{"id":5324,"date":"2024-03-23T07:30:00","date_gmt":"2024-03-23T00:30:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=5324"},"modified":"2024-03-22T08:18:59","modified_gmt":"2024-03-22T01:18:59","slug":"dieu-tri-thanh-cong-san-phu-mac-hoi-chung-hellp","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=5324","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng s\u1ea3n ph\u1ee5 m\u1eafc h\u1ed9i ch\u1ee9ng HELLP"},"content":{"rendered":"\n<p><strong>Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &#8211; Ch\u1ed1ng \u0111\u1ed9c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho s\u1ea3n ph\u1ee5 sanh con so m\u1eafc h\u1ed9i ch\u1ee9ng HELLP hi\u1ebfm g\u1eb7p.<\/strong><\/p>\n\n\n\n<p>\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u1ecb N.T.M.N, 26 tu\u1ed5i, ng\u1ee5 t\u1ea1i B\u00ecnh Thu\u1eadn. \u0110\u01b0\u1ee3c bi\u1ebft trong th\u1eddi gian mang thai ch\u1ecb ph\u00e1t hi\u1ec7n da chuy\u1ec3n m\u00e0u v\u00e0ng v\u00e0 ng\u00e0y c\u00e0ng t\u0103ng d\u1ea7n, \u0111i kh\u00e1m t\u1ea1i c\u01a1 s\u1edf y t\u1ebf \u0111\u1ecba ph\u01b0\u01a1ng v\u1edbi ch\u1ea9n \u0111o\u00e1n thai 37 tu\u1ea7n chuy\u1ec3n d\u1ea1 sanh k\u00e8m theo d\u00f5i vi\u00eam gan c\u1ea5p, ngay l\u1eadp t\u1ee9c ch\u1ecb \u0111\u01b0\u1ee3c chuy\u1ec3n vi\u1ec7n v\u00e0o b\u1ec7nh vi\u1ec7n trong Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh.<\/p>\n\n\n\n<p>Sau khi sanh em b\u00e9, s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean vi\u1ec7n v\u1edbi khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c Ch\u1ed1ng \u0111\u1ed9c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng v\u00e0 c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00a0x\u00e1c \u0111\u1ecbnh s\u1ea3n ph\u1ee5 N b\u1ecb t\u1ed5n th\u01b0\u01a1ng gan c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, h\u1ed9i ch\u1ee9ng \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan t\u1ecfa v\u00e0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng HELLP.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-09022cc6 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-1-1.jpg\" alt=\"\" class=\"uag-image-5325\" width=\"2560\" height=\"1708\" title=\"\" loading=\"lazy\" \/><\/figure><\/div>\n\n\n\n<p>Sau \u0111\u00f3, s\u1ea3n ph\u1ee5 chuy\u1ec3n vi\u1ec7n v\u00e0o khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c Ch\u1ed1ng \u0111\u1ed9c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, t\u1ea1i \u0111\u00e2y s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n li\u00ean khoa v\u00e0 \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. Sau 4 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c v\u1edbi bi\u1ec7n ph\u00e1p thay huy\u1ebft t\u01b0\u01a1ng k\u1ebft h\u1ee3p l\u1ecdc m\u00e1u h\u1ea5p ph\u1ee5, s\u1ee9c kh\u1ecfe s\u1ea3n ph\u1ee5 d\u1ea7n h\u1ed3i ph\u1ee5c, t\u00ecnh tr\u1ea1ng v\u00e0ng da c\u1ea3i thi\u1ec7n, ch\u1ee9c n\u0103ng th\u1eadn \u1ed5n \u0111\u1ecbnh, th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c y l\u1ec7nh, sinh hi\u1ec7u \u1ed5n, c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea3i thi\u1ec7n theo chi\u1ec1u h\u01b0\u1edbng t\u1ed1t.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-f518918c wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1.jpg\" alt=\"\" class=\"uag-image-5326\" width=\"2560\" height=\"1707\" title=\"\" loading=\"lazy\" \/><\/figure><\/div>\n\n\n\n<p>BS CKII V\u00f5 Th\u00fay V\u00e2n \u2013 Ph\u00f3 Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c Ch\u1ed1ng \u0111\u1ed9c cho bi\u1ebft: <em>\u201cH\u1ed9i ch\u1ee9ng HELLP l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa r\u1ea5t nguy hi\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd ti\u1ec1n s\u1ea3n gi\u1eadt v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong m\u1eb9 v\u00e0 b\u00e9 cao. M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 g\u00e2y t\u1eed vong nhi\u1ec1u nh\u1ea5t l\u00e0 suy \u0111a c\u01a1 quan. Vi\u1ec7c \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p thay huy\u1ebft t\u01b0\u01a1ng v\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c s\u1ebd gi\u00fap thay th\u1ebf c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u, lo\u1ea1i b\u1ecf c\u00e1c n\u1ed9i \u0111\u1ed9c t\u1ed1, y\u1ebfu t\u1ed1 g\u00e2y vi\u00eam, cytokin, billirubin kh\u1ecfi tu\u1ea7n ho\u00e0n. Qua \u0111\u00f3 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng gan, ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh m\u1eafc h\u1ed9i ch\u1ee9ng HELLP. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 \u0111\u01b0\u1ee3c c\u1ea7n s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a ph\u01b0\u01a1ng ti\u1ec7n k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i c\u00f9ng kinh nghi\u1ec7m chuy\u00ean m\u00f4n gi\u1eefa chuy\u00ean ng\u00e0nh s\u1ea3n khoa v\u00e0 h\u1ed3i s\u1ee9c.\u201d<\/em><\/p>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng HELLP bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p: ph\u00f9 ch\u00e2n, t\u0103ng huy\u1ebft \u00e1p, thai 20 tu\u1ea7n ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m nh\u01b0 \u0111au th\u01b0\u1ee3ng v\u1ecb, \u0111au \u0111\u1ea7u, m\u1edd m\u1eaft, d\u1ec5 b\u1ecb k\u00edch th\u00edch, t\u0103ng ph\u1ea3n x\u1ea1, bu\u1ed3n n\u00f4n, n\u00f4n, v\u00e0ng da, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da. H\u1ed9i ch\u1ee9ng HELLP x\u1ea3y ra \u1edf kho\u1ea3ng 4 &#8211; 12% b\u1ec7nh nh\u00e2n ti\u1ec1n s\u1ea3n gi\u1eadt, kho\u1ea3ng 30% tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n trong nh\u1eefng tu\u1ea7n \u0111\u1ea7u sau sinh. Do \u0111\u00f3, d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa nh\u01b0 b\u1ec7nh l\u00fd ti\u00eau h\u00f3a gan m\u1eadt, b\u1ec7nh l\u00fd th\u1eadn, b\u1ec7nh l\u00fd tim m\u1ea1ch\u2026 Ph\u00e2n bi\u1ec7t c\u00e1c b\u1ec7nh l\u00fd n\u00e0y c\u1ea7n ph\u1ed1i h\u1ee3p l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng. V\u00ec th\u1ebf, s\u1ea3n ph\u1ee5 khi g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y, c\u1ea7n \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa s\u1ea3n \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi.Vi\u1ec7c kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn l\u00e0 v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft, \u0111\u1eb7c bi\u1ec7t trong 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 s\u1ea3n ph\u1ee5 c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt nh\u1eb1m ph\u00e1t hi\u1ec7n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u1ec3 theo d\u00f5i, x\u1eed tr\u00ed k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang c\u00e1ch, gi\u00fap b\u1ea3o v\u1ec7 an to\u00e0n m\u1eb9 v\u00e0 con.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &#8211; Ch\u1ed1ng \u0111\u1ed9c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho s\u1ea3n ph\u1ee5 sanh con so m\u1eafc h\u1ed9i ch\u1ee9ng HELLP hi\u1ebfm g\u1eb7p. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u1ecb N.T.M.N, 26 tu\u1ed5i, ng\u1ee5 t\u1ea1i B\u00ecnh Thu\u1eadn. \u0110\u01b0\u1ee3c bi\u1ebft trong th\u1eddi gian mang thai ch\u1ecb ph\u00e1t hi\u1ec7n da [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":5326,"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,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-5324","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x1707.jpg",1200,1707,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1.jpg",2560,1707,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1.jpg",2560,1707,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-300x200.jpg",300,200,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-768x512.jpg",768,512,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1024x683.jpg",805,537,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-400x1707.jpg",400,1707,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1536x1024.jpg",1536,1024,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-2048x1366.jpg",2048,1366,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x1707.jpg",1200,1707,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-640x400.jpg",640,400,true],"elixar_gallery_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-615x400.jpg",615,400,true],"elixar_blog_home_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-348x196.jpg",348,196,true],"elixar_blog_full_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-1110x515.jpg",1110,515,true],"elixar_blog_sidebar_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-805x350.jpg",805,350,true],"woocommerce_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-1-300x300.jpg",300,300,true],"woocommerce_single":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/03\/Hinh-2-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Kh\u00e1nh Nh\u1eadt","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=5"},"uagb_comment_info":0,"uagb_excerpt":"Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c &#8211; Ch\u1ed1ng \u0111\u1ed9c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho s\u1ea3n ph\u1ee5 sanh con so m\u1eafc h\u1ed9i ch\u1ee9ng HELLP hi\u1ebfm g\u1eb7p. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ch\u1ecb N.T.M.N, 26 tu\u1ed5i, ng\u1ee5 t\u1ea1i B\u00ecnh Thu\u1eadn. \u0110\u01b0\u1ee3c bi\u1ebft trong th\u1eddi gian mang thai ch\u1ecb ph\u00e1t hi\u1ec7n 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