{"id":4816,"date":"2020-12-21T08:16:03","date_gmt":"2020-12-21T08:16:03","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=4816"},"modified":"2020-12-21T08:16:04","modified_gmt":"2020-12-21T08:16:04","slug":"khoa-san-2-mo-cap-cuu-thanh-cong-san-phu-bi-tien-san-giat-nang-suy-thai-cap-tren-tinh-trang-nhi-suy-dinh-duong-truong-dien-trong-tu-cung","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/khoa-san-2-mo-cap-cuu-thanh-cong-san-phu-bi-tien-san-giat-nang-suy-thai-cap-tren-tinh-trang-nhi-suy-dinh-duong-truong-dien-trong-tu-cung\/","title":{"rendered":"Khoa s\u1ea3n 2: M\u1ed5 c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng s\u1ea3n ph\u1ee5 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng, suy thai c\u1ea5p tr\u00ean t\u00ecnh tr\u1ea1ng nhi suy dinh d\u01b0\u1ee1ng tr\u01b0\u1eddng di\u1ec5n trong t\u1eed cung"},"content":{"rendered":"\n

17h ng\u00e0y 17\/5 v\u1eeba qua, Khoa s\u1ea3n 2, B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u0111\u00e3 ti\u1ebfp nh\u1eadn s\u1ea3n ph\u1ee5 V.M.T, 34 tu\u1ed5i, \u1edf Ch\u00f9a H\u00e0ng, H\u1ed3 Nam, H\u1ea3i Ph\u00f2ng \u0111\u1ebfn kh\u00e1m trong t\u00ecnh tr\u1ea1ng: \u0111au b\u1ee5ng, m\u1ec7t m\u1ecfi, ph\u00f9 hai ch\u00e2n. Qua th\u0103m kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m, s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n chuy\u1ec3n d\u1ea1 \u0111\u1ebb l\u1ea7n m\u1ed9t, thai 34 tu\u1ea7n, ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng k\u00e8m thai ch\u1eadm ph\u00e1t tri\u1ec3n, suy dinh d\u01b0\u1ee1ng tr\u01b0\u1eddng di\u1ec5n trong t\u1eed cung ( ch\u1ec9 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng thai 30 tu\u1ea7n). Ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p \u0111o \u0111\u01b0\u1ee3c c\u1ee7a ng\u01b0\u1eddi m\u1eb9 l\u00fac v\u00e0o l\u00e0 150\/100mmHg, acid urie t\u0103ng cao: 409Mmol\/l \u2013 th\u1eadn \u0111\u00e3 c\u00f3 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng; trong n\u01b0\u1edbc ti\u1ec3u c\u00f3 protein; s\u1ea3n ph\u1ee5 ph\u00f9 nhi\u1ec1u hai chi d\u01b0\u1edbi, v\u00f9ng m\u1eb7t v\u00e0 b\u1ee5ng; c\u1ed5 t\u1eed cung \u0111\u00e3 m\u1edf 1cm, \u0111\u00e3 xu\u1ea5t hi\u1ec7n r\u00f5 c\u01a1n co chuy\u1ec3n d\u1ea1. Khi c\u00f3 c\u01a1n co t\u1eed cung th\u00ec tim thai xu\u1ed1ng r\u1ea5t ch\u1eadm (\u0111\u00f3 l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u00e3 t\u1eebng suy thai m\u00e3n trong t\u1eed cung do ch\u1eadm ph\u00e1t tri\u1ec3n tr\u00ean th\u1ec3 tr\u1ea1ng cao huy\u1ebft \u00e1p k\u00e9o d\u00e0i c\u1ee7a m\u1eb9).<\/p>\n\n\n\n

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B\u00e1c s\u1ef9 Tr\u1ea7n Th\u1ecb Vi\u1ec7t Ph\u01b0\u01a1ng \u2013 Tr\u01b0\u1edfng khoa s\u1ea3n 2 \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1eddi kh\u00e1m h\u1ed9i ch\u1ea9n khi b\u1ec7nh nh\u00e2n v\u1eeba t\u1edbi Khoa v\u00e0 ch\u1ec9 \u0111\u1ecbnh m\u1ed5 c\u1ea5p c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a ra ngay \u0111\u1ec3 c\u1ee9u b\u00e9; ch\u1ea5m d\u1ee9t c\u00e1c nguy c\u01a1 tai bi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra cho m\u1eb9 do ti\u1ec1n s\u1ea3n gi\u1eadt g\u00e2y l\u00ean (s\u1ea3n gi\u1eadt, h\u00f4n m\u00ea, ch\u1ea3y m\u00e1u v\u00e0 nhi\u1ec1u tai bi\u1ebfn kh\u00e1c\u2026). Tuy b\u1ec7nh nh\u00e2n v\u00e0o vi\u1ec7n \u0111\u00e3 cu\u1ed1i gi\u1edd chi\u1ec1u nh\u01b0ng k\u00edp ph\u1eabu thu\u1eadt do b\u00e1c s\u1ef9 Nguy\u1ec5n Kim Nga v\u00e0 b\u00e1c s\u1ef9 V\u0169 H\u1ed3ng Th\u0103ng v\u1eabn l\u1eadp t\u1ee9c tri\u1ec3n khai kh\u00f4ng ch\u1eadm tr\u1ec5. Ca m\u1ed5 \u0111\u00e3 di\u1ec5n ra th\u00e0nh c\u00f4ng, m\u1ed9t b\u00e9 g\u00e1i n\u1eb7ng 1,2kg \u0111\u01b0\u1ee3c ch\u00e0o \u0111\u1eddi, b\u00e9 c\u00f3 \u0111\u1ee7 c\u00e1c d\u1ea5u hi\u1ec7u suy dinh d\u01b0\u1ee1ng b\u00e0o thai n\u1eb7ng nh\u01b0: da nh\u0103n nheo; l\u1edbp m\u1ee1, c\u01a1 d\u01b0\u1edbi da r\u1ea5t m\u1ecfng. Sau khi \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 \u1ee7 \u1ea5m, l\u00e0m s\u1ea1ch \u0111\u01b0\u1eddng th\u1edf, b\u00e9 kh\u00f3c r\u1ea5t to nh\u01b0 l\u1eddi c\u1ea3m \u01a1n cho k\u00edp g\u00e2y m\u00ea v\u00e0 k\u00edp ph\u1eabu thu\u1eadt v\u1eeba c\u1ee9u s\u1ed1ng m\u00ecnh. Th\u1ea5y t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p c\u1ee7a b\u00e9 \u0111\u00e3 \u1ed5n \u0111\u1ecbnh, c\u00e1c ph\u1ea3n x\u1ea1 s\u01a1 sinh t\u1ed1t d\u1ea7n h\u01a1n, b\u00e1c s\u1ef9 Vi\u1ec7t Ph\u01b0\u01a1ng \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh gi\u1eef b\u00e9 l\u1ea1i Khoa S\u1ea3n 2 \u0111\u1ec3 ch\u0103m s\u00f3c v\u00e0 nu\u00f4i d\u01b0\u1ee1ng tr\u01b0\u1edbc s\u1ef1 \u0111\u1ed3ng t\u00ecnh c\u1ee7a s\u1ea3n ph\u1ee5 v\u00e0 ng\u01b0\u1eddi th\u00e2n.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

H\u1ecfi b\u00e1c s\u1ef9 Vi\u1ec7t Ph\u01b0\u01a1ng, vi\u1ec7c theo d\u00f5i, ch\u0103m s\u00f3c v\u00e0 nu\u00f4i d\u01b0\u1ee1ng m\u1ed9t nhi \u0111\u00e3 non th\u00e1ng l\u1ea1i nh\u1eb9 c\u00e2n do suy dinh d\u01b0\u1ee1ng l\u00e2u trong t\u1eed cung m\u1eb9 l\u00e0 r\u1ea5t v\u1ea5t v\u1ea3 cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u1ee7a 2 khoa S\u1ea3n v\u00e0 Nhi, v\u1eady t\u1ea1i sao kh\u00f4ng chuy\u1ec3n b\u00e9 sang b\u1ec7nh vi\u1ec7n tr\u1ebb em cho nh\u1eb9 \u0111i ph\u1ea7n tr\u00e1ch nhi\u1ec7m n\u00e0y. B\u00e1c s\u1ef9 Ph\u01b0\u01a1ng chia s\u1ebb, b\u00e9 \u0111\u00e3 thi\u1ec7t th\u00f2i h\u01a1n nh\u1eefng b\u00e9 kh\u00e1c v\u00ec b\u1ecb ch\u1eadm ph\u00e1t tri\u1ec3n c\u00e2n n\u1eb7ng trong c\u01a1 th\u1ec3 b\u1ec7nh l\u00fd ti\u1ec1n s\u1ea3n gi\u1eadt c\u1ee7a m\u1eb9. Gi\u1edd b\u00e9 ra ch\u1ec9 v\u00ec non th\u00e1ng nh\u1eb9 c\u00e2n m\u00e0 b\u00e9 kh\u00f4ng b\u1ecb b\u1ec7nh l\u00fd g\u00ec kh\u00e1c th\u00ec vi\u1ec7c t\u00e1ch b\u00e9 ra kh\u1ecfi m\u1eb9 c\u00f2n l\u00e0m b\u00e9 thi\u1ec7t th\u00f2i v\u00e0 c\u00f2i c\u1ecdc h\u01a1n n\u1eefa ch\u01b0a n\u00f3i t\u1edbi vi\u1ec7c chuy\u1ec3n sang b\u1ec7nh vi\u1ec7n tr\u1ebb em, m\u1eb9 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt ph\u1ea3i sang theo \u0111\u1ec3 v\u1eaft s\u1eefa h\u00e0ng ng\u00e0y, c\u00f2n l\u00e0m gi\u1ea3m th\u00eam kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c b\u1ec7nh l\u00fd sau m\u1ed5 cho m\u1eb9. Ti\u1ebfp n\u1eefa l\u00e0 nh\u1eefng nguy c\u01a1 l\u00e2y ch\u00e9o cho b\u00e9 khi b\u1ec7nh vi\u1ec7n tr\u1ebb em lu\u00f4n qu\u00e1 t\u1ea3i c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi l\u00e0 b\u1ec7nh l\u00fd.<\/p>\n\n\n\n

\u0110\u00e3 h\u01a1n 10 ng\u00e0y sau ph\u1eabu thu\u1eadt, t\u00ecnh tr\u1ea1ng b\u00e9 \u1ed5n \u0111\u1ecbnh v\u00e0 t\u0103ng c\u00e2n (t\u1eeb 1,2kg l\u00ean 1,4kg; t\u1eeb ch\u01b0a c\u00f3 ph\u1ea3n x\u1ea1 b\u00fa nay b\u00e9 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1eadp b\u00fa v\u00e0 b\u00fa t\u1ed1t; \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1eadp ra n\u1eb1m c\u00f9ng m\u1eb9). \u00a0Tr\u1edf l\u1ea1i v\u1edbi b\u1ec7nh l\u00fd ti\u1ec1n s\u1ea3n gi\u1eadt trong l\u00fac mang thai, \u0111\u00e2y l\u00e0 m\u1ed9t trong 5 tai bi\u1ebfn s\u1ea3n khoa g\u00e2y ra bi\u1ebfn ch\u1ee9ng t\u1eed vong cao cho c\u1ea3 m\u1eb9 v\u00e0 con. Qua \u0111\u00e2y c\u00e1c b\u00e1c s\u1ef9 c\u0169ng khuy\u1ebfn c\u00e1o, c\u00e1c s\u1ea3n ph\u1ee5 c\u1ea7n \u0111i kh\u00e1m thai \u0111\u1ecbnh k\u1ef3, theo \u0111\u00fang h\u1eb9n v\u00e0 ch\u1ec9 c\u00f3 kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 theo \u0111\u00fang quy tr\u00ecnh nh\u01b0 t\u1ea1i B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u0111ang th\u1ef1c hi\u1ec7n s\u1ebd ng\u0103n ch\u1eb7n \u0111\u01b0\u1ee3c t\u1ed1i \u0111a c\u00e1c bi\u1ebfn c\u1ed1 ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 g\u00e2y ra cho s\u1ea3n ph\u1ee5, b\u1ea3o \u0111\u1ea3m s\u1ef1 an to\u00e0n cho c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/p>\n","protected":false},"excerpt":{"rendered":"

17h ng\u00e0y 17\/5 v\u1eeba qua, Khoa s\u1ea3n 2, B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u0111\u00e3 ti\u1ebfp nh\u1eadn s\u1ea3n ph\u1ee5 V.M.T, 34 tu\u1ed5i, \u1edf Ch\u00f9a H\u00e0ng, H\u1ed3 Nam, H\u1ea3i Ph\u00f2ng \u0111\u1ebfn kh\u00e1m trong t\u00ecnh tr\u1ea1ng: \u0111au b\u1ee5ng, m\u1ec7t m\u1ecfi, ph\u00f9 hai ch\u00e2n. Qua th\u0103m kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m, s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c ch\u1ea9n<\/p>\n","protected":false},"author":1,"featured_media":4817,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[57,56,58],"tags":[],"class_list":["post-4816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-cuu","category-khoa-san","category-tin-moi"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=4816"}],"version-history":[{"count":0,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/4816\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/4817"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=4816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=4816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=4816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}