{"id":29804,"date":"2023-05-06T20:04:26","date_gmt":"2023-05-06T13:04:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29804"},"modified":"2023-05-07T10:30:23","modified_gmt":"2023-05-07T03:30:23","slug":"tien-san-giat-phan-loai-cac-yeu-to-nguy-co-phong-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/tien-san-giat-phan-loai-cac-yeu-to-nguy-co-phong-benh\/","title":{"rendered":"Ti\u1ec1n s\u1ea3n gi\u1eadt: ph\u00e2n lo\u1ea1i, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, ph\u00f2ng b\u1ec7nh"},"content":{"rendered":"

Ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt<\/a> l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1ed9i khoa th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ph\u1ee5 n\u1eef\u00a0 mang thai v\u1edbi t\u1ec9 l\u1ec7 t\u1eeb 2% – 8%. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 ph\u00f9, huy\u1ebft \u00e1p t\u0103ng v\u00e0\u00a0 protein ni\u1ec7u. L\u00e0 1 trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong cho m\u1eb9 v\u00e0 thai<\/strong>.<\/p>\n

1. Gi\u1edbi thi\u1ec7u ti\u1ec1n s\u1ea3n gi\u1eadt<\/h2>\n

Ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n ti\u1ebfn tri\u1ec3n \u0111a h\u1ec7 th\u1ed1ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 kh\u1edfi ph\u00e1t m\u1edbi c\u1ee7a t\u0103ng huy\u1ebft \u00e1p v\u00e0 protein ni\u1ec7u ho\u1eb7c kh\u1edfi ph\u00e1t t\u0103ng huy\u1ebft \u00e1p m\u1edbi c\u1ed9ng v\u1edbi r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan \u0111\u00edch (m\u1eaft, n\u00e3o, th\u1eadn, m\u1ea1ch m\u00e1u) c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 protein ni\u1ec7u, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau 20 tu\u1ea7n c\u1ee7a thai k\u1ef3 ho\u1eb7c sau khi sinh.<\/p>\n

C\u01a1 ch\u1ebf b\u1ec7nh sinh li\u00ean quan \u0111\u1ebfn c\u1ea3 s\u1ef1 b\u1ea5t th\u01b0\u1eddng c\u1ee7a nhau thai v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng m\u1ea1ch m\u00e1u h\u1ec7 th\u1ed1ng c\u1ee7a m\u1eb9.\u00a0Kho\u1ea3ng 90 ph\u1ea7n tr\u0103m c\u00e1c tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n \u1edf giai \u0111o\u1ea1n sinh non mu\u1ed9n (\u226534 \u0111\u1ebfn <37 tu\u1ea7n), \u0111\u1ee7 th\u00e1ng ho\u1eb7c sau sinh. Kho\u1ea3ng 10 ph\u1ea7n tr\u0103m tr\u01b0\u1eddng h\u1ee3p c\u00f2n l\u1ea1i c\u00f3 bi\u1ec3u hi\u1ec7n s\u1edbm (<34 tu\u1ea7n) v\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh nghi\u00eam tr\u1ecdng ho\u1eb7c t\u1eed vong chu sinh cao h\u01a1n do c\u00e1c r\u1ee7i ro li\u00ean quan \u0111\u1ebfn sinh non v\u1eeba ph\u1ea3i, r\u1ea5t non ho\u1eb7c c\u1ef1c k\u1ef3 non th\u00e1ng.<\/p>\n

M\u1eb7c d\u00f9 ch\u1ee9ng r\u1ed1i lo\u1ea1n lu\u00f4n t\u1ef1 kh\u1ecfi trong v\u00e0i ng\u00e0y ho\u1eb7c v\u00e0i tu\u1ea7n sau khi sinh, nh\u01b0ng nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00e0 t\u1eed vong li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch cao h\u01a1n trong su\u1ed1t cu\u1ed9c \u0111\u1eddi.<\/p>\n

\"minh-hoa-tram-cam-khi-mang-thai\"<\/p>\n

Ti\u1ec1n s\u1ea3n gi\u1eadt<\/p>\n

2. Ph\u00e2n lo\u1ea1i ti\u1ec1n s\u1ea3n gi\u1eadt<\/h2>\n

2.1 Ti\u1ec1n s\u1ea3n gi\u1eadt nh\u1eb9\u00a0<\/strong><\/p>\n

    \n
  • Huy\u1ebft \u00e1p (HA) \u2265 140\/90 mmHg sau tu\u1ea7n 20 c\u1ee7a thai k\u1ef3.<\/li>\n
  • Protein\/ ni\u1ec7u \u2265 300 mg\/24 gi\u1edd hay que th\u1eed nhanh (+)<\/li>\n<\/ul>\n

    2.2 Ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng<\/strong><\/p>\n

    +<\/strong> Huy\u1ebft \u00e1p \u2265 160\/110 mm Hg.<\/p>\n

    +<\/strong> Protein\/ ni\u1ec7u \u2265 5 g\/24 gi\u1edd hay que th\u1eed 3+ (2 m\u1eabu th\u1eed ng\u1eabu nhi\u00ean).<\/p>\n

    +<\/strong> Thi\u1ec3u ni\u1ec7u, n\u01b0\u1edbc ti\u1ec3u\u00a0 < 500 ml\/ 24 gi\u1edd.<\/p>\n

    +<\/strong> Creatinine \/ huy\u1ebft t\u01b0\u01a1ng > 1.3 mg\/dL.<\/p>\n

    +<\/strong> Ti\u1ec3u c\u1ea7u < 100,000\/mm3<\/sup>.<\/p>\n

    +<\/strong>T\u0103ng men gan ALT hay AST (g\u1ea5p \u0111\u00f4i ng\u01b0\u1ee1ng tr\u00ean gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng).<\/p>\n

    +<\/strong> Ax\u00edt uric t\u0103ng cao<\/p>\n

    +<\/strong> Thai ch\u1eadm ph\u00e1t tri\u1ec3n.<\/p>\n

    +<\/strong> Nh\u1ee9c \u0111\u1ea7u hay nh\u00ecn m\u1edd.<\/p>\n

    +<\/strong> \u0110au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c h\u1ea1 s\u01b0\u1eddn ph\u1ea3i.<\/p>\n

    S\u1ea3n gi\u1eadt \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi c\u00f3 c\u01a1n co gi\u1eadt x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef mang thai c\u00f3 tri\u1ec7u ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n n\u00e0o kh\u00e1c \u0111\u1ec3 gi\u1ea3i th\u00edch. C\u00e1c c\u01a1n co gi\u1eadt trong s\u1ea3n gi\u1eadt th\u01b0\u1eddng l\u00e0 to\u00e0n th\u00e2n, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc, trong chuy\u1ec3n d\u1ea1 hay trong th\u1eddi k\u1ef3 h\u1eadu s\u1ea3n. S\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 d\u1ef1 ph\u00f2ng \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec7u tr\u1ecb s\u1edbm ti\u1ec1n s\u1ea3n gi\u1eadt<\/p>\n

    3. C\u00e1c y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ti\u1ec1n s\u1ea3n gi\u1eadt<\/h2>\n
      \n
    • Ti\u1ec1n s\u1ea3n gi\u1eadt trong l\u1ea7n mang thai tr\u01b0\u1edbc: Ti\u1ec1n\u00a0s\u1eed ti\u1ec1n s\u1ea3n gi\u1eadt\u00a0l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ti\u1ec1n s\u1ea3n gi\u1eadt trong l\u1ea7n mang thai ti\u1ebfp theo g\u1ea5p 8 l\u1ea7n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed n\u00e0y<\/li>\n
    • Tu\u1ed5i mang thai c\u1ee7a ng\u01b0\u1eddi m\u1eb9 >40 ho\u1eb7c <18 tu\u1ed5i<\/li>\n
    • Ti\u1ec1n s\u1eed gia \u0111\u00ecnh ti\u1ec1n s\u1ea3n gi\u1eadt<\/li>\n
    • T\u0103ng huy\u1ebft \u00e1p m\u00e3n t\u00ednh: l\u00e0m t\u0103ng nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt g\u1ea5p 5 l\u1ea7n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0y<\/li>\n
    • B\u1ec7nh th\u1eadn m\u00e3n t\u00ednh<\/li>\n
    • B\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch (v\u00ed d\u1ee5, h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng)<\/li>\n
    • C\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng m\u00e1u<\/li>\n
    • \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng (tr\u01b0\u1edbc khi mang thai v\u00e0 trong thai k\u1ef3)<\/li>\n
    • Mang \u0111a thai<\/li>\n
    • Th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec tr\u01b0\u1edbc khi mang thai<\/li>\n
    • Ng\u01b0\u1eddi m\u1eb9 m\u1eafc c\u00e1c b\u1ec7nh v\u1ec1 t\u00e2m l\u00fd, t\u00e2m th\u1ea7n,…<\/li>\n
    • C\u00e1c bi\u1ebfn ch\u1ee9ng thai k\u1ef3 tr\u01b0\u1edbc \u0111\u00f3 li\u00ean quan \u0111\u1ebfn suy nhau thai<\/li>\n<\/ul>\n

      4. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 h\u1ea1n ch\u1ebf b\u1ec7nh t\u00e1i ph\u00e1t<\/h2>\n

      C\u00e1c v\u1ea5n \u0111\u1ec1 ti\u00ean l\u01b0\u1ee3ng bao g\u1ed3m nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt t\u00e1i ph\u00e1t v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan trong l\u1ea7n mang thai ti\u1ebfp theo v\u00e0 r\u1ee7i ro s\u1ee9c kh\u1ecfe b\u00e0 m\u1eb9 l\u00e2u d\u00e0i. Ti\u1ec1n s\u1ea3n gi\u1eadt t\u00e1i ph\u00e1t c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng x\u1ea3y ra sau khi mang thai \u0111\u01a1n b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt h\u01a1n l\u00e0 sau khi mang song thai b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt.<\/p>\n

      Ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t b\u1eb1ng c\u00e1c c\u00e1ch sau:<\/span><\/strong><\/p>\n

        \n
      • Li\u1ec7u ph\u00e1p <\/span>aspirin li\u1ec1u th\u1ea5p trong th\u1eddi k\u1ef3 mang thai l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh cao.<\/li>\n
      • Gi\u1ea3m c\u00e2n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t ti\u1ec1n s\u1ea3n gi\u1eadt. B\u00ean c\u1ea1nh \u0111\u00f3 l\u00e0 t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh<\/li>\n
      • \u0110i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec1n s\u1ea3n gi\u1eadt ban \u0111\u1ea7u: \u0110i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch v\u00e0 k\u1ecbp th\u1eddi trong giai \u0111o\u1ea1n ti\u1ec1n s\u1ea3n gi\u1eadt s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh.<\/li>\n
      • Ki\u1ec3m so\u00e1t \u00e1p huy\u1ebft: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ecbnh k\u1ef3 ki\u1ec3m tra huy\u1ebft \u00e1p v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/li>\n
      • Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn: B\u1ec7nh nh\u00e2n c\u1ea7n th\u01b0\u1eddng xuy\u00ean theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn th\u00f4ng qua x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u, v\u00e0 tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 gi\u1ea3m t\u1ea3i l\u00ean ch\u1ee9c n\u0103ng th\u1eadn.<\/li>\n
      • Theo d\u00f5i thai k\u1ef3: B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o thai nhi ph\u00e1t tri\u1ec3n t\u1ed1t v\u00e0 \u0111\u00fang k\u1ef3.<\/li>\n
      • Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: B\u1ec7nh nh\u00e2n n\u00ean \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng, gi\u1ea3m \u0111\u1ed3 \u0103n c\u00f3 natri v\u00e0 ch\u1ea5t b\u00e9o cao, v\u00e0 t\u0103ng c\u01b0\u1eddng vi\u1ec7c u\u1ed1ng n\u01b0\u1edbc.<\/li>\n
      • Gi\u1ea3m c\u0103ng th\u1eb3ng: B\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh c\u00e1c t\u00ecnh hu\u1ed1ng c\u0103ng th\u1eb3ng, gi\u1ea3m stress, \u0111\u1ea3m b\u1ea3o gi\u1ea5c ng\u1ee7 \u0111\u1ea7y \u0111\u1ee7 v\u00e0 \u0111\u00fang gi\u1edd.<\/li>\n
      • Tu\u00e2n th\u1ee7 l\u1ecbch h\u1eb9n \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ebfn kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 v\u00e0 tu\u00e2n th\u1ee7 l\u1ecbch h\u1eb9n \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe.<\/li>\n<\/ul>\n

        Tuy nhi\u00ean, c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 h\u1ea1n ch\u1ebf b\u1ec7nh t\u00e1i ph\u00e1t l\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 cao ho\u1eb7c c\u00f3 bi\u1ebfn ch\u1ee9ng c\u1ee7a n\u00f3.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1ed9i khoa th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ph\u1ee5 n\u1eef\u00a0 mang thai v\u1edbi t\u1ec9 l\u1ec7 t\u1eeb 2% – 8%. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 ph\u00f9, huy\u1ebft \u00e1p t\u0103ng v\u00e0\u00a0 protein ni\u1ec7u. L\u00e0 1 trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong cho m\u1eb9 v\u00e0 thai. 1. Gi\u1edbi thi\u1ec7u ti\u1ec1n […]<\/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":"\nTi\u1ec1n s\u1ea3n gi\u1eadt: ph\u00e2n lo\u1ea1i, c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, ph\u00f2ng b\u1ec7nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1ed9i khoa th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ph\u1ee5 n\u1eef\u00a0 mang thai v\u1edbi t\u1ec9 l\u1ec7 t\u1eeb 2% - 8%. 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