{"id":30675,"date":"2023-05-03T14:08:09","date_gmt":"2023-05-03T07:08:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30675"},"modified":"2023-05-03T14:08:09","modified_gmt":"2023-05-03T07:08:09","slug":"rau-bong-non-chan-doan-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/rau-bong-non-chan-doan-dieu-tri\/","title":{"rendered":"Rau bong non: ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Rau bong non l\u00e0 rau b\u00e1m \u0111\u00fang v\u1ecb tr\u00ed nh\u01b0ng bong m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9 b\u00e1nh rau tr\u01b0\u1edbc khi s\u1ed5 thai. Rau bong non l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u s\u1ea3n khoa, th\u01b0\u1eddng x\u1ea3y ra \u1edf 3 th\u00e1ng cu\u1ed1i th\u1eddi k\u00ec thai ngh\u00e9n, di\u1ec5n bi\u1ebfn n\u1eb7ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a thai nhi v\u00e0 s\u1ea3n ph\u1ee5.<\/strong><\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i rau bong non<\/h2>\n<p>Rau bong non l\u00e0 b\u1ec7nh l\u00fd c\u1ee7a h\u1ec7 th\u1ed1ng mao m\u1ea1ch, x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh t\u1eeb th\u1ec3 nh\u1eb9 th\u00e0nh th\u1ec3 n\u1eb7ng<\/p>\n<p>4 th\u1ec3 theo h\u00ecnh th\u00e1i l\u00e2m s\u00e0ng:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Rau bong non th\u1ec3 \u1ea9n<\/li>\n<li>Rau bong non th\u1ec3 nh\u1eb9<\/li>\n<li>Rau bong non th\u1ec3 trung b\u00ecnh<\/li>\n<li>Rau bong non th\u1ec3 n\u1eb7ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure id=\"attachment_30679\" aria-describedby=\"caption-attachment-30679\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-30679\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20190724_052030_066310_rau-bong-non.max-800x800-2-300x181.png\" alt=\"Rau bong non \" width=\"300\" height=\"181\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20190724_052030_066310_rau-bong-non.max-800x800-2-300x181.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20190724_052030_066310_rau-bong-non.max-800x800-2.png 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-30679\" class=\"wp-caption-text\">Rau bong non<\/figcaption><\/figure>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n rau bong non<\/h2>\n<ul>\n<li><strong>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh <\/strong>\n<ul>\n<li><strong><em>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng <\/em><\/strong>\n<ul>\n<li>Th\u01b0\u1eddng c\u00f3 d\u1ea5u hi\u1ec7u ti\u1ec1n s\u1ea3n gi\u1eadt: cao huy\u1ebft \u00e1p, ph\u00f9, protein ni\u1ec7u\u2026<\/li>\n<li>\u0110au: \u0111au t\u1eeb t\u1eed cung sau lan kh\u1eafp \u1ed5 b\u1ee5ng, nh\u1ecbp \u0111\u1ed9 c\u01a1n \u0111au ng\u00e0y c\u00e0ng mau m\u1ea1nh, tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng tri\u1ec7u ch\u1ee9ng \u0111au b\u1ecb che l\u1ea5p do s\u1ed1c.<\/li>\n<li>Ra m\u00e1u \u00e2m \u0111\u1ea1o: m\u00e1u \u0111\u1ecf th\u1eabm, lo\u00e3ng, kh\u00f4ng \u0111\u00f4ng\u2026<\/li>\n<\/ul>\n<\/li>\n<li><strong><em>Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n:\u00a0<\/em><\/strong>\n<ul>\n<li>Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n cho\u00e1ng do \u0111au v\u00e0 do m\u1ea5t m\u00e1u: da xanh, ni\u00eam m\u1ea1c nh\u1ee3t, v\u00e3 m\u1ed3 h\u00f4i, chi l\u1ea1nh, th\u1edf nhanh, ..<\/li>\n<li>Huy\u1ebft \u00e1p th\u01b0\u1eddng kh\u00f4ng thay \u0111\u1ed5i trong nh\u1eefng gi\u1edd \u0111\u1ea7u (do ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u00f3 ti\u1ec1n s\u1eed cao huy\u1ebft \u00e1p t\u1eeb tr\u01b0\u1edbc), m\u1ea1ch nhanh.<\/li>\n<\/ul>\n<\/li>\n<li><strong><em>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3 <\/em><\/strong>\n<ul>\n<li>T\u1eed cung co c\u1ee9ng li\u00ean t\u1ee5c ho\u1eb7c t\u1eed cung co c\u1ee9ng nh\u01b0 g\u1ed7 trong th\u1ec3 n\u1eb7ng.<\/li>\n<li>Kh\u00f4ng n\u1eafn \u0111\u01b0\u1ee3c c\u00e1c ph\u1ea7n thai nhi do t\u1eed cung co c\u1ee9ng.\n<ul>\n<li>Chi\u1ec1u cao t\u1eed cung t\u0103ng d\u1ea7n do s\u1ef1 h\u00ecnh th\u00e0nh kh\u1ed1i m\u00e1u c\u1ee5c sau rau.<\/li>\n<li>Nghe: nh\u1ecbp tim thai ch\u1eadm, kh\u00f4ng \u0111\u1ec1u, ho\u1eb7c m\u1ea5t tim thai trong th\u1ec3 n\u1eb7ng.<\/li>\n<li>Kh\u00e1m \u00e2m \u0111\u1ea1o: ra m\u00e1u \u00e2m \u0111\u1ea1o, m\u00e1u \u0111en, kh\u00f4ng \u0111\u00f4ng; \u0111\u1ea7u \u1ed1i c\u0103ng ph\u1ed3ng, n\u1ebfu \u1ed1i v\u1ee1 th\u1ea5y n\u01b0\u1edbc \u1ed1i l\u1eabn m\u00e1u. D\u1ea5u hi\u1ec7u to\u00e0n th\u00e2n \u0111\u00f4i khi kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi s\u1ed1 l\u01b0\u1ee3ng m\u00e1u ch\u1ea3y ra ngo\u00e0i \u00e2m \u0111\u1ea1o.<\/li>\n<\/ul>\n<ul>\n<li><strong><em>C\u1eadn l\u00e2m s\u00e0ng <\/em><\/strong>\n<ul>\n<li>Si\u00eau \u00e2m: th\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5 sau rau, th\u01b0\u1eddng l\u00e0 kh\u1ed1i t\u0103ng \u00e2m vang ho\u1eb7c kh\u1ed1i \u00e2m vang kh\u00f4ng \u0111\u1ec1u. Tuy nhi\u00ean si\u00eau \u00e2m trong rau bong non \u0111\u1ed9 tin c\u1eady kh\u00f4ng cao v\u00ec n\u1ebfu si\u00eau \u00e2m kh\u00f4ng th\u1ea5y kh\u1ed1i b\u1ea5t th\u01b0\u1eddng sau rau c\u0169ng ch\u01b0a lo\u1ea1i tr\u1eeb rau bong non khi c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng g\u1ee3i \u00fd. Si\u00eau \u00e2m c\u0169ng th\u1ea5y s\u1ef1 bi\u1ebfn \u0111\u1ed5i c\u1ee7a nh\u1ecbp tim thai ho\u1eb7c x\u00e1c \u0111\u1ecbnh thai ch\u1ebft.<\/li>\n<li>Monitoring: nh\u1ecbp tim thai bi\u1ebfn \u0111\u1ed5i: DIP I, DIP II, DIP bi\u1ebfn \u0111\u1ed5i ho\u1eb7c kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c nh\u1ecbp tim thai.<\/li>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u: s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u gi\u1ea3m, haemoglobin gi\u1ea3m, ti\u1ec3u c\u1ea7u gi\u1ea3m, fibrinogen gi\u1ea3m,<em><strong> ATTP t\u0103ng<\/strong> <\/em>h\u01a1n so v\u1edbi m\u1ee9c b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u th\u01b0\u1eddng c\u00f3 protein.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>3. C\u00e1c th\u1ec3 l\u00e2m s\u00e0ng<\/h2>\n<p><strong>3.1 Th\u1ec3 \u1ea9n<\/strong><\/p>\n<p>Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng r\u00f5 r\u1ec7t, cu\u1ed9c chuy\u1ec3n d\u1ea1 b\u00ecnh th\u01b0\u1eddng, s\u01a1 sinh kh\u1ecfe m\u1ea1nh. Ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c sau khi s\u1ed5 rau th\u1ea5y c\u00f3 m\u00e1u t\u1ee5 sau rau.\u00a0 Ng\u00e0y nay nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c nh\u1edd si\u00eau \u00e2m th\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5 sau rau.<\/p>\n<p><strong>3.2 Th\u1ec3 nh\u1eb9\u00a0<\/strong><\/p>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7, c\u00f3 th\u1ec3 c\u00f3 ti\u1ec1n s\u1ea3n gi\u1eadt, c\u01a1n co t\u1eed cung h\u01a1i c\u01b0\u1eddng t\u00ednh, tim thai b\u00ecnh th\u01b0\u1eddng ho\u1eb7c nhanh 160-170 l\u1ea7n\/ph\u00fat.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c sau khi s\u1ed5 rau th\u1ea5y c\u00f3 m\u00e1u t\u1ee5 sau rau ho\u1eb7c si\u00eau \u00e2m th\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5 sau rau.<\/li>\n<\/ul>\n<p><strong>3.3 Th\u1ec3 trung b\u00ecnh\u00a0<\/strong><\/p>\n<ul>\n<li>Th\u01b0\u1eddng c\u00f3 ti\u1ec1n s\u1ea3n gi\u1eadt. C\u00f3 th\u1ec3 cho\u00e1ng nh\u1eb9 ho\u1eb7c v\u1eeba.<\/li>\n<\/ul>\n<p>S\u1ea3n ph\u1ee5 \u0111au v\u1eeba, t\u1eed cung t\u0103ng tr\u01b0\u01a1ng l\u1ef1c.<\/p>\n<ul>\n<li>Ra m\u00e1u \u00e2m \u0111\u1ea1o l\u01b0\u1ee3ng v\u1eeba, \u0111en, lo\u00e3ng, kh\u00f4ng \u0111\u00f4ng.<\/li>\n<li>\u00a0Suy thai.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi: rau ti\u1ec1n \u0111\u1ea1o, thai ch\u1ebft l\u01b0u, d\u1ecda v\u1ee1 ho\u1eb7c v\u1ee1 t\u1eed cung.<\/li>\n<\/ul>\n<p><strong>3.4 Th\u1ec3 n\u1eb7ng (phong huy\u1ebft t\u1eed cung rau hay h\u1ed9i ch\u1ee9ng Couvelaire) <\/strong><\/p>\n<p>C\u00f3 \u0111\u1ee7 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb7ng, \u0111i\u1ec3n h\u00ecnh:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng ho\u1eb7c trung b\u00ecnh.<\/li>\n<li>Cho\u00e1ng n\u1eb7ng.<\/li>\n<li>Ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o nhi\u1ec1u ho\u1eb7c \u00edt kh\u00f4ng t\u01b0\u01a1ng x\u1ee9ng v\u1edbi m\u1ee9c \u0111\u1ed9 m\u1ea5t m\u00e1u.<\/li>\n<li>T\u1eed cung to l\u00ean nhanh, co c\u1ee9ng nh\u01b0 g\u1ed7.<\/li>\n<li>Tim thai m\u1ea5t.<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u: c\u00f3 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u do r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u \u1edf c\u00e1c t\u1ea1ng kh\u00e1c ngo\u00e0i t\u1eed cung nh\u01b0 ph\u1ed5i, d\u1ea1 d\u00e0y, th\u1eadn, ru\u1ed9t,\u2026<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n<p><strong>4.1 Nguy\u00ean t\u1eafc chung\u00a0<\/strong><\/p>\n<ul>\n<li>X\u1eed tr\u00ed t\u00f9y thu\u1ed9c v\u00e0o h\u00ecnh th\u00e1i rau bong non v\u00e0 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n, k\u1ecbp th\u1eddi, c\u1ee9u m\u1eb9 l\u00e0 ch\u00ednh. H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u cho\u00e1ng v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/li>\n<li>Chuy\u1ec3n l\u00ean tuy\u1ebfn c\u00f3 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt, n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh n\u1eb7ng ph\u1ea3i m\u1eddi tuy\u1ebfn tr\u00ean v\u1ec1 h\u1ed7 tr\u1ee3.<\/li>\n<li>M\u1ed5 l\u1ea5y thai k\u1ec3 c\u1ea3 khi thai ch\u1ebft.<\/li>\n<\/ul>\n<p><strong>4.2 H\u1ed3i s\u1ee9c n\u1ed9i khoa<\/strong><\/p>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n: m\u1ea1ch, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf.<\/li>\n<li>Cho s\u1ea3n ph\u1ee5 n\u1eb1m \u0111\u1ea7u th\u1ea5p, \u1ee7 \u1ea5m, th\u1edf oxy. Th\u00f4ng ti\u1ec3u v\u00e0 theo d\u00f5i l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<li>L\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch, b\u00f9 kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n b\u1eb1ng truy\u1ec1n d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng Ringer lactat, Natrichlorua 0,9%; dung d\u1ecbch cao ph\u00e2n t\u1eed nh\u01b0 Gelafuldin, Heasteril; truy\u1ec1n m\u00e1u v\u00e0 c\u00e1c ch\u1ebf ph\u1ea9m c\u1ee7a m\u00e1u, c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u. L\u01b0\u1ee3ng d\u1ecbch, m\u00e1u truy\u1ec1n v\u00e0 t\u1ed1c \u0111\u1ed9 truy\u1ec1n ph\u1ee5 thu\u1ed9c t\u00ecnh tr\u1ea1ng s\u1ea3n ph\u1ee5 v\u00e0 l\u01b0\u1ee3ng m\u00e1u m\u1ea5t.<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng n\u1ebfu c\u00f3: HA cao, v\u00f4 ni\u1ec7u, r\u1ed1i loan \u0111\u00f4ng m\u00e1u. Kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong>4.3 X\u1eed tr\u00ed s\u1ea3n khoa<\/strong><\/p>\n<ul>\n<li>N\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 rau bong non th\u00ec n\u00ean m\u1ed5 l\u1ea5y thai ngay \u0111\u1ec3 c\u1ee9u con v\u00e0 ph\u00f2ng bi\u1ebfn ch\u1ee9ng n\u1eb7ng h\u01a1n cho m\u1eb9. B\u1ea3o t\u1ed3n t\u1eed cung: n\u1ebfu t\u1ed5n th\u01b0\u01a1ng nh\u1ed3i m\u00e1u \u1edf t\u1eed cung kh\u00f4ng qu\u00e1 nhi\u1ec1u, t\u1eed cung c n co h\u1ed3i \u0111\u01b0\u1ee3c. N\u1ebfu s\u1ea3n ph\u1ee5 \u0111\u1ee7 con, nhi\u1ec1u tu\u1ed5i, t\u1ed5n th\u01b0\u01a1ng nh\u1ed3i m\u00e1u t\u1eed cung n\u1eb7ng hay kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c co c\u01a1 t\u1eed cung th\u00ec n\u00ean c\u1eaft t\u1eed cung ho\u00e0n to\u00e0n hay b\u00e1n ph\u1ea7n ngay \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 ch\u1ea3y m\u00e1u sau m\u1ed5.<\/li>\n<li>N\u1ebfu ch\u1ea9n \u0111o\u00e1n rau bong non sau khi s\u1ed5 thai th\u00ec ti\u1ebfn h\u00e0nh ngay c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng ch\u1ea3y m\u00e1u sau \u0111\u1ebb do r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u.<\/li>\n<\/ul>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rau bong non l\u00e0 rau b\u00e1m \u0111\u00fang v\u1ecb tr\u00ed nh\u01b0ng bong m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9 b\u00e1nh rau tr\u01b0\u1edbc khi s\u1ed5 thai. Rau bong non l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u s\u1ea3n khoa, th\u01b0\u1eddng x\u1ea3y ra \u1edf 3 th\u00e1ng cu\u1ed1i th\u1eddi k\u00ec thai ngh\u00e9n, di\u1ec5n bi\u1ebfn n\u1eb7ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a thai nhi v\u00e0 s\u1ea3n ph\u1ee5. [&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>Rau bong non: ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Rau bong non l\u00e0 rau b\u00e1m \u0111\u00fang v\u1ecb tr\u00ed nh\u01b0ng bong m\u1ed9t ph\u1ea7n hay to\u00e0n b\u1ed9 b\u00e1nh rau tr\u01b0\u1edbc khi s\u1ed5 thai. 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