{"id":16382,"date":"2026-09-27T09:00:58","date_gmt":"2026-09-27T02:00:58","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=16382"},"modified":"2026-09-27T13:49:10","modified_gmt":"2026-09-27T06:49:10","slug":"be-sinh-non-mac-lamellar-ichthyosis-duoc-dieu-tri-cham-soc-da-thanh-cong","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=16382","title":{"rendered":"B\u00c9 SINH NON M\u1eaeC LAMELLAR ICHTHYOSIS \u0110\u01af\u1ee2C \u0110I\u1ec0U TR\u1eca, CH\u0102M S\u00d3C DA TH\u00c0NH C\u00d4NG"},"content":{"rendered":"\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t b\u00e9 trai sinh non m\u1eafc Lamellar Ichthyosis (v\u1ea3y c\u00e1 d\u1ea1ng phi\u1ebfn), m\u1ed9t b\u1ec7nh da di truy\u1ec1n hi\u1ebfm g\u1eb7p, v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng tr\u00ean da ngay t\u1eeb khi ch\u00e0o \u0111\u1eddi. Sau 12 ng\u00e0y \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, t\u00ecnh tr\u1ea1ng da, m\u1eaft v\u00e0 h\u00f4 h\u1ea5p c\u1ee7a tr\u1ebb c\u1ea3i thi\u1ec7n, tr\u1ebb \u0103n s\u1eefa ho\u00e0n to\u00e0n v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/strong><\/p>\n\n\n\n

Ng\u00e0y 6\/9\/2026, ch\u1ecb T.T.H.N, sinh n\u0103m 1981, mang thai 35 tu\u1ea7n 2 ng\u00e0y, nh\u1eadp B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong t\u00ecnh tr\u1ea1ng thai ng\u00f4i ngang, v\u1ee1 \u1ed1i. Sau khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh m\u1ed5 l\u1ea5y thai, m\u1ed9t b\u00e9 trai n\u1eb7ng 3,1 kg ch\u00e0o \u0111\u1eddi.<\/p>\n\n\n\n

Nh\u01b0ng ni\u1ec1m vui \u0111\u00f3n con c\u1ee7a ng\u01b0\u1eddi m\u1eb9 nhanh ch\u00f3ng xen l\u1eabn n\u1ed7i lo khi ch\u1ecb nh\u00ecn th\u1ea5y con c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng. Ngay sau sinh, tr\u1ebb b\u1ecb suy h\u00f4 h\u1ea5p, da kh\u00f4, n\u1ee9t n\u1ebb, c\u0103ng b\u00f3ng; mi m\u1eaft b\u1ecb l\u1ed9n v\u00e0 m\u00f4i b\u1ecb k\u00e9o c\u0103ng khi\u1ebfn tr\u1ebb kh\u00f3 b\u00fa. Sau khi \u0111\u01b0\u1ee3c da k\u1ec1 da v\u1edbi m\u1eb9, tr\u1ebb \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn Khoa B\u1ec7nh l\u00fd S\u01a1 sinh \u0111\u1ec3 ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

\u201cL\u00fac nh\u00ecn th\u1ea5y con, t\u00f4i vui l\u1eafm v\u00ec cu\u1ed1i c\u00f9ng c\u0169ng \u0111\u01b0\u1ee3c g\u1eb7p con sau nh\u1eefng th\u00e1ng ng\u00e0y mang thai. Nh\u01b0ng ni\u1ec1m vui ch\u01b0a k\u1ecbp tr\u1ecdn v\u1eb9n th\u00ec t\u00f4i l\u1ea1i lo khi th\u1ea5y da con kh\u00e1c v\u1edbi nh\u1eefng em b\u00e9 b\u00ecnh th\u01b0\u1eddng, m\u1eaft v\u00e0 m\u00f4i c\u1ee7a con c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. T\u00f4i c\u1ee9 t\u1ef1 h\u1ecfi kh\u00f4ng bi\u1ebft con b\u1ecb b\u1ec7nh g\u00ec, c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c kh\u00f4ng, r\u1ed3i con c\u00f3 kh\u1ecfe l\u1ea1i \u0111\u01b0\u1ee3c kh\u00f4ng. L\u00fac \u0111\u00f3, t\u00f4i ch\u1ec9 bi\u1ebft kh\u00f3c v\u00e0 lo l\u1eafng\u201d, ch\u1ecb H.N nh\u1edb l\u1ea1i.<\/p>\n\n\n\n

Qua th\u0103m kh\u00e1m, c\u00e1c b\u00e1c s\u0129 nh\u1eadn \u0111\u1ecbnh tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n nghi ng\u1edd b\u1ec7nh l\u00fd v\u1ea3y c\u00e1 b\u1ea9m sinh. Tr\u1ebb \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p, th\u00e2n nhi\u1ec7t, d\u1ecbch v\u00e0 \u0111i\u1ec7n gi\u1ea3i; \u0111\u1ed3ng th\u1eddi ch\u0103m s\u00f3c da t\u00edch c\u1ef1c, ch\u00fa tr\u1ecdng gi\u1eef \u1ea9m, h\u1ea1n ch\u1ebf m\u1ea5t n\u01b0\u1edbc qua da v\u00e0 b\u1ea3o v\u1ec7 h\u00e0ng r\u00e0o da. T\u00ecnh tr\u1ea1ng l\u1ed9n mi c\u0169ng \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c nh\u1eb1m b\u1ea3o v\u1ec7 m\u1eaft cho tr\u1ebb.<\/p>\n\n\n\n

Song song v\u1edbi ch\u0103m s\u00f3c da, tr\u1ebb \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng nCPAP v\u00e0 theo d\u00f5i s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p. B\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng th\u01b0\u1eddng xuy\u00ean \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng da, m\u1ee9c \u0111\u1ed9 kh\u00f4, bong tr\u00f3c, nguy c\u01a1 m\u1ea5t n\u01b0\u1edbc v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng da \u0111\u1ec3 k\u1ecbp th\u1eddi x\u1eed tr\u00ed.<\/p>\n\n\n\n

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Sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng da v\u00e0 m\u1eaft c\u1ee7a tr\u1ebb c\u1ea3i thi\u1ec7n, h\u00f4 h\u1ea5p \u1ed5n \u0111\u1ecbnh. Tr\u1ebb \u0103n s\u1eefa ho\u00e0n to\u00e0n v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 12 ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

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\u201cNh\u1eefng ng\u00e0y con n\u1eb1m vi\u1ec7n, m\u1ed7i ng\u00e0y, t\u00f4i \u0111\u1ec1u mong \u0111\u01b0\u1ee3c nghe b\u00e1c s\u0129 n\u00f3i con c\u00f3 ti\u1ebfn tri\u1ec3n. \u0110\u1ebfn khi \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y da con d\u1ea7n c\u1ea3i thi\u1ec7n, con b\u00fa \u0111\u01b0\u1ee3c, h\u00f4 h\u1ea5p \u1ed5n \u0111\u1ecbnh, t\u00f4i m\u1edbi th\u1ea5y nh\u1eb9 l\u00f2ng. H\u00f4m nay, \u0111\u01b0\u1ee3c \u0111\u00f3n con v\u1ec1 nh\u00e0, nh\u00ecn con kh\u1ecfe h\u01a1n, da c\u1ee7a con g\u1ea7n nh\u01b0 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng, t\u00f4i vui l\u1eafm. T\u1eeb l\u00fac v\u1eeba m\u1eebng v\u00ec c\u00f3 con \u0111\u1ebfn l\u00fac lo l\u1eafng r\u1ed3i l\u1ea1i \u0111\u01b0\u1ee3c \u0111\u00f3n con v\u1ec1, v\u1edbi t\u00f4i \u0111\u00f3 l\u00e0 nh\u1eefng ng\u00e0y kh\u00f4ng th\u1ec3 n\u00e0o qu\u00ean\u201d, ch\u1ecb H.N x\u00fac \u0111\u1ed9ng chia s\u1ebb.<\/p>\n\n\n\n

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BS.CK2 Nguy\u1ec5n Tr\u1ea7n Th\u1ecb Huy\u1ec1n Dung, Ph\u00f3 tr\u01b0\u1edfng khoa \u0111i\u1ec1u h\u00e0nh Khoa B\u1ec7nh l\u00fd S\u01a1 sinh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft Ichthyosis hay v\u1ea3y c\u00e1 b\u1ea9m sinh l\u00e0 t\u00ean g\u1ecdi c\u1ee7a m\u1ed9t nh\u00f3m b\u1ec7nh l\u00fd da c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ngay t\u1eeb giai \u0111o\u1ea1n s\u01a1 sinh, v\u1edbi m\u1ee9c \u0111\u1ed9 bi\u1ec3u hi\u1ec7n kh\u00e1c nhau. Ichthyosis b\u1eaft ngu\u1ed3n t\u1eeb \u201cichthy\u201d trong ti\u1ebfng Hy L\u1ea1p, c\u00f3 ngh\u0129a l\u00e0 \u201cc\u00e1\u201d, \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 nh\u00f3m b\u1ec7nh l\u00fd khi\u1ebfn da kh\u00f4 v\u00e0 bong v\u1ea3y gi\u1ed1ng v\u1ea3y c\u00e1. Lamellar Ichthyosis l\u00e0 m\u1ed9t th\u1ec3 b\u1ec7nh hi\u1ebfm g\u1eb7p, c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n. B\u1ec7nh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ngay sau sinh v\u1edbi t\u00ecnh tr\u1ea1ng da kh\u00f4, c\u0103ng b\u00f3ng, bong v\u1ea3y ho\u1eb7c \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi m\u1ed9t l\u1edbp m\u00e0ng. M\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n l\u1ed9n mi, l\u1ed9n m\u00f4i, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1eaft, b\u00fa ho\u1eb7c v\u1eadn \u0111\u1ed9ng. \u1ede nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, t\u1ed5n th\u01b0\u01a1ng h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 da c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1ea5t n\u01b0\u1edbc, r\u1ed1i lo\u1ea1n th\u00e2n nhi\u1ec7t v\u00e0 nhi\u1ec5m tr\u00f9ng. \u0110\u1eb7c bi\u1ec7t, \u1edf tr\u1ebb sinh non, h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 da v\u1ed1n ch\u01b0a ho\u00e0n thi\u1ec7n n\u00ean vi\u1ec7c ch\u0103m s\u00f3c da c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ea9n th\u1eadn v\u00e0 \u0111\u00fang h\u01b0\u1edbng d\u1eabn.<\/p>\n\n\n\n

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Theo BS.CK2 Nguy\u1ec5n Tr\u1ea7n Th\u1ecb Huy\u1ec1n Dung, sau khi xu\u1ea5t vi\u1ec7n, gia \u0111\u00ecnh c\u1ea7n ti\u1ebfp t\u1ee5c ch\u0103m s\u00f3c v\u00e0 d\u01b0\u1ee1ng \u1ea9m da cho tr\u1ebb theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. Kh\u00f4ng n\u00ean t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ho\u1eb7c s\u1ea3n ph\u1ea9m b\u00f4i da khi ch\u01b0a c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a corticosteroid (corticoid).<\/p>\n\n\n\n

B\u00e1c s\u0129 Huy\u1ec1n Dung khuy\u1ebfn c\u00e1o, khi cha m\u1eb9 ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c ph\u00e1t hi\u1ec7n tr\u1ebb s\u01a1 sinh c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng nh\u01b0 da c\u0103ng b\u00f3ng, kh\u00f4 nhi\u1ec1u, bong v\u1ea3y, \u0111\u1ecf da, n\u1ee9t da ho\u1eb7c thay \u0111\u1ed5i m\u00e0u s\u1eafc da, c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n. Cha m\u1eb9 kh\u00f4ng n\u00ean t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c b\u00f4i, kem \u0111i\u1ec1u tr\u1ecb da ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m d\u00e2n gian khi ch\u01b0a \u0111\u01b0\u1ee3c b\u00e1c s\u0129 h\u01b0\u1edbng d\u1eabn. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm, theo d\u00f5i s\u00e1t v\u00e0 ch\u0103m s\u00f3c da \u0111\u00fang c\u00e1ch gi\u00fap h\u1ea1n ch\u1ebf c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf tr\u1ebb s\u01a1 sinh m\u1eafc c\u00e1c b\u1ec7nh l\u00fd da b\u1ea9m sinh.<\/p>\n\n\n\n

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B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t b\u00e9 trai sinh non m\u1eafc Lamellar Ichthyosis (v\u1ea3y c\u00e1 d\u1ea1ng phi\u1ebfn), m\u1ed9t b\u1ec7nh da di truy\u1ec1n hi\u1ebfm g\u1eb7p, v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng tr\u00ean da ngay t\u1eeb khi ch\u00e0o \u0111\u1eddi. Sau 12 ng\u00e0y \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, t\u00ecnh tr\u1ea1ng […]<\/p>\n","protected":false},"author":5,"featured_media":16392,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[56],"tags":[],"class_list":["post-16382","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t