{"id":32911,"date":"2023-05-11T16:07:53","date_gmt":"2023-05-11T09:07:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32911"},"modified":"2023-05-11T16:08:28","modified_gmt":"2023-05-11T09:08:28","slug":"chan-doan-nhiem-covid-19-khi-dang-mang-thai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/11\/chan-doan-nhiem-covid-19-khi-dang-mang-thai\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 khi \u0111ang mang thai"},"content":{"rendered":"<p><strong>Ng\u01b0\u1eddi mang thai b\u1ecb nhi\u1ec5m vi-r\u00fat corona g\u00e2y h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng 2 (SARS-CoV-2) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh do vi-r\u00fat n\u00e0y g\u00e2y ra: b\u1ec7nh vi-r\u00fat corona 2019 (Covid-19).<\/strong> <strong>C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 <\/strong><strong>v\u00e0 ch\u1ea9n \u0111o\u00e1n l\u00e0 nh\u01b0 nhau, b\u1ea5t k\u1ec3 t\u00ecnh tr\u1ea1ng mang thai.\u00a0<\/strong><\/p>\n<h2>1. C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19<\/h2>\n<p>&#8211; NAAT (bao g\u1ed3m c\u1ea3 RT-PCR) d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng hi\u1ec7n t\u1ea1i b\u1eb1ng c\u00e1ch l\u1ea5y c\u00e1c b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. \u0110\u1eb7c \u0111i\u1ec3m hi\u1ec7u qu\u1ea3:<\/p>\n<ul>\n<li>\u0110\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u ph\u00e2n t\u00edch cao.<\/li>\n<li>Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh ph\u1ea9m v\u00e0 th\u1eddi gian m\u1eafc b\u1ec7nh t\u1ea1i th\u1eddi \u0111i\u1ec3m x\u00e9t nghi\u1ec7m.<\/li>\n<li>T\u1ef7 l\u1ec7 \u00e2m t\u00ednh gi\u1ea3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o n\u1eb1m trong kho\u1ea3ng t\u1eeb &lt;5 \u0111\u1ebfn 40%, t\u00f9y thu\u1ed9c v\u00e0o x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/li>\n<\/ul>\n<p>&#8211; <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/chan-doan-huyet-thanh-benh-nhiem-trung\/\">Huy\u1ebft thanh h\u1ecdc<\/a> (ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3): Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3 (ho\u1eb7c nhi\u1ec5m tr\u00f9ng trong th\u1eddi gian \u00edt nh\u1ea5t 3 \u0111\u1ebfn 4 tu\u1ea7n). \u0110\u1eb7c \u0111i\u1ec3m hi\u1ec7u qu\u1ea3:<\/p>\n<ul>\n<li>\u0110\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u r\u1ea5t kh\u00e1c nhau.<\/li>\n<li>C\u00e1c kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n th\u01b0\u1eddng m\u1ea5t v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n \u0111\u1ec3 ph\u00e1t tri\u1ec3n;\u00a0IgG th\u01b0\u1eddng ph\u00e1t tri\u1ec3n sau 14 ng\u00e0y k\u1ec3 t\u1eeb khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/li>\n<li>Ph\u1ea3n \u1ee9ng ch\u00e9o v\u1edbi c\u00e1c coronavirus kh\u00e1c<\/li>\n<li>C\u00e1c k\u1ebft qu\u1ea3 ri\u00eang l\u1ebb n\u00ean \u0111\u01b0\u1ee3c di\u1ec5n gi\u1ea3i m\u1ed9t c\u00e1ch th\u1eadn tr\u1ecdng trong b\u1ed1i c\u1ea3nh t\u1ef7 l\u1ec7 hi\u1ec7n nhi\u1ec5m huy\u1ebft thanh th\u1ea5p;\u00a0c\u00e1c x\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc c\u00f3 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao v\u1eabn c\u00f3 gi\u00e1 tr\u1ecb ti\u00ean \u0111o\u00e1n d\u01b0\u01a1ng t\u00ednh th\u1ea5p.<\/li>\n<\/ul>\n<p>&#8211; X\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m tr\u00f9ng hi\u1ec7n t\u1ea1i, m\u1eabu x\u00e9t nghi\u1ec7m l\u00e0 g\u1ea1c m\u0169i h\u1ecdng ho\u1eb7c m\u0169i. \u0110\u1eb7c \u0111i\u1ec3m hi\u1ec7u qu\u1ea3:<\/p>\n<ul>\n<li>X\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean th\u01b0\u1eddng \u00edt nh\u1ea1y h\u01a1n x\u00e9t nghi\u1ec7m axit nucleic.<\/li>\n<li>\u0110\u1ed9 nh\u1ea1y c\u1ea3m cao nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 tri\u1ec7u ch\u1ee9ng trong v\u00f2ng 5 \u0111\u1ebfn 7 ng\u00e0y k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng.<\/li>\n<\/ul>\n<figure id=\"attachment_32912\" aria-describedby=\"caption-attachment-32912\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-32912\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3-300x300.png\" alt=\"Ch\u1ea9n \u0111o\u00e1n covid 19 \u1edf ph\u1ee5 n\u1eef mang thai\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Noi-dung-doan-van-ban-cua-ban-3-3.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-32912\" class=\"wp-caption-text\">Ch\u1ea9n \u0111o\u00e1n covid 19 \u1edf ph\u1ee5 n\u1eef mang thai<\/figcaption><\/figure>\n<h2>2. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh<\/h2>\n<ul>\n<li class=\"bulletIndent1\">Nhi\u1ec5m b\u1ec7nh nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c ti\u1ec1n tri\u1ec7u ch\u1ee9ng: X\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi SARS-CoV-2 nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/li>\n<li class=\"bulletIndent1\">B\u1ec7nh nh\u1eb9: B\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng n\u00e0o (v\u00ed d\u1ee5: s\u1ed1t, ho, \u0111au h\u1ecdng, kh\u00f3 ch\u1ecbu, nh\u1ee9c \u0111\u1ea7u, \u0111au c\u01a1) m\u00e0 kh\u00f4ng b\u1ecb h\u1ee5t h\u01a1i, kh\u00f3 th\u1edf ho\u1eb7c h\u00ecnh \u1ea3nh ng\u1ef1c b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>B\u1ec7nh v\u1eeba ph\u1ea3i:B\u1eb1ng ch\u1ee9ng v\u1ec1 b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi b\u1eb1ng \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng ho\u1eb7c h\u00ecnh \u1ea3nh v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy (SaO <sub>2<\/sub> ) \u226594 ph\u1ea7n tr\u0103m \u0111\u1ed1i v\u1edbi kh\u00f4ng kh\u00ed trong ph\u00f2ng \u1edf m\u1ef1c n\u01b0\u1edbc bi\u1ec3n.<\/li>\n<li>B\u1ec7nh n\u1eb7ng: T\u1ea7n s\u1ed1 h\u00f4 h\u1ea5p &gt;30 nh\u1ecbp th\u1edf m\u1ed7i ph\u00fat, SaO\u00a0<sub>2<\/sub>\u00a0&lt;94 ph\u1ea7n tr\u0103m \u1edf kh\u00f4ng kh\u00ed trong ph\u00f2ng \u1edf m\u1ef1c n\u01b0\u1edbc bi\u1ec3n, t\u1ef7 l\u1ec7 \u00e1p su\u1ea5t ri\u00eang ph\u1ea7n c\u1ee7a oxy trong \u0111\u1ed9ng m\u1ea1ch so v\u1edbi m\u1ed9t ph\u1ea7n oxy h\u00edt v\u00e0o (PaO\u00a0<sub>2<\/sub>\u00a0\/FiO\u00a0<sub>2<\/sub>\u00a0) &lt;300 ho\u1eb7c th\u00e2m nhi\u1ec5m ph\u1ed5i &gt;50 ph\u1ea7n tr\u0103m.<\/li>\n<li>C\u00e1c b\u1ec7nh kh\u00e1c: Suy h\u00f4 h\u1ea5p, s\u1ed1c nhi\u1ec5m tr\u00f9ng v\u00e0\/ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan.<\/li>\n<\/ul>\n<p>C\u00e1c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i (ph\u00e2n lo\u1ea1i Wu) l\u00e0:<\/p>\n<ul>\n<li class=\"bulletIndent1\">Nh\u1eb9: Kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eb9 (s\u1ed1t, m\u1ec7t m\u1ecfi, ho v\u00e0\/ho\u1eb7c c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n c\u1ee7a COVID-19).<\/li>\n<li class=\"bulletIndent1\">N\u1eb7ng: Th\u1edf nhanh (nh\u1ecbp th\u1edf &gt;30 nh\u1ecbp th\u1edf m\u1ed7i ph\u00fat), thi\u1ebfu oxy (\u0111\u1ed9 b\u00e3o h\u00f2a oxy \u226493 ph\u1ea7n tr\u0103m tr\u00ean kh\u00f4ng kh\u00ed trong ph\u00f2ng ho\u1eb7c PaO\u00a0<sub>2<\/sub>\u00a0\/FiO\u00a0<sub>2<\/sub> &lt;300 mmHg) ho\u1eb7c &gt; 50 ph\u1ea7n tr\u0103m t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i tr\u00ean h\u00ecnh \u1ea3nh).<\/li>\n<li class=\"bulletIndent1\">Nguy k\u1ecbch\u00a0(v\u00ed d\u1ee5 nh\u01b0 suy h\u00f4 h\u1ea5p, s\u1ed1c ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan).<\/li>\n<\/ul>\n<p>C\u00e1c \u0111\u1ecbnh ngh\u0129a kh\u00e1c v\u1ec1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng t\u1ed3n t\u1ea1i (v\u00ed d\u1ee5: m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng = \u0111\u1ed9 b\u00e3o h\u00f2a oxy ngo\u1ea1i vi c\u1ee7a m\u1eb9 [SpO\u00a0<sub>2<\/sub> ] \u226494 ph\u1ea7n tr\u0103m \u1edf kh\u00f4ng kh\u00ed trong ph\u00f2ng, c\u1ea7n b\u1ed5 sung oxy, th\u1edf m\u00e1y ho\u1eb7c oxy h\u00f3a qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 [ECMO]).<\/p>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n<p><strong>3.1 C\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng kh\u00e1c<\/strong><\/p>\n<p class=\"bulletIndent1\">C\u00e1c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u1ee7a COVID-19 c\u00f3 th\u1ec3 gi\u1ed1ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec1u b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do vi r\u00fat v\u00e0 vi khu\u1ea9n kh\u00e1c (v\u00ed d\u1ee5: c\u00fam, vi r\u00fat h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p, adenovirus, vi\u00eam ph\u1ed5i do <em>Haemophilus influenzae<\/em>, vi\u00eam ph\u1ed5i do\u00a0<em>Mycoplasma<\/em>\u00a0pneumoniae\u00a0<em>).<\/em><\/p>\n<p class=\"bulletIndent1\">Vi\u1ec7c ph\u00e1t hi\u1ec7n m\u1ea7m b\u1ec7nh kh\u00e1c kh\u00f4ng nh\u1ea5t thi\u1ebft lo\u1ea1i tr\u1eeb SARS-CoV-2 \u1edf nh\u1eefng \u0111\u1ecba \u0111i\u1ec3m c\u00f3 s\u1ef1 l\u00e2y truy\u1ec1n r\u1ed9ng r\u00e3i do \u0111\u1ed3ng nhi\u1ec5m v\u1edbi SARS-CoV-2 v\u00e0 c\u00e1c lo\u1ea1i vi r\u00fat \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p kh\u00e1c, bao g\u1ed3m c\u1ea3 b\u1ec7nh c\u00fam. \u0110\u1ed3ng nhi\u1ec5m v\u1edbi b\u1ec7nh lao c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch ho\u1eb7c t\u0103ng nguy c\u01a1 ti\u1ebfp x\u00fac v\u1edbi <em>Mycobacterium tuberculosis<\/em><\/p>\n<p><strong>3.2 Ti\u1ec1n s\u1ea3n gi\u1eadt, h\u1ed9i ch\u1ee9ng HELLP (t\u00e1n huy\u1ebft, t\u0103ng men gan, ti\u1ec3u c\u1ea7u th\u1ea5p)<\/strong><\/p>\n<p class=\"bulletIndent1\">N\u00ean xem x\u00e9t kh\u1ea3 n\u0103ng ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nghi\u00eam tr\u1ecdng ho\u1eb7c h\u1ed9i ch\u1ee9ng HELLP trong ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tra ho\u1eb7c \u0111\u00e3 x\u00e1c nh\u1eadn nhi\u1ec5m COVID-19 v\u00ec nh\u1eefng r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn thai k\u1ef3 n\u00e0y c\u00f3 th\u1ec3 b\u1eaft ch\u01b0\u1edbc ho\u1eb7c c\u00f9ng t\u1ed3n t\u1ea1i v\u1edbi nhi\u1ec5m tr\u00f9n.<\/p>\n<p class=\"bulletIndent1\">\u1ede nh\u1eefng ng\u01b0\u1eddi mang thai, m\u1ed9t s\u1ed1 b\u1ea5t th\u01b0\u1eddng trong x\u00e9t nghi\u1ec7m li\u00ean quan \u0111\u1ebfn COVID-19 (n\u1ed3ng \u0111\u1ed9 men gan t\u0103ng cao, gi\u1ea3m ti\u1ec3u c\u1ea7u) gi\u1ed1ng v\u1edbi nh\u1eefng b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra \u1edf b\u1ec7nh ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m nghi\u00eam tr\u1ecdng v\u00e0 h\u1ed9i ch\u1ee9ng HELLP.\u00a0Tan m\u00e1u t\u1ef1 mi\u1ec5n d\u1ecbch;\u00a0k\u00e9o d\u00e0i th\u1eddi gian prothrombin;\u00a0n\u1ed3ng \u0111\u1ed9 D-dimer, procalcitonin v\u00e0 protein ph\u1ea3n \u1ee9ng C (CRP) t\u0103ng cao;\u00a0s\u00e0ng l\u1ecdc kh\u00e1ng \u0111\u00f4ng lupus d\u01b0\u01a1ng t\u00ednh;\u00a0v\u00e0 m\u1ee9c \u0111\u1ed9 fibrinogen th\u1ea5p c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p COVID-19 ph\u1ee9c t\u1ea1p (l\u01b0u \u00fd ph\u1ea1m vi tham chi\u1ebfu b\u00ecnh th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi m\u1ee9c \u0111\u1ed9 D-dimer, CRP v\u00e0 fibrinogen cao h\u01a1n \u1edf ng\u01b0\u1eddi mang thai).\u00a0T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 x\u1ea3y ra do bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a COVID-19 ho\u1eb7c ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nghi\u00eam tr\u1ecdng.\u00a0C\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng tr\u00f9ng l\u1eb7p: Nh\u1ee9c \u0111\u1ea7u, b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o c\u1ea5p t\u00ednh v\u00e0 co gi\u1eadt c\u00f3 th\u1ec3 l\u00e0 bi\u1ec3u hi\u1ec7n th\u1ea7n kinh c\u1ee7a COVID-19 ho\u1eb7c ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m nghi\u00eam tr\u1ecdng\/s\u1ea3n gi\u1eadt.<\/p>\n<p>S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u0103ng huy\u1ebft \u00e1p c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 h\u1eefu \u00edch trong ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u00ec \u0111\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c h\u1ed9i ch\u1ee9ng HELLP v\u00e0 kh\u00f4ng ph\u1ea3i l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a COVID-19 (m\u1eb7c d\u00f9 t\u0103ng huy\u1ebft \u00e1p m\u00e3n t\u00ednh l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn b\u1ec7nh n\u1eb7ng).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u01b0\u1eddi mang thai b\u1ecb nhi\u1ec5m vi-r\u00fat corona g\u00e2y h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh n\u1eb7ng 2 (SARS-CoV-2) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh do vi-r\u00fat n\u00e0y g\u00e2y ra: b\u1ec7nh vi-r\u00fat corona 2019 (Covid-19). C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 v\u00e0 ch\u1ea9n \u0111o\u00e1n l\u00e0 nh\u01b0 nhau, b\u1ea5t k\u1ec3 t\u00ecnh [&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>Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 khi \u0111ang mang thai - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 v\u00e0 ch\u1ea9n \u0111o\u00e1n l\u00e0 nh\u01b0 nhau, b\u1ea5t k\u1ec3 t\u00ecnh tr\u1ea1ng mang thai, ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 nghi\u00eam\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n nhi\u1ec5m COVID-19 khi \u0111ang mang thai - 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