{"id":4611,"date":"2023-12-11T15:58:53","date_gmt":"2023-12-11T08:58:53","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=4611"},"modified":"2023-12-12T07:19:19","modified_gmt":"2023-12-12T00:19:19","slug":"cuu-song-thanh-cong-san-phu-thuyen-tac-oi","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=4611","title":{"rendered":"C\u1ee8U S\u1ed0NG TH\u00c0NH C\u00d4NG S\u1ea2N PH\u1ee4 THUY\u00caN T\u1eaeC \u1ed0I"},"content":{"rendered":"\n<p><strong>B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng m\u1eb9 con s\u1ea3n ph\u1ee5 trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch: m\u1ea1ch huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 ng\u1eebng tim do b\u1ecb thuy\u00ean t\u1eafc \u1ed1i.<\/strong><\/p>\n\n\n\n<p>\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p s\u1ea3n ph\u1ee5 H.H.H.Ng., 40 tu\u1ed5i, mang thai l\u1ea7n 3 v\u1edbi ti\u1ec1n c\u0103n t\u0103ng ti\u1ec3u c\u1ea7u nguy\u00ean ph\u00e1t v\u00e0 nh\u1eadp vi\u1ec7n khoa S\u1ea3n b\u1ec7nh khi chuy\u1ec3n d\u1ea1 \u1edf tu\u1ed5i thai g\u1ea7n 39 tu\u1ea7n. Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 s\u1ea3n khoa ch\u1ec9 \u0111\u1ecbnh cho s\u1ea3n ph\u1ee5 sanh m\u1ed5 v\u00ec ng\u00f4i thai n\u1eb1m ngang k\u00e8m theo ti\u1ec1n s\u1eed \u0111\u00e3 t\u1eebng m\u1ed5 l\u1ea5y thai. Ng\u00e0y 30\/11\/2023, tr\u01b0\u1edbc khi m\u1ed5 l\u1ea5y thai s\u1ea3n ph\u1ee5 c\u00f3 s\u1ee9c kho\u1ebb v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, khi c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa v\u1eeba m\u1ed5 b\u1eaft b\u00e9 g\u00e1i 2,8kg ch\u00e0o \u0111\u1eddi th\u00ec s\u1ea3n ph\u1ee5 \u0111\u1ed9t ng\u1ed9t tru\u1ef5 m\u1ea1ch, huy\u1ebft \u00e1p kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c v\u00e0 ng\u1eebng tim.<\/p>\n\n\n\n<p>Trong t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u \u0111\u00f3, nh\u1eadn \u0111\u1ecbnh ngay \u0111\u00e2y l\u00e0 thuy\u00ean th\u1eafc \u1ed1i, \u00eak\u00edp b\u00e1c s\u0129 g\u00e2y m\u00ea h\u1ed3i s\u1ee9c c\u00f9ng c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa v\u1eeba h\u1ed3i s\u1ee9c tim ph\u1ed5i, v\u1eeba c\u1ed1 g\u1eafng ho\u00e0n t\u1ea5t cu\u1ed9c m\u1ed5 v\u00e0 c\u1ea7m m\u00e1u t\u1eed cung do b\u0103ng huy\u1ebft sau sanh. B\u1eb1ng kinh nghi\u1ec7m c\u1ee7a c\u1ea3 \u00eak\u00edp, s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c tim ph\u1ed5i th\u00e0nh c\u00f4ng. Khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1ecbp tim tr\u1edf l\u1ea1i, c\u00e1c b\u00e1c s\u1ef9 s\u1ea3n khoa kh\u00e2u v\u1ebft th\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh m\u1ea5t m\u00e1u. V\u00ec khi thuy\u00ean t\u1eafc \u1ed1i x\u1ea3y ra s\u1ebd ho\u1ea1t h\u00f3a h\u1ec7 th\u1ed1ng l\u00e0m r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, m\u00e1u ch\u1ea3y nhi\u1ec1u g\u00e2y b\u0103ng huy\u1ebft. L\u00fac n\u00e0y ekip ph\u1eabu thu\u1eadt l\u1ea1i \u0111\u1ee9ng tr\u01b0\u1edbc ch\u1ecdn l\u1ef1a kh\u00f3 kh\u0103n l\u00e0 c\u00f3 n\u00ean c\u1eaft t\u1eed cung \u0111\u1ec3 c\u1ea7m m\u00e1u&nbsp; hay kh\u00f4ng? M\u1eb7c d\u00f9 ch\u1ecb \u0111\u00e3 sanh 2 l\u1ea7n nh\u01b0ng \u0111\u1ee9a con \u0111\u1ea7u \u0111\u1ebfn 9 tu\u1ed5i, b\u1ecb m\u1ea5t v\u00ec u n\u00e3o.Sau \u0111\u00f3 ch\u1ecb sinh b\u00e9 th\u1ee9 2, nh\u01b0ng b\u00e9 c\u0169ng \u0111ang b\u1ecb tim b\u1ea9m sinh. B\u00e9 hi\u1ec7n t\u1ea1i m\u1edbi m\u1ed5, c\u00f2n ch\u01b0a nh\u1eadn \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u00f3 \u1ed5n \u0111\u1ecbnh ho\u00e0n to\u00e0n hay kh\u00f4ng. C\u00e2n nh\u1eafc tr\u01b0\u1edbc ho\u00e0n c\u1ea3nh gia \u0111\u00ecnh nh\u01b0 v\u1eady, c\u00e1c b\u00e1c s\u1ef9 quy\u1ebft \u0111\u1ecbnh ch\u00e8n b\u00f3ng v\u00e0o t\u1eed cung \u0111\u1ec3 c\u1ea7m m\u00e1u v\u00e0 gi\u1eef l\u1ea1i t\u1eed cung \u0111\u1ec3 ch\u1ecb c\u00f2n c\u00f3 c\u01a1 h\u1ed9i sinh n\u1edf sau n\u00e0y. K\u1ebft qu\u1ea3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m sinh ho\u00e1 huy\u1ebft h\u1ecdc sau \u0111\u00f3 cho th\u1ea5y s\u1ea3n ph\u1ee5 c\u00f3 thuy\u00ean t\u1eafc \u1ed1i. S\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch \u0111\u1ec3 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-b47a3d95 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\/12\/Hinh-4-1024x683.jpg\" alt=\"\" class=\"uag-image-4612\" width=\"805\" height=\"537\" title=\"\" loading=\"lazy\" \/><\/figure><\/div>\n\n\n\n<p>Nh\u1eadn \u0111\u1ecbnh v\u1ec1 ca b\u1ec7nh, ThS.BS Giang Minh Nh\u1eadt &#8211; Tr\u01b0\u1edfng \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c tim&nbsp; m\u1ea1ch \u2013 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft : <strong><em>\u201cSau<\/em><\/strong><strong><em> khi \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c tim ph\u1ed5i th\u00e0nh c\u00f4ng<\/em><\/strong><strong><em>, <\/em><\/strong><strong><em>huy\u1ebft \u00e1p<\/em><\/strong><strong><em> c\u1ee7a s\u1ea3n ph\u1ee5 v\u1eabn c\u00f2n<\/em><\/strong><strong><em> r\u1ea5t th\u1ea5p ph\u1ea3i duy tr\u00ec thu\u1ed1c v\u1eadn m\u1ea1ch li\u1ec1u cao v\u00e0 b\u0103ng huy\u1ebft sau sinh do r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u. <\/em><\/strong><strong><em>Vi\u1ec7c \u0111<\/em><\/strong><strong><em>i\u1ec1u tr\u1ecb<\/em><\/strong><strong><em> cho<\/em><\/strong><strong><em> s\u1ea3n ph\u1ee5 v\u1eeba c\u00f3 thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do \u1ed1i, v\u1eeba c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u \u0111\u00f2i<\/em><\/strong><strong><em> h\u1ecfi<\/em><\/strong><strong><em> <\/em><\/strong><strong><em>c<\/em><\/strong><strong><em>\u00e1c b\u00e1c s\u0129 ph\u1ea3i x\u00e1c \u0111\u1ecbnh th\u1eadn tr\u1ecdng th\u1eddi \u0111i\u1ec3m n\u00e0o c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 th\u1eddi \u0111i\u1ec3m n\u00e0o c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng kh\u00e1ng \u0111\u00f4ng.<\/em><\/strong><strong><em> <\/em><\/strong><strong><em>Sau 24 gi\u1edd h\u1ed3i s\u1ee9c tim m\u1ea1ch, s\u1ea3n ph\u1ee5 \u0111\u00e3 d\u1ea7n \u1ed5n \u0111\u1ecbnh huy\u1ebft \u00e1p v\u00e0 r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n.<\/em><\/strong><strong><em>\u201d<\/em><\/strong><\/p>\n\n\n\n<p>TS.BS B\u00f9i Ch\u00ed Th\u01b0\u01a1ng \u2013 Tr\u01b0\u1edfng kh\u1ed1i s\u1ea3n \u2013 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: \u201c <strong><em>T<\/em><\/strong><strong><em>huy\u00ean t\u1eafc \u1ed1i l\u00e0 m\u1ed9t <\/em><\/strong><strong><em>bi\u1ebfn ch\u1ee9ng <\/em><\/strong><strong><em>c\u1ea5p c\u1ee9u s\u1ea3n khoa hi\u1ebfm v\u00e0 \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng khi d\u1ecbch \u1ed1i v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a nhau thai \u0111i v\u00e0o tu\u1ea7n ho\u00e0n m\u1eb9. T\u1ec9 l\u1ec7 thuy\u00ean t\u1eafc \u1ed1i \u0111\u01b0\u1ee3c ghi nh\u1eadn trong y v\u0103n dao \u0111\u1ed9ng kho\u1ea3ng 40.000 \u0111\u1ebfn 53.800 thai ph\u1ee5, nh\u01b0ng t\u1ef7 l\u1ec7 t\u1eed vong l\u00ean \u0111\u1ebfn 60-70%. \u1ede c\u00e1c thai ph\u1ee5 s\u1ed1ng s\u00f3t, 85% tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00e1c di ch\u1ee9ng th\u1ea7n kinh v\u0129nh vi\u1ec5n do ng\u01b0ng tu\u1ea7n ho\u00e0n k\u00e9o d\u00e0i. Thuy\u00ean t\u1eafc \u1ed1i h\u1ea7u h\u1ebft x\u1ea3y ra trong l\u00fac sanh v\u00e0 \u0111i\u1ec3n h\u00ecnh b\u1edfi ba d\u1ea5u hi\u1ec7u: t\u1ee5t huy\u1ebft \u00e1p, gi\u1ea3m oxy m\u00e1u v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u (\u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan to\u1ea3). \u0110\u00e2y kh\u00f4ng ch\u1ec9 l\u00e0 c\u01a1n \u00e1c m\u1ed9ng c\u1ee7a s\u1ea3n ph\u1ee5 m\u00e0 c\u00f2n l\u00e0 n\u1ed7i \u00e1m \u1ea3nh c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa. Bi\u1ec7n ph\u00e1p duy nh\u1ea5t \u0111\u1ec3 c\u1ee9u s\u1ea3n ph\u1ee5 v\u00e0 thai nhi l\u00e0 nhanh ch\u00f3ng ti\u1ebfn h\u00e0nh m\u1ed5 l\u1ea5y thai v\u00e0 h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u cho m\u1eb9<\/em><\/strong>. <strong><em>\u0110\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y c\u1ea7n s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng, nhi\u1ec1u kinh nghi\u1ec7m c\u1ee7a c\u00e1c chuy\u00ean khoa S\u1ea3n, h\u1ed3i s\u1ee9c, X-quang can thi\u1ec7p, n\u1ed9i tim m\u1ea1ch v\u00e0 B\u1ec7nh l\u00fd s\u01a1 sinh\u2026\u201d<\/em><\/strong><\/p>\n\n\n\n<p>Qua kho\u1ea3ng 10 ng\u00e0y theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c t\u1ea1i b\u1ec7nh vi\u1ec7n, hi\u1ec7n s\u1ea3n ph\u1ee5 Ng. \u0111\u00e3 ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o, \u0103n u\u1ed1ng, n\u00f3i chuy\u1ec7n b\u00ecnh th\u01b0\u1eddng v\u00e0 2 m\u1eb9 con \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0o chi\u1ec1u ng\u00e0y 11\/12\/2023.Trong s\u1ea3n khoa ghi nh\u1eadn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p thai k\u1ef3 kh\u1ecfe m\u1ea1nh nh\u01b0ng l\u1ea1i g\u1eb7p b\u1ea5t th\u01b0\u1eddng khi sinh kh\u00f4ng bi\u1ebft tr\u01b0\u1edbc. V\u00ec v\u1eady, m\u1eb9 b\u1ea7u c\u1ea7n theo d\u00f5i s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 s\u1ea3n khoa \u0111\u1ec3 qu\u00e1 tr\u00ecnh v\u01b0\u1ee3t c\u1ea1n \u0111\u01b0\u1ee3c di\u1ec5n ra thu\u1eadn l\u1ee3i v\u00e0 an to\u00e0n nh\u1ea5t.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng m\u1eb9 con s\u1ea3n ph\u1ee5 trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch: m\u1ea1ch huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 ng\u1eebng tim do b\u1ecb thuy\u00ean t\u1eafc \u1ed1i. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p s\u1ea3n ph\u1ee5 H.H.H.Ng., 40 tu\u1ed5i, mang thai l\u1ea7n 3 v\u1edbi ti\u1ec1n c\u0103n t\u0103ng ti\u1ec3u c\u1ea7u nguy\u00ean ph\u00e1t 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