{"id":11202,"date":"2025-08-24T09:00:00","date_gmt":"2025-08-24T02:00:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=11202"},"modified":"2025-08-22T10:19:45","modified_gmt":"2025-08-22T03:19:45","slug":"phoi-hop-da-chuyen-khoa-tai-benh-vien-nhan-dan-gia-dinh-giup-san-phu-ung-thu-dai-trang-va-be-trai-sinh-non-thang-an-toan","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=11202","title":{"rendered":"PH\u1ed0I H\u1ee2P \u0110A CHUY\u00caN KHOA T\u1ea0I B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH GI\u00daP S\u1ea2N PH\u1ee4 UNG TH\u01af \u0110\u1ea0I TR\u00c0NG V\u00c0 B\u00c9 TRAI SINH NON TH\u00c1NG AN TO\u00c0N"},"content":{"rendered":"\n

Khi v\u1eeba mang thai, trong ni\u1ec1m h\u1ea1nh ph\u00fac mong ch\u1edd \u0111\u1ee9a con th\u1ee9 hai, ch\u1ecb V.H.M (34 tu\u1ed5i, ng\u1ee5 t\u1ea1i ph\u01b0\u1eddng Th\u00f4ng T\u00e2y H\u1ed9i, TP.HCM) b\u1ea5t ng\u1edd \u0111\u1ed1i di\u1ec7n v\u1edbi c\u00fa s\u1ed1c l\u1edbn khi \u1edf tu\u1ea7n thai 26 – 27, ch\u1ecb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Hy v\u1ecdng nh\u01b0 v\u1ee5t t\u1eaft, n\u01b0\u1edbc m\u1eaft, n\u1ed7i lo \u00e2u v\u00e0 c\u1ea3 s\u1ef1 ho\u1ea3ng s\u1ee3 b\u1ee7a v\u00e2y, nh\u01b0ng ch\u00ednh t\u00ecnh y\u00eau th\u01b0\u01a1ng d\u00e0nh cho con, s\u1ef1 ki\u00ean c\u01b0\u1eddng c\u1ee7a b\u1ea3n th\u00e2n c\u00f9ng s\u1ef1 t\u1eadn t\u00e2m c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 v\u00e0 s\u1ef1 \u0111\u1ed3ng h\u00e0nh c\u1ee7a gia \u0111\u00ecnh \u0111\u00e3 gi\u00fap ch\u1ecb b\u01b0\u1edbc qua th\u1eddi kh\u1eafc cam go nh\u1ea5t. Ng\u00e0y 7\/8\/2025, t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, m\u1ed9t ca ph\u1eabu thu\u1eadt \u0111\u1eb7c bi\u1ec7t \u0111\u00e3 di\u1ec5n ra: v\u1eeba m\u1ed5 b\u1eaft con khi thai m\u1edbi 32 tu\u1ea7n, v\u1eeba c\u1eaft b\u1ecf \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng c\u00f3 kh\u1ed1i u \u00e1c t\u00ednh. B\u00e9 trai n\u1eb7ng 1,7kg ch\u00e0o \u0111\u1eddi an to\u00e0n, kh\u00f3c vang sau khi l\u1ecdt l\u00f2ng m\u1eb9, trong khi ch\u1ecb M. c\u0169ng v\u01b0\u1ee3t qua ca \u0111\u1ea1i ph\u1eabu \u0111\u1ea7y th\u1eed th\u00e1ch. \u0110\u00e2y l\u00e0 th\u00e0nh c\u00f4ng trong vi\u1ec7c ph\u1ed1i h\u1ee3p c\u00e1c \u0111a chuy\u00ean khoa t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111a khoa \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb thai ph\u1ee5 b\u1ecb u \u0111\u1ea1i tr\u00e0ng.<\/em><\/strong><\/p>\n\n\n\n

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Tr\u01b0\u1edbc \u0111\u00f3, ng\u00e0y 12\/7\/2025, khi \u0111ang mang thai 26 – 27 tu\u1ea7n, ch\u1ecb M. nh\u1eadp vi\u1ec7n v\u00ec t\u00ecnh tr\u1ea1ng ti\u00eau ph\u00e2n nh\u1ea7y m\u00e1u. T\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, c\u00e1c b\u00e1c s\u0129 khoa Ngo\u1ea1i ti\u00eau h\u00f3a th\u0103m kh\u00e1m, ph\u00e1t hi\u1ec7n ch\u1ecb M. c\u00f3 kh\u1ed1i u l\u1edbn g\u00e2y h\u1eb9p l\u00f2ng \u0111\u1ea1i tr\u00e0ng, k\u1ebft qu\u1ea3 sinh thi\u1ebft kh\u1eb3ng \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh. Tin d\u1eef khi\u1ebfn ch\u1ecb M. s\u1ee5p \u0111\u1ed5, nh\u01b0ng \u0111\u01b0\u1ee3c s\u1ef1 gi\u1ea3i th\u00edch, tr\u1ea5n an t\u1eeb y b\u00e1c s\u0129 v\u00e0 gia \u0111\u00ecnh, ch\u1ecb \u0111\u00e3 l\u1ea5y l\u1ea1i ni\u1ec1m tin \u0111\u1ec3 ti\u1ebfp t\u1ee5c h\u00e0nh tr\u00ecnh gi\u1eef con.<\/p>\n\n\n\n

Khoa Ngo\u1ea1i ti\u00eau h\u00f3a \u0111\u00e3 h\u1ed9i ch\u1ea9n v\u1edbi khoa S\u1ea3n b\u1ec7nh v\u00e0 khoa B\u1ec7nh l\u00fd s\u01a1 sinh \u0111\u1ec3 th\u1ed1ng nh\u1ea5t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, v\u1eeba \u0111\u1ea3m b\u1ea3o an to\u00e0n cho m\u1eb9, v\u1eeba t\u1ea1o c\u01a1 h\u1ed9i s\u1ed1ng cho thai nhi. Ph\u01b0\u01a1ng \u00e1n \u0111\u01b0\u1ee3c \u0111\u01b0a ra l\u00e0 d\u01b0\u1ee1ng thai \u0111\u1ebfn 32 – 34 tu\u1ea7n n\u1ebfu ng\u01b0\u1eddi m\u1eb9 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u t\u1eafc ru\u1ed9t. Trong tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n bi\u1ebfn ch\u1ee9ng t\u1eafc ru\u1ed9t, ph\u1ea3i ti\u1ebfn h\u00e0nh m\u1ed5 c\u1ea5p c\u1ee9u \u0111\u1ec3 c\u1ee9u m\u1eb9. Trong su\u1ed1t qu\u00e1 tr\u00ecnh theo d\u00f5i, c\u00e1c b\u00e1c s\u0129 \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd nguy c\u01a1 t\u1eafc ru\u1ed9t, ch\u1ea3y m\u00e1u, suy ki\u1ec7t v\u00e0 di c\u0103n \u1edf ng\u01b0\u1eddi m\u1eb9, \u0111\u1ed3ng th\u1eddi theo d\u00f5i s\u1ee9c kh\u1ecfe thai nhi qua si\u00eau \u00e2m thai, si\u00eau \u00e2m Doppler, theo d\u00f5i tim thai, h\u01b0\u1edbng d\u1eabn s\u1ea3n ph\u1ee5 theo d\u00f5i thai m\u00e1y. Song song \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 l\u00ean k\u1ebf ho\u1ea1ch s\u1eed d\u1ee5ng corticoid gi\u00fap thai nhi tr\u01b0\u1edfng th\u00e0nh ph\u1ed5i v\u00e0 magnesium sulfate \u0111\u1ec3 b\u1ea3o v\u1ec7 n\u00e3o tr\u01b0\u1edbc ca m\u1ed5 l\u1ea5y thai.<\/p>\n\n\n\n

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\u0110\u1ebfn tu\u1ea7n thai th\u1ee9 32, \u00ea-k\u00edp ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt l\u1ea5y thai k\u1ebft h\u1ee3p c\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng. Ca m\u1ed5 c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i g\u1ea7n 2 gi\u1edd, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 c\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u00e0i 10cm ch\u1ee9a kh\u1ed1i u ra kh\u1ecfi c\u01a1 th\u1ec3 c\u1ee7a ch\u1ecb M.<\/p>\n\n\n\n

M\u1ed9t tu\u1ea7n sau ph\u1eabu thu\u1eadt, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 h\u1ed3i ph\u1ee5c t\u1ed1t v\u00e0 xu\u1ea5t vi\u1ec7n, ti\u1ebfp t\u1ee5c tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. Hi\u1ec7n t\u1ea1i, b\u00e9 trai sinh non \u0111ang \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t t\u1ea1i khoa B\u1ec7nh l\u00fd s\u01a1 sinh. B\u00e9 \u0111\u00e3 ng\u01b0ng th\u1edf oxy, b\u1eaft \u0111\u1ea7u t\u1eadp b\u00fa v\u00e0 chu\u1ea9n b\u1ecb \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u1ec1 v\u1edbi m\u1eb9 trong nh\u1eefng ng\u00e0y t\u1edbi.<\/p>\n\n\n\n

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Ch\u1ecb M. x\u00fac \u0111\u1ed9ng chia s\u1ebb: \u201cKho\u1ea3nh kh\u1eafc nghe ti\u1ebfng kh\u00f3c \u0111\u1ea7u \u0111\u1eddi c\u1ee7a con, t\u00f4i nh\u01b0 \u0111\u01b0\u1ee3c ti\u1ebfp th\u00eam s\u1ee9c m\u1ea1nh. T\u00f4i bi\u1ebft m\u00ecnh c\u00f3 con nh\u1ecf c\u1ea7n m\u1eb9 n\u00ean s\u1ebd c\u1ed1 g\u1eafng h\u1ebft s\u1ee9c \u0111\u1ec3 chi\u1ebfn \u0111\u1ea5u v\u1edbi b\u1ec7nh t\u1eadt. T\u00f4i th\u1eadt s\u1ef1 bi\u1ebft \u01a1n c\u00e1c y b\u00e1c s\u0129 \u0111\u00e3 c\u1ee9u s\u1ed1ng c\u1ea3 hai m\u1eb9 con. B\u00e2y gi\u1edd, t\u00f4i s\u1ebd m\u1ea1nh m\u1ebd h\u01a1n \u0111\u1ec3 s\u1ed1ng, \u0111\u1ec3 nu\u00f4i con kh\u00f4n l\u1edbn\u201d.<\/a><\/p>\n\n\n\n

BS.CKII H\u1ee9a Th\u1ecb Chi, khoa S\u1ea3n b\u1ec7nh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, b\u00e1c s\u0129 tr\u1ef1c ti\u1ebfp theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb cho s\u1ea3n ph\u1ee5 M. cho bi\u1ebft: \u201cUng th\u01b0 \u0111\u1ea1i tr\u00e0ng tr\u00ean thai ph\u1ee5 l\u00e0 b\u1ec7nh l\u00fd hi\u1ebfm g\u1eb7p, t\u1ef7 l\u1ec7 kho\u1ea3ng 1\/13.000 – 1\/50.000 ca mang thai. C\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ec5 b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi thay \u0111\u1ed5i sinh l\u00fd thai k\u1ef3, d\u1eabn \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng tr\u1ec5. Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh c\u1ee7a ch\u1ecb M. l\u00e0 m\u1ed9t th\u1eed th\u00e1ch r\u1ea5t l\u1edbn \u0111\u1ed1i v\u1edbi c\u00e1c y b\u00e1c s\u0129 ch\u00fang t\u00f4i b\u1edfi v\u00ec v\u1eeba ph\u1ea3i \u0111\u1ea3m b\u1ea3o an to\u00e0n cho m\u1eb9, v\u1eeba ph\u1ea3i cho thai nhi c\u01a1 h\u1ed9i s\u1ed1ng. Th\u00e0nh c\u00f4ng c\u1ee7a ca ph\u1eabu thu\u1eadt l\u00e0 nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd, nh\u1ecbp nh\u00e0ng gi\u1eefa nhi\u1ec1u chuy\u00ean khoa trong b\u1ec7nh vi\u1ec7n. \u0110\u1eb7c bi\u1ec7t, ngh\u1ecb l\u1ef1c c\u1ee7a s\u1ea3n ph\u1ee5, s\u1ef1 \u0111\u1ed3ng thu\u1eadn v\u00e0 h\u1ed7 tr\u1ee3 c\u1ee7a gia \u0111\u00ecnh c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t gi\u00fap ch\u00fang t\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 th\u00e0nh c\u00f4ng\u201d.<\/a><\/p>\n\n\n\n

BS.CKII H\u1ee9a Th\u1ecb Chi khuy\u1ebfn c\u00e1o: Ph\u1ee5 n\u1eef mang thai n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng v\u1ec1 ti\u00eau h\u00f3a nh\u01b0 ti\u00eau ph\u00e2n nh\u1ea7y m\u00e1u, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n k\u00e9o d\u00e0i, \u0111au b\u1ee5ng \u00e2m \u1ec9, thi\u1ebfu m\u00e1u, s\u1ee5t c\u00e2n\u2026 c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m s\u1edbm v\u00e0 h\u1ed9i ch\u1ea9n \u0111a chuy\u00ean khoa. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi kh\u00f4ng ch\u1ec9 c\u1ee9u ng\u01b0\u1eddi m\u1eb9 m\u00e0 c\u00f2n c\u00f3 th\u1ec3 mang l\u1ea1i c\u01a1 h\u1ed9i s\u1ed1ng cho con y\u00eau \u0111ang t\u01b0\u1ee3ng h\u00ecnh trong b\u1ee5ng m\u1eb9.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Khi v\u1eeba mang thai, trong ni\u1ec1m h\u1ea1nh ph\u00fac mong ch\u1edd \u0111\u1ee9a con th\u1ee9 hai, ch\u1ecb V.H.M (34 tu\u1ed5i, ng\u1ee5 t\u1ea1i ph\u01b0\u1eddng Th\u00f4ng T\u00e2y H\u1ed9i, TP.HCM) b\u1ea5t ng\u1edd \u0111\u1ed1i di\u1ec7n v\u1edbi c\u00fa s\u1ed1c l\u1edbn khi \u1edf tu\u1ea7n thai 26 – 27, ch\u1ecb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc ung th\u01b0 \u0111\u1ea1i tr\u00e0ng. Hy v\u1ecdng nh\u01b0 v\u1ee5t t\u1eaft, n\u01b0\u1edbc 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