{"id":32395,"date":"2023-05-07T16:49:20","date_gmt":"2023-05-07T09:49:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32395"},"modified":"2023-05-07T16:49:20","modified_gmt":"2023-05-07T09:49:20","slug":"thong-lien-nhi-tren-phu-nu-co-thai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/thong-lien-nhi-tren-phu-nu-co-thai\/","title":{"rendered":"B\u1ec7nh th\u00f4ng li\u00ean nh\u0129 v\u00e0 v\u1ea5n \u0111\u1ec1 thai s\u1ea3n"},"content":{"rendered":"<p><strong>B\u1ec7nh th\u00f4ng li\u00ean nh\u0129 (VSD)\u00a0l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tim m\u1ea1ch b\u1ea9m sinh, trong \u0111\u00f3 t\u1ed3n t\u1ea1i m\u1ed9t l\u1ed7 th\u00f4ng gi\u1eefa hai nh\u0129 tr\u00e1i v\u00e0 ph\u1ea3i c\u1ee7a tr\u00e1i tim. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p m\u00e1u ch\u01b0a \u0111\u01b0\u1ee3c oxy h\u00f3a t\u1eeb nh\u0129 ph\u1ea3i ch\u1ea3y qua l\u1ed7 th\u00f4ng sang nh\u0129 tr\u00e1i v\u00e0 v\u00e0o d\u00f2ng tu\u1ea7n ho\u00e0n c\u1ee7a m\u00e1u oxy h\u00f3a. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai, b\u1ec7nh th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/strong><\/p>\n<h2>1. Gi\u1edbi thi\u1ec7u<\/h2>\n<p>B\u1ec7nh th\u00f4ng li\u00ean nh\u0129 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tim m\u1ea1ch b\u1ea9m sinh, trong \u0111\u00f3 t\u1ed3n t\u1ea1i m\u1ed9t l\u1ed7 th\u00f4ng gi\u1eefa hai nh\u0129 tr\u00e1i v\u00e0 ph\u1ea3i c\u1ee7a tr\u00e1i tim. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p m\u00e1u ch\u01b0a \u0111\u01b0\u1ee3c oxy h\u00f3a t\u1eeb nh\u0129 ph\u1ea3i ch\u1ea3y qua l\u1ed7 th\u00f4ng sang nh\u0129 tr\u00e1i v\u00e0 v\u00e0o d\u00f2ng tu\u1ea7n ho\u00e0n c\u1ee7a m\u00e1u oxy h\u00f3a. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai, b\u1ec7nh th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/p>\n<p>Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai kh\u00f4ng r\u00f5 r\u00e0ng, nh\u01b0ng c\u00f3 th\u1ec3 do t\u00e1c \u0111\u1ed9ng c\u1ee7a y\u1ebfu t\u1ed1 di truy\u1ec1n ho\u1eb7c m\u00f4i tr\u01b0\u1eddng. Nh\u1eefng ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch, ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 cao h\u01a1n \u0111\u1ec3 m\u1eafc b\u1ec7nh n\u00e0y. Bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 l\u00e0 cu\u1ed3ng nh\u0129 ho\u1eb7c rung nh\u0129 m\u1edbi xu\u1ea5t hi\u1ec7n.<\/p>\n<p>B\u1ec7nh th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 cho thai nhi, bao g\u1ed3m suy dinh d\u01b0\u1ee1ng, t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, suy tim v\u00e0 d\u1ecb t\u1eadt tim m\u1ea1ch. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\" wp-image-32401 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Ventricular_septal_defect-1-300x226.png\" alt=\"Th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai\" width=\"404\" height=\"304\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Ventricular_septal_defect-1-300x226.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Ventricular_septal_defect-1.png 500w\" sizes=\"(max-width: 404px) 100vw, 404px\" \/><\/p>\n<p style=\"text-align: center;\"><strong>Th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai<\/strong><\/p>\n<h2>2. C\u00e1c ch\u1ec9 \u0111\u1ecbnh v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>L\u00e0 b\u1ec7nh l\u00fd TBS th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ng\u01b0\u1eddi l\u1edbn, ti\u1ebfn tri\u1ec3n t\u1ef1 nhi\u00ean t\u01b0\u01a1ng \u0111\u1ed1i ch\u1eadm v\u1edbi r\u1ea5t \u00edt bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng. Lu\u1ed3ng th\u00f4ng c\u00f3 xu h\u01b0\u1edbng t\u0103ng l\u00ean theo tu\u1ed5i khi t\u00e2m th\u1ea5t tr\u00e1i d\u00e0y l\u00ean. D\u1ec5 b\u1ecb b\u1ecf qua v\u00ec c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng nh\u01b0 ti\u1ebfng T2 t\u00e1ch \u0111\u00f4i c\u1ed1 \u0111\u1ecbnh c\u00f3 th\u1ec3 kh\u00f3 ph\u00e1t hi\u1ec7n. Bi\u1ec3u hi\u1ec7n \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 l\u00e0 cu\u1ed3ng nh\u0129 ho\u1eb7c rung nh\u0129 m\u1edbi xu\u1ea5t hi\u1ec7n.<\/p>\n<h3>2.1 Ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129:<\/h3>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n<ul>\n<li>C\u00f3 d\u1ea5u hi\u1ec7u qu\u00e1 t\u1ea3i th\u1ea5t ph\u1ea3i v\u00e0 \u00e1p l\u1ef1c \u0110M ph\u1ed5i\/\u00e1p l\u1ef1c \u0110M h\u1ec7 th\u1ed1ng &lt; 2\/3 v\u00e0\/ho\u1eb7c s\u1ee9c c\u1ea3n \u0110M ph\u1ed5i\/s\u1ee9c c\u1ea3n \u0110M h\u1ec7 th\u1ed1ng &lt; 2\/3 (ch\u01b0a ti\u1ebfn tri\u1ec3n \u0111\u1ebfn giai \u0111o\u1ea1n t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u1ed1 \u0111\u1ecbnh)<\/li>\n<li>Kh\u00f4ng gi\u1edbi h\u1ea1n \u0111\u1ed9 tu\u1ed5i<\/li>\n<li>C\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn b\u00edt b\u1eb1ng d\u1ee5ng c\u1ee5 qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng ho\u1eb7c ph\u0201u thu\u1eadt<\/li>\n<\/ul>\n<p>Ch\u1ec9 \u0111\u1ecbnh b\u00edt th\u00f4ng li\u00ean nh\u0129 b\u1eb1ng d\u1ee5ng c\u1ee5 qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng:<\/p>\n<p>TLN c\u00f2n ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng l\u1ed7 th\u00f4ng<\/p>\n<p>K\u00edch th\u01b0\u1edbc l\u1ed7 th\u00f4ng \u0111o tr\u00ean si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c v\u00e0 si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n \u2264 34 mm v\u1edbi c\u00e1c g\u1edd \u0111\u1ee7 d\u00e0i (&gt; 5 mm) Kh\u00f4ng c\u00f3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p.<\/p>\n<h3>2.2 Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt v\u00e1 th\u00f4ng li\u00ean nh\u0129: TLN c\u00f2n ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng l\u1ed7 th\u00f4ng<\/h3>\n<p>Gi\u1ea3i ph\u1eabu kh\u00f4ng th\u00edch h\u1ee3p \u0111\u1ec3 \u0111\u00f3ng b\u1eb1ng d\u1ee5ng c\u1ee5 qua da: TLN ki\u1ec3u l\u1ed7 th\u1ee9 nh\u1ea5t, th\u00f4ng s\u00e0n nh\u0129 &#8211; th\u1ea5t, TLN d\u1ea1ng s\u00e0ng, TLN l\u1ed7 l\u1edbn v\u1edbi c\u00e1c g\u1edd quanh l\u1ed7 th\u00f4ng ng\u1eafn, TLN th\u1ec3 xoang t\u0129nh m\u1ea1ch (th\u01b0\u1eddng \u0111i k\u00e8m t\u0129nh m\u1ea1ch ph\u1ed5i \u0111\u1ed5 v\u1ec1 b\u1ea5t th\u01b0\u1eddng), TLN k\u00e8m c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p kh\u00e1c.<\/p>\n<p>BN d\u1ecb \u1ee9ng v\u1edbi Niken (v\u1eadt li\u1ec7u c\u1ee7a d\u1ee5ng c\u1ee5 \u0111\u00f3ng TLN ), ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (thu\u1ed1c c\u1ea7n s\u1eed d\u1ee5ng sau b\u00edt TLN b\u1eb1ng d\u1ee5ng c\u1ee5)<\/p>\n<h3>2.3 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng l\u1ed7 th\u00f4ng li\u00ean nh\u0129:<\/h3>\n<p>Th\u00f4ng li\u00ean nh\u0129 \u0111\u00e3 t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u1ed1 \u0111\u1ecbnh.<\/p>\n<p>R\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 l\u00e0 m\u1ed9t trong c\u00e1c di\u1ec5n bi\u1ebfn mu\u1ed9n c\u1ee7a b\u1ec7nh, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u0111i\u1ec7n sinh l\u00fd.<\/p>\n<p>Nguy c\u01a1 vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c \u1edf b\u1ec7nh nh\u00e2n TLN r\u1ea5t th\u1ea5p, kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng.<\/p>\n<h2>3. K\u1ebft lu\u1eadn<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c r\u1ee7i ro v\u00e0 v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd tim m\u1ea1ch n\u00e0y. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc c\u1ee7a l\u1ed7 th\u00f4ng v\u00e0 m\u1ee9c \u0111\u1ed9 t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh \u0111\u1ed1i v\u1edbi m\u1eb9 v\u00e0 thai nhi.<\/p>\n<p>Theo\u00a0<a class=\" MarkdownLink_linkifiedLink__KxC9G\">American Heart Association<\/a>, n\u1ebfu l\u1ed7 th\u00f4ng nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh\u00a0<a class=\" MarkdownLink_linkifiedLink__KxC9G\">theo<\/a>\u00a0d\u00f5i v\u00e0 gi\u00e1m s\u00e1t s\u1ee9c kh\u1ecfe c\u1ee7a ph\u1ee5 n\u1eef v\u00e0 thai nhi th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh. N\u1ebfu l\u1ed7 th\u00f4ng l\u1edbn h\u01a1n v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf v\u00e0 \u0111au ng\u1ef1c, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t ph\u1eabu thu\u1eadt \u0111\u1ec3 s\u1eeda ch\u1eefa l\u1ed7 th\u00f4ng.<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1ec3 s\u1eeda ch\u1eefa l\u1ed7 th\u00f4ng bao g\u1ed3m ph\u1eabu thu\u1eadt m\u1edf ho\u1eb7c can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng. Ph\u1eabu thu\u1eadt m\u1edf l\u00e0 ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng, trong \u0111\u00f3 s\u1ebd c\u1eaft m\u1ed9t khe nh\u1ecf tr\u00ean ng\u1ef1c \u0111\u1ec3 ti\u1ebfp c\u1eadn tr\u00e1i tim v\u00e0 s\u1eeda ch\u1eefa l\u1ed7 th\u00f4ng. Can thi\u1ec7p qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ti\u00ean ti\u1ebfn h\u01a1n, s\u1ebd ch\u00e8n m\u1ed9t \u1ed1ng th\u00f4ng qua t\u0129nh m\u1ea1ch c\u1ee7a c\u00e1nh tay ho\u1eb7c ch\u00e2n \u0111\u1ec3 ti\u1ebfp c\u1eadn tr\u00e1i tim.<\/p>\n<p>Ngo\u00e0i ra, ph\u1ee5 n\u1eef c\u00f3 thai c\u1ea7n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch qu\u1ea3n l\u00fd v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh v\u00e0 thai nhi, bao g\u1ed3m t\u1eadp th\u1ec3 d\u1ee5c, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 gi\u1ea3m stress. N\u1ebfu ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c, c\u00f3 th\u1ec3 khuy\u1ebfn kh\u00edch h\u1ecd s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/p>\n<p>T\u1ed5ng h\u1ee3p l\u1ea1i, \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh th\u00f4ng li\u00ean nh\u0129 tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 thai nhi. Vi\u1ec7c theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn s\u1ebd gi\u00fap gi\u1ea3m thi\u1ec3u c\u00e1c r\u1ee7i ro v\u00e0 v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd tim m\u1ea1ch n\u00e0y.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh th\u00f4ng li\u00ean nh\u0129 (VSD)\u00a0l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tim m\u1ea1ch b\u1ea9m sinh, trong \u0111\u00f3 t\u1ed3n t\u1ea1i m\u1ed9t l\u1ed7 th\u00f4ng gi\u1eefa hai nh\u0129 tr\u00e1i v\u00e0 ph\u1ea3i c\u1ee7a tr\u00e1i tim. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p m\u00e1u ch\u01b0a \u0111\u01b0\u1ee3c oxy h\u00f3a t\u1eeb nh\u0129 ph\u1ea3i ch\u1ea3y qua l\u1ed7 th\u00f4ng sang nh\u0129 tr\u00e1i v\u00e0 v\u00e0o d\u00f2ng tu\u1ea7n ho\u00e0n c\u1ee7a m\u00e1u oxy [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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