ee5: \u00f4 nhi\u00eam m\u00f4i tr\u01b0\u1eddng do h\u00f3a ch\u1ea5t c\u00f4ng nghi\u1ec7p, dung m\u00f4i)<\/li>\n<\/ul>\n

    (Ngu\u1ed3n theo Hi\u1ec7p h\u1ed9i T\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng \/ N\u00e3o \u00fang th\u1ee7y Qu\u1ed1c t\u1ebf)<\/p>\n","protected":false},"excerpt":{"rendered":"

    T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng l\u00e0 m\u1ed9t khuy\u1ebft t\u1eadt c\u1ee7a \u1ed1ng th\u1ea7n kinh do s\u1ef1 kh\u00f4ng \u0111\u00f3ng k\u00edn c\u1ee7a c\u1ed9t s\u1ed1ng. T\u1eadt n\u1ee9t \u0111\u1ed1t s\u1ed1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh b\u1eb1ng si\u00eau \u00e2m ho\u1eb7c g\u1ee3i \u00fd b\u1edfi s\u1ef1 t\u0103ng n\u1ed3ng \u0111\u1ed9 \u03b1-fetoprotein trong n\u01b0\u1edbc \u1ed1i v\u00e0 huy\u1ebft thanh c\u1ee7a ng\u01b0\u1eddi m\u1eb9. N\u1ee9t \u0111\u1ed1t s\u1ed1ng […]<\/p>\n","protected":false},"author":42,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nT\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng - \u0110a\u0323i c\u01b0\u01a1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng l\u00e0 m\u1ed9t khuy\u1ebft t\u1eadt c\u1ee7a \u1ed1ng th\u1ea7n kinh do s\u1ef1 kh\u00f4ng \u0111\u00f3ng k\u00edn c\u1ee7a c\u1ed9t s\u1ed1ng. va\u0300 l\u00e0 m\u1ed9t trong nh\u1eefng\u00a0d\u1ecb t\u1eadt b\u1ea9m sinh.\" \/>\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=\"T\u00e2\u0323t n\u01b0\u0301t \u0111\u00f4\u0301t s\u00f4\u0301ng - 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