{"id":2647,"date":"2023-06-26T08:16:57","date_gmt":"2023-06-26T01:16:57","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=2647"},"modified":"2023-06-26T08:17:01","modified_gmt":"2023-06-26T01:17:01","slug":"phoi-hop-da-chuyen-khoa-dieu-tri-thanh-cong-san-phu-ton-thuong-da-co-quan-nang","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=2647","title":{"rendered":"Ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng s\u1ea3n ph\u1ee5 t\u1ed5n th\u01b0\u01a1ng \u0111a c\u01a1 quan n\u1eb7ng"},"content":{"rendered":"\n<p><strong><em>B\u1ec7nh nh\u00e2n H\u00e0 T. T. D, 37 tu\u1ed5i ng\u1ee5 t\u1ea1i TPHCM \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n nhi\u1ec1u n\u0103m nh\u01b0ng kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3, \u0111\u1ebfn khi ph\u00e1t hi\u1ec7n c\u00f3 thai th\u00ec trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch: t\u0103ng huy\u1ebft \u00e1p \u00e1c t\u00ednh, ph\u00f9 ph\u1ed5i c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng \u0111a c\u01a1 quan (t\u1ed5n th\u01b0\u01a1ng gan c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p). C\u00e1c b\u00e1c s\u1ef9 b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 n\u1ed7 l\u1ef1c \u1ed5n \u0111\u1ecbnh s\u1ee9c kh\u1ecfe cho m\u1eb9, duy tr\u00ec s\u1ef1 ph\u00e1t tri\u1ec3n thai nhi t\u1eeb tu\u1ea7n th\u1ee9 25 \u0111\u1ebfn tu\u1ea7n th\u1ee9 32 c\u1ee7a thai k\u1ef3.<\/em><\/strong><\/p>\n\n\n\n<p>Ch\u1ecb D l\u1eadp gia \u0111\u00ecnh h\u01a1n 10 n\u0103m, t\u1eebng \u0111i \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n t\u1ea1i nhi\u1ec1u b\u1ec7nh vi\u1ec7n nh\u01b0ng kh\u00f4ng th\u1ec3 mang thai. K\u1ec3 t\u1eeb th\u00e1ng 4 n\u0103m 2023, ch\u1ecb c\u1ea3m nh\u1eadn ph\u00f9 m\u1eb7t, ph\u00f9 tay \u2013 ch\u00e2n t\u0103ng d\u1ea7n, ph\u00f9 to\u00e0n th\u00e2n, c\u00f4ng vi\u1ec7c th\u01b0\u1eddng ng\u00e0y d\u1ea7n tr\u1edf n\u00ean qu\u00e1 s\u1ee9c v\u1edbi ch\u1ecb. Sau m\u1ed9t th\u00e1ng, ch\u1ecb nh\u1eadp khoa c\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u00ec kh\u00f3 th\u1edf nhi\u1ec1u, ph\u1ea3i ng\u1ed3i \u0111\u1ec3 th\u1edf su\u1ed1t \u0111\u00eam. T\u1ea1i \u0111\u00e2y, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n ch\u1ecb D. mang thai \u1edf tam c\u00e1 nguy\u1ec7t th\u1ee9 2 (kho\u1ea3ng thai 25 tu\u1ea7n) k\u00e8m t\u0103ng huy\u1ebft \u00e1p \u00e1c t\u00ednh, ph\u00f9 ph\u1ed5i c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng \u0111a c\u01a1 quan (t\u1ed5n th\u01b0\u01a1ng gan c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u1ea5p). Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p thai k\u1ef3 nguy c\u01a1 r\u1ea5t cao cho c\u1ea3 m\u1eb9 v\u00e0 thai, b\u1ec7nh vi\u1ec7n \u0111\u00e3 t\u1ed5 ch\u1ee9c h\u1ed9i ch\u1ea9n kh\u1ea9n c\u1ea5p g\u1ed3m c\u00e1c b\u00e1c s\u0129 chuy\u00ean gia tim m\u1ea1ch, th\u1eadn h\u1ecdc, h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, th\u1eadn nh\u00e2n t\u1ea1o, s\u1ea3n khoa \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed t\u1ed1i \u01b0u nh\u1ea5t. V\u1edbi ho\u00e0n c\u1ea3nh gia \u0111\u00ecnh \u0111\u1eb7c bi\u1ec7t, \u0111\u00e2y l\u00e0 con qu\u00fd sau nhi\u1ec1u n\u0103m ch\u1edd \u0111\u1ee3i m\u00f2n m\u1ecfi c\u1ee7a hai v\u1ee3 ch\u1ed3ng ch\u1ecb D.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-8283806a wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/06\/DSC4027sss-1024x683.jpg\" alt=\"\" class=\"uag-image-2648\" width=\"1024\" height=\"683\" title=\"\" loading=\"lazy\" \/><figcaption class=\"uagb-image-caption\">B\u00e1c s\u0129 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ea3n ph\u1ee5<\/figcaption><\/figure><\/div>\n\n\n\n<p>ThS.BS Giang Minh Nh\u1eadt- Tr\u01b0\u1edfng \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch &#8211; Khoa N\u1ed9i tim m\u1ea1ch \u2013 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: <em>\u201cC\u00e1c b\u00e1c s\u0129 \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh c\u1ed1 g\u1eafng c\u1ee9u c\u1ea3 m\u1eb9 v\u00e0 b\u00e9. \u0110\u00e2y l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c r\u1ea5t l\u1edbn \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a nhi\u1ec1u khoa v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u. \u0110\u00f3 l\u00e0 c\u00e1c chuy\u00ean khoa tim m\u1ea1ch, th\u1eadn h\u1ecdc v\u00e0 s\u1ea3n khoa c\u00f9ng k\u1ebft h\u1ee3p nh\u1eb1m ki\u1ec3m so\u00e1t to\u00e0n di\u1ec7n c\u00e1c nguy c\u01a1 v\u00e0 bi\u1ebfn c\u1ed1 b\u1ea5t l\u1ee3i trong thai k\u1ef3.L\u00fac n\u00e0y c\u00e1c b\u00e1c s\u1ef9 ph\u1ea3i v\u1eeba ph\u1ea3i \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p ch\u1ec9 huy \u0111\u1ed3ng th\u1eddi \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh l\u1ecdc m\u00e1u li\u00ean t\u1ee5c 2 chu k\u1ef3 nh\u1eb1m \u0111i\u1ec1u tr\u1ecb suy th\u1eadn v\u00e0 \u1ed5n \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim. M\u1ed9t \u0111i\u1ec1u quan tr\u1ecdng kh\u00e1c l\u00e0 b\u00e1c s\u1ef9 s\u1ea3n khoa ph\u1ea3i li\u00ean t\u1ee5c theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng s\u1ee9c kho\u1ebb thai nhi. T\u1ea5t c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean \u0111\u1ec1u c\u1ea7n ph\u1ea3i \u0111\u1ea3m b\u1ea3o li\u00ean t\u1ee5c n\u1ebfu kh\u00f4ng s\u1ebd d\u1eabn \u0111\u1ebfn qu\u00e1 t\u1ea3i h\u1ec7 tu\u1ea7n ho\u00e0n, nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a hai m\u1eb9 con. Sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, huy\u1ebft \u00e1p b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh h\u01a1n, c\u00e1c t\u1ed5n th\u01b0\u01a1ng gan v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c, s\u1ee9c kho\u1ebb thai \u1ed5n \u0111\u1ecbnh, tuy nhi\u00ean, t\u1ed5n th\u01b0\u01a1ng th\u1eadn n\u1eb7ng ch\u1ec9 c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c m\u1ed9t ph\u1ea7n. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ra vi\u1ec7n \u1edf tu\u1ea7n tu\u1ed5i thai th\u1ee9 27 v\u00e0 \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c theo d\u00f5i ngo\u1ea1i tr\u00fa theo qui tr\u00ecnh ch\u0103m s\u00f3c thai k\u1ef3 nguy c\u01a1 cao t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh\u201d<\/em><\/p>\n\n\n\n<p>Khi t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1ed9i khoa c\u1ee7a ch\u1ecb D. \u1ed5n \u0111\u1ecbnh h\u01a1n, em b\u00e9 ti\u1ebfp t\u1ee5c t\u0103ng tr\u01b0\u1edfng t\u1ed1t trong t\u1eed cung. \u0110\u1ebfn tu\u1ea7n th\u1ee9 32, huy\u1ebft \u00e1p c\u1ee7a ch\u1ecb tr\u1edf n\u00ean kh\u00f3 ki\u1ec3m so\u00e1t, kh\u00e1ng tr\u1ecb v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c h\u1ea1 \u00e1p c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng cho thai k\u1ef3, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ee7a ch\u1ecb di\u1ec5n ti\u1ebfn x\u1ea5u nhanh tr\u1edf l\u1ea1i. L\u00fac n\u00e0y, thai k\u1ef3 \u0111\u00e3 tr\u01b0\u1edfng th\u00e0nh \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 nh\u1ea5t \u0111\u1ecbnh, v\u00e0 kh\u1ea3 n\u0103ng s\u1ed1ng c\u1ee7a em b\u00e9 sau sinh cao. H\u1ed9i \u0111\u1ed3ng c\u00e1c chuy\u00ean gia th\u1ed1ng nh\u1ea5t ch\u1ea5m d\u1ee9t thai k\u1ef3, nh\u1eb1m \u1ed5n \u0111\u1ecbnh t\u1ed1t h\u01a1n t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd n\u1ed9i khoa \u0111ang di\u1ec5n ti\u1ebfn n\u1eb7ng c\u1ee7a m\u1eb9. T\u1ed1i ng\u00e0y 22.06.2023, ch\u1ecb D. \u0111\u00e3 sinh m\u1ed9t b\u00e9 g\u00e1i kho\u1ebb m\u1ea1nh trong ni\u1ec1m vui c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c b\u00e1c s\u0129 v\u00e0 gia \u0111\u00ecnh ch\u1ecb. Hi\u1ec7n t\u1ea1i ch\u1ecb D \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c sau sinh t\u1ea1i Khoa N\u1ed9i tim m\u1ea1ch c\u00f2n b\u00e9 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i Khoa b\u1ec7nh l\u00fd s\u01a1 sinh v\u00e0 s\u1ebd \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong m\u1ed9t v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-d886069b wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2023\/06\/DSC4042-1024x683.jpg\" alt=\"\" class=\"uag-image-2649\" width=\"805\" height=\"537\" title=\"\" loading=\"lazy\" \/><figcaption class=\"uagb-image-caption\">Em b\u00e9 ch\u00e0o \u0111\u1eddi an to\u00e0n kh\u1ecfe m\u1ea1nh<\/figcaption><\/figure><\/div>\n\n\n\n<p>B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 m\u1ed9t b\u1ec7nh vi\u1ec7n \u0111a khoa tuy\u1ebfn cu\u1ed1i duy nh\u1ea5t c\u1ee7a TP.H\u1ed3 Ch\u00ed Minh c\u00f3 c\u1ea3 chuy\u00ean khoa S\u1ea3n v\u00e0 khoa B\u1ec7nh l\u00fd S\u01a1 sinh. V\u00ec th\u1ebf, qu\u1ea3n l\u00fd thai k\u1ef3 nguy c\u01a1 cao \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ed1i \u01b0u v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 thi\u1ebft th\u1ef1c c\u1ee7a nhi\u1ec1u chuy\u00ean khoa n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa. Ch\u1ecb D l\u00e0 m\u1ed9t trong r\u1ea5t nhi\u1ec1u s\u1ea3n ph\u1ee5 c\u00f3 b\u1ec7nh l\u00fd n\u1ed9i khoa n\u1eb7ng trong th\u1eddi gian mang thai, \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 sanh th\u00e0nh c\u00f4ng t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.&nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nh\u00e2n H\u00e0 T. T. D, 37 tu\u1ed5i ng\u1ee5 t\u1ea1i TPHCM \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n nhi\u1ec1u n\u0103m nh\u01b0ng kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3, \u0111\u1ebfn khi ph\u00e1t hi\u1ec7n c\u00f3 thai th\u00ec trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch: t\u0103ng huy\u1ebft \u00e1p \u00e1c t\u00ednh, ph\u00f9 ph\u1ed5i c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng \u0111a c\u01a1 quan (t\u1ed5n th\u01b0\u01a1ng gan c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, 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