{"id":10365,"date":"2014-10-29T14:36:47","date_gmt":"2014-10-29T07:36:47","guid":{"rendered":"http:\/\/10.80.7.141\/camnang\/7-xet-nghiem-quan-trong-nhat-trong-thai-ky\/"},"modified":"2023-08-30T16:04:25","modified_gmt":"2023-08-30T09:04:25","slug":"cac-lan-xet-nghiem-quan-trong-nhat-trong-thai-ky","status":"publish","type":"post","link":"https:\/\/camnang.bibomart.com.vn\/cac-lan-xet-nghiem-quan-trong-nhat-trong-thai-ky\/","title":{"rendered":"C\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng nh\u1ea5t trong thai k\u1ef3"},"content":{"rendered":"<p><em><span style=\"color: #282828;\">X\u00e9t nghi\u1ec7m khi mang thai r\u1ea5t quan tr\u1ecdng. M\u1eb9 b\u1ea7u ho\u00e0n to\u00e0n theo d\u00f5i \u0111\u01b0\u1ee3c s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n. T\u1eeb \u0111\u00f3 s\u1ebd c\u00f3 nh\u1eefng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 n\u1ebfu xu\u1ea5t hi\u1ec7n nh\u1eefng nguy c\u01a1 b\u1ea5t l\u1ee3i x\u1ea3y ra. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng nh\u1ea5t trong thai k\u1ef3 v\u00e0 l\u00fd do t\u1ea1i sao b\u1ea1n c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n ch\u00fang.<\/span><\/em><\/p>\n<p>&nbsp;<\/p>\n<h2><strong><span style=\"color: #282828;\">T\u1ea7m quan tr\u1ecdng c\u1ee7a c\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m khi mang thai<\/span><\/strong><\/h2>\n<div>\n<div>Khi mang thai, vi\u1ec7c ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n c\u1ed1t l\u00f5i c\u1ee7a vi\u1ec7c qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe. X\u00e9t nghi\u1ec7m trong thai k\u1ef3 kh\u00f4ng ch\u1ec9 l\u00e0 vi\u1ec7c l\u00e0m \u0111\u1ecbnh k\u1ef3 m\u00e0 c\u00f2n l\u00e0 vi\u1ec7c mang t\u00ednh quy\u1ebft \u0111\u1ecbnh trong vi\u1ec7c duy tr\u00ec s\u1ee9c kh\u1ecfe cho c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/div>\n<div><\/div>\n<div>Theo c\u00e1c chuy\u00ean gia, vi\u1ec7c th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m trong 9 th\u00e1ng c\u1ee7a thai k\u1ef3 \u0111\u01b0\u1ee3c chia th\u00e0nh 3 giai \u0111o\u1ea1n quan tr\u1ecdng: 3 th\u00e1ng \u0111\u1ea7u, 3 th\u00e1ng gi\u1eefa v\u00e0 3 th\u00e1ng cu\u1ed1i. Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 g\u00e2y ra nguy c\u01a1 bi\u1ebfn ch\u1ee9ng cho c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/div>\n<div><\/div>\n<div>Hi\u1ec7n nay, c\u00f3 hai d\u1ea1ng ch\u00ednh c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m d\u00e0nh cho ph\u1ee5 n\u1eef mang thai: x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t v\u00e0 x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n.<\/div>\n<\/div>\n<div><\/div>\n<h2><strong>C\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng m\u00e0 m\u1eb9 b\u1ea7u c\u1ea7n nh\u1edb\u00a0<\/strong><\/h2>\n<h3><span style=\"color: #282828;\"><b>1. X\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi th\u1ee5 thai &#8211; S\u00e0ng l\u1ecdc di truy\u1ec1n<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">Vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc s\u1ebd th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u mang thai.\u00a0<\/span><span style=\"color: #282828;\">Kh\u00e1m s\u00e0ng l\u1ecdc di truy\u1ec1n nh\u1eb1m ph\u00e1t hi\u1ec7n xem cha m\u1eb9 c\u00f3 m\u1eafc m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n di truy\u1ec1n nghi\u00eam tr\u1ecdng hay kh\u00f4ng. V\u00ec m\u1eb7c d\u00f9 cha m\u1eb9 kh\u00f4ng m\u1eafc b\u1ec7nh th\u00ec kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 h\u1ecd kh\u00f4ng mang m\u1ed9t lo\u1ea1i gen b\u1ec7nh c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n cho con c\u00e1i c\u1ee7a m\u00ecnh.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">C\u00e1c s\u00e0ng l\u1ecdc \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua x\u00e9t nghi\u1ec7m n\u01b0\u1edbc b\u1ecdt ho\u1eb7c m\u00e1u.<\/span><\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>2. L\u1ea7n h\u1eb9n \u0111\u1ea7u ti\u00ean &#8211; Ki\u1ec3m tra mi\u1ec5n d\u1ecbch Rubella<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">Rubella l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng g\u00e2y ra b\u1edfi virus thu\u1ed9c nh\u00f3m Rubivirus. Rubella c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh S\u1edfi \u0110\u1ee9c hay s\u1edfi 3 ng\u00e0y, v\u00ec \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh ph\u00e1t ban 3 ng\u00e0y s\u1ebd h\u1ebft. Virus Rubella c\u00f3 th\u1ec3 khi\u1ebfn thai ch\u1ebft l\u01b0u, s\u1ea9y thai, sinh non, tr\u1ebb mang d\u1ecb t\u1eadt b\u1ea9m sinh. B\u1ec7nh n\u00e0y \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m khi ng\u01b0\u1eddi m\u1eb9 mang thai trong 13 tu\u1ea7n l\u1ec5 \u0111\u1ea7u.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Virus g\u00e2y b\u1ec7nh c\u00f3 th\u1ec3 truy\u1ec1n qua nhau \u0111\u1ebfn thai nhi g\u00e2y h\u1ed9i ch\u1ee9ng Rubella b\u1ea9m sinh. B\u1ec7nh g\u00e2y ra c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh nh\u01b0: m\u1eaft (\u0111\u1ee5c th\u1ee7y tinh th\u1ec3), tai (\u0111i\u1ebfc), tim m\u1ea1ch, n\u00e3o (t\u1eadt \u0111\u1ea7u nh\u1ecf), vi\u00eam m\u00e0ng n\u00e3o\u2026 \u0110\u1ed9 tr\u1ea7m tr\u1ecdng s\u1ebd t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i thai nhi\u1ec5m virus, c\u00f3 th\u1ec3 chi\u1ebfm \u0111\u1ebfn 90% n\u1ebfu m\u1eb9 m\u1eafc b\u1ec7nh trong 3 th\u00e1ng \u0111\u1ea7u thai k\u00ec.<\/span><\/div>\n<div style=\"text-align: center;\">\n<p>&nbsp;<\/p>\n<figure style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" style=\"width: 600px; height: 400px; margin-top: 10px; margin-bottom: 10px;\" src=\"\/wp-content\/media\/\/xet-nghiem.jpg\" alt=\"C\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng c\u00e1c m\u1eb9 b\u1ea7u ph\u1ea3i bi\u1ebft \" width=\"600\" height=\"400\" \/><figcaption class=\"wp-caption-text\"><em>M\u1eb9 b\u1ea7u n\u00ean c\u00e2n nh\u1eafc v\u00e0 c\u00f3 l\u1ef1a ch\u1ecdn s\u00e1ng su\u1ed1t khi l\u00e0m nh\u1eefng x\u00e9t nghi\u1ec7m trong thai k\u1ef3. (\u1ea2nh minh h\u1ecda)<\/em><\/figcaption><\/figure>\n<\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Vacxin ng\u1eeba rubella \u0111\u01b0\u1ee3c ch\u1ebf t\u1ea1o t\u1eeb virus g\u00e2y b\u1ec7nh Rubella s\u1ed1ng. Vacxin n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m \u0111\u1ed9c l\u1ef1c. Do \u0111\u00f3, \u0111\u1ec3 an to\u00e0n, thai ph\u1ee5 kh\u00f4ng n\u00ean ti\u00eam ng\u1eeba Rubella khi mang thai. Ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai trong 3 th\u00e1ng sau khi ti\u00eam, ho\u1eb7c \u00edt nh\u1ea5t 1 th\u00e1ng sau ti\u00eam ng\u1eeba v\u1eafc xin n\u00e0y. Ph\u1ee5 n\u1eef chu\u1ea9n b\u1ecb c\u00f3 thai n\u00ean ki\u1ec3m tra t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ec7nh. N\u1ebfu ch\u01b0a \u0111\u01b0\u1ee3c mi\u1ec5n d\u1ecbch th\u00ec n\u00ean \u0111i ch\u00edch ng\u1eeba.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Ngo\u00e0i ra, ph\u1ee5 n\u1eef mang thai ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch n\u00ean tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh rubella. N\u1ebfu l\u1ee1 ti\u1ebfp x\u00fac th\u00ec n\u00ean \u0111i kh\u00e1m b\u1ec7nh \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 c\u00e2n nh\u1eafc v\u00e0 x\u1eed tr\u00ed \u0111\u00fang \u0111\u1eafn nh\u1ea5t nh\u00e9.<\/span><\/div>\n<div><\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>3. 10 tu\u1ea7n &#8211; Ki\u1ec3m tra CVS<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">L\u00f4ng nhung m\u00e0ng \u0111\u1ec7m s\u1ebd ph\u00e1t tri\u1ec3n s\u1edbm h\u01a1n so v\u1edbi n\u01b0\u1edbc \u1ed1i. Vi\u1ec7c ki\u1ec3m tra m\u1eabu l\u00f4ng nhung m\u00e0ng \u0111\u1ec7m c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin c\u00f3 gi\u00e1 tr\u1ecb v\u1ec1 gene v\u00e0 nhi\u1ec5m s\u1eafc th\u1ec3 tr\u01b0\u1edbc khi ch\u1ecdc d\u00f2 \u1ed1i. CVS ch\u00ednh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u1ea5y m\u1eabu nhung m\u00e0ng \u0111\u1ec7m.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Trong s\u1ea3n khoa, CVS c\u00f3 m\u1ee5c \u0111\u00edch ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u1ee7a thai nhi. C\u00e1ch n\u00e0y \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 thai d\u1ecb t\u1eadt cao nh\u01b0 ng\u01b0\u1eddi m\u1eb9 tr\u00ean 35 tu\u1ed5i ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed r\u1ed1i lo\u1ea1n gene, sinh con kh\u00f4ng b\u00ecnh th\u01b0\u1eddng.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">\u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong giai \u0111o\u1ea1n \u0111\u1ea7u thai k\u1ef3 (th\u01b0\u1eddng l\u00e0 t\u1eeb tu\u1ea7n th\u1ee9 10 &#8211; 12 c\u1ee7a thai k\u1ef3). CVS \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a si\u00eau \u00e2m, tr\u01b0\u1edbc khi c\u00e1c t\u00fai \u1ed1i ho\u00e0n to\u00e0n l\u1ea5p \u0111\u1ea7y khoang t\u1eed cung.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">C\u00e1c thi\u1ebft b\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a qua c\u1ed5 t\u1eed cung ho\u1eb7c b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9 (nh\u01b0 ch\u1ecdc d\u00f2 \u1ed1i) \u0111\u1ec3 l\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m. M\u1ed9t d\u1ee5ng c\u1ee5 gi\u1ed1ng nh\u01b0 m\u1ecf v\u1ecbt \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u1ed5 t\u1eed cung, tr\u00ean khoang t\u1eed cung v\u00e0 sau \u0111\u00f3 v\u00e0o c\u00e1c c\u1ea1nh b\u00ean ngo\u00e0i c\u1ee7a nhau thai. M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf m\u00f4 l\u00f4ng nhung m\u00e0ng \u0111\u1ec7m sau \u0111\u00f3 \u0111\u01b0\u1ee3c l\u1ea5y ra ph\u00e2n t\u00edch.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">L\u00e0m CVS \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 k\u1ef9 thu\u1eadt cao, trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i v\u00e0 \u0111\u1ea3m b\u1ea3o y\u00eau c\u1ea7u v\u1ec7 sinh. N\u1ebfu kh\u00f4ng \u0111\u1ee7 nh\u1eefng y\u00eau c\u1ea7u tr\u00ean, thai nhi r\u1ea5t d\u1ec5 m\u1eafc ph\u1ea3i c\u00e1c d\u1ecb t\u1eadt. V\u00ec th\u1ebf c\u00e1c m\u1eb9 n\u1eb1m trong nh\u00f3m ch\u1ec9 \u0111\u1ecbnh c\u1ea7n l\u1ef1a ch\u1ecdn c\u01a1 s\u1edf y t\u1ebf k\u1ef9 c\u00e0ng \u0111\u1ec3 tr\u00e1nh g\u1eb7p ph\u1ea3i nh\u1eefng h\u1eadu qu\u1ea3 \u0111\u00e1ng ti\u1ebfc.<\/span><\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>4. Khi thai \u0111\u01b0\u1ee3c 16 tu\u1ea7n &#8211; Ch\u1ecdc d\u00f2 n\u01b0\u1edbc \u1ed1i<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">Ch\u1ecdc \u1ed1i l\u00e0 th\u1eed nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a h\u1ea7u h\u1ebft thai ph\u1ee5. V\u00ec n\u01b0\u1edbc \u1ed1i ch\u1ee9a c\u00e1c t\u1ebf b\u00e0o t\u1eeb da c\u1ee7a em b\u00e9 v\u00e0 c\u00e1c c\u01a1 quan trong t\u1eed cung c\u1ee7a m\u1eb9. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n gi\u1edbi t\u00ednh thai nhi, chu\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 b\u1ec7nh di truy\u1ec1n nh\u01b0 Down\u2026 Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n kho\u1ea3ng gi\u1eefa tu\u1ea7n th\u1ee9 16 \u0111\u1ebfn 20 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Nh\u1eefng ph\u1ee5 n\u1eef mang thai trong tr\u01b0\u1eddng h\u1ee3p sau \u0111\u00e2y th\u00ec n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ch\u1ecdc d\u00f2 \u1ed1i:<\/span><\/div>\n<ul>\n<li><span style=\"color: #282828;\">35 tu\u1ed5i tr\u1edf l\u00ean t\u00ednh t\u1edbi th\u1eddi \u0111i\u1ec3m chuy\u1ec3n d\u1ea1 (b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ebd t\u0103ng l\u00ean theo tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi m\u1eb9).<\/span><\/li>\n<li><span style=\"color: #282828;\">Ti\u1ec1n s\u1eed c\u00f3 thai ho\u1eb7c sinh con khuy\u1ebft t\u1eadt.<\/span><\/li>\n<li><span style=\"color: #282828;\">C\u00f3 ng\u01b0\u1eddi trong gia \u0111\u00ecnh b\u1ecb d\u1ecb t\u1eadt b\u1ea9m sinh.<\/span><\/li>\n<li><span style=\"color: #282828;\">K\u1ebft qu\u1ea3 si\u00eau \u00e2m ho\u1eb7c c\u00f3 x\u00e9t nghi\u1ec7m di truy\u1ec1n b\u1ea5t th\u01b0\u1eddng k\u1ec3 t\u1eeb khi mang thai.<\/span><\/li>\n<\/ul>\n<div><span style=\"color: #282828;\">B\u00e1c s\u0129 s\u1ebd d\u00f9ng c\u00e2y kim nh\u1ecf \u0111\u00e2m xuy\u00ean qua da b\u1ee5ng \u0111\u1ec3 r\u00fat ra m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i nh\u1ecf (kho\u1ea3ng 14g) m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i g\u00e2y t\u00ea c\u1ee5c b\u1ed9. N\u01b0\u1edbc n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c quay ly t\u00e2m \u0111\u1ec3 t\u00e1ch ri\u00eang c\u00e1c t\u1ebf b\u00e0o ra, sau \u0111\u00f3 \u0111em c\u1ea5y c\u00e1c t\u1ebf b\u00e0o n\u00e0y trong th\u1eddi gian t\u1eeb 2,5 &#8211; 5 tu\u1ea7n. Vi\u1ec7c n\u00e0y gi\u00fap s\u00e0ng l\u1ecdc nguy c\u01a1 Down c\u1ee7a b\u00e9 d\u1ec5 d\u00e0ng nh\u1ea5t so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/span><\/div>\n<div><\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>5. Khi thai \u0111\u01b0\u1ee3c 20 tu\u1ea7n &#8211; S\u00e0ng l\u1ecdc AFP<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">X\u00e9t nghi\u1ec7m AFP th\u01b0\u1eddng \u00edt khi \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh m\u1ed9t m\u00ecnh. N\u00f3 l\u00e0 m\u1ed9t trong s\u1ed1 b\u1ed9 ba c\u1ee7a x\u00e9t nghi\u1ec7m Triple test. C\u00f3 ba ch\u1ea5t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong x\u00e9t nghi\u1ec7m n\u00e0y l\u00e0 AFP, hCG v\u00e0 Estriol. X\u00e9t nghi\u1ec7m AFP th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb tu\u1ea7n th\u1ee9 15 \u0111\u1ebfn 20 c\u1ee7a thai k\u1ef3.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Alpha-fetoprotein (AFP) l\u00e0 m\u1ed9t ch\u1ea5t c\u1ee7a thai nhi v\u00e0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc \u1ed1i, m\u00e1u thai nhi v\u00e0 m\u00e1u c\u1ee7a ng\u01b0\u1eddi m\u1eb9. M\u1ee9c \u0111\u1ed9 b\u1ea5t th\u01b0\u1eddng c\u1ee7a AFP c\u00f3 th\u1ec3 ch\u1ec9 ra m\u1ed9t khi\u1ebfm khuy\u1ebft v\u1ec1 \u1ed1ng th\u1ea7n kinh, thai nhi m\u1eafc b\u1ec7nh h\u1ed9i ch\u1ee9ng Down, thi\u1ec3u \u1ed1i \u1edf ng\u01b0\u1eddi m\u1eb9 hay ch\u1ec9 ra c\u00e1c bi\u1ebfn ch\u1ee9ng trong th\u1eddi k\u1ef3 mang thai (nh\u01b0 t\u0103ng nguy c\u01a1 thai ch\u1ebft l\u01b0u).<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Khi c\u00f3 k\u1ebft qu\u1ea3 AFP b\u1ea5t th\u01b0\u1eddng, thai ph\u1ee5 s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0m x\u00e9t nghi\u1ec7m trong thai k\u1ef3 l\u00e0 ch\u1ecdc d\u00f2 \u1ed1i, ho\u1eb7c sinh thi\u1ebft gai nhau. Tuy nhi\u00ean, \u0111\u1ec3 \u01b0\u1edbc t\u00ednh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 nguy c\u01a1 ph\u1ea3i k\u1ebft h\u1ee3p k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m ba ch\u1ea5t tr\u00ean. K\u1ebft qu\u1ea3 AFP c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi m\u1eb9, ch\u1ee7ng t\u1ed9c, c\u00e2n n\u1eb7ng, chi\u1ec1u cao, ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n ng\u01b0\u1eddi m\u1eb9 nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, h\u00fat thu\u1ed1c, m\u1ed9t thai hay song thai, tu\u1ed5i thai\u2026<\/span><\/div>\n<div><\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>6. Khi thai \u0111\u01b0\u1ee3c 28 tu\u1ea7n &#8211; Ki\u1ec3m tra Glucose<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">Ph\u1ee5 n\u1eef tr\u00ean 25 tu\u1ed5i n\u00ean \u0111\u01b0\u1ee3c test glucose v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 gi\u1eefa tu\u1ea7n 25 v\u00e0 28. M\u1ed9t \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng nh\u01b0ng kh\u00f4ng c\u00f3 ga \u0111\u01b0\u1ee3c trao cho ng\u01b0\u1eddi m\u1eb9 \u0111\u1ec3 u\u1ed1ng tr\u01b0\u1edbc khi l\u00e0m x\u00e9t nghi\u1ec7m. Thai ph\u1ee5 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u trong v\u00f2ng 1 ti\u1ebfng sau khi u\u1ed1ng xong.\u00a0<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Nh\u1eefng ng\u01b0\u1eddi m\u1eb9 v\u1edbi l\u01b0\u1ee3ng glucose cao sau c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u1ebd \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m dung n\u1ea1p glucose. C\u00e1c m\u1eabu m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng th\u00ed nghi\u1ec7m v\u00e0 ch\u1edd \u0111\u1ee3i 1-2 ng\u00e0y \u0111\u1ec3 bi\u1ebft k\u1ebft qu\u1ea3. N\u1ebfu m\u1ee9c \u0111\u1ed9 \u0111\u01b0\u1eddng cao, ng\u01b0\u1eddi m\u1eb9 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn. Tr\u01b0\u1eddng h\u1ee3p m\u1ee9c \u0111\u1ed9 \u0111\u01b0\u1eddng qu\u00e1 cao, ti\u00eam insulin l\u00e0 c\u1ea7n thi\u1ebft.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Thai nhi do ng\u01b0\u1eddi m\u1eb9 m\u1eafc ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t c\u00f3 th\u1ec3 b\u1ecb qu\u00e1 c\u00e2n, sinh non, t\u1eadt b\u1ea9m sinh v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng do \u00e1p l\u1ef1c m\u00e1u. Vi\u1ec7c b\u00e9 s\u01a1 sinh n\u1eb7ng c\u00e2n l\u00e0 kh\u00f3 kh\u0103n \u0111\u1ed1i v\u1edbi c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.\u00a0<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">\u201cH\u1ea7u h\u1ebft ph\u1ee5 n\u1eef ph\u00e1t tri\u1ec3n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng khi mang thai, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u s\u1ebd quay l\u1ea1i m\u1ee9c b\u00ecnh th\u01b0\u1eddng trong v\u00f2ng v\u00e0i ng\u00e0y sau sinh\u201d \u2013 theo ti\u1ebfn s\u0129 Jame Proulx (b\u00e1c s\u0129 s\u1ea3n khoa t\u1ea1i b\u1ec7nh vi\u1ec7n William). Tuy nhi\u00ean, v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ph\u00e1t tri\u1ec3n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng sau sinh. V\u1eady n\u00ean thai ph\u1ee5 c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 cho t\u00ecnh tr\u1ea1ng n\u00e0y sau \u0111\u00f3.<\/span><\/div>\n<div><\/div>\n<div style=\"text-align: center;\">\n<figure style=\"width: 600px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" style=\"width: 600px; height: 500px; margin-top: 10px; margin-bottom: 10px;\" src=\"\/wp-content\/media\/\/bld178747-95178.jpg\" alt=\"C\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng m\u1eb9 b\u1ea7u n\u00ean nh\u1edb \" width=\"600\" height=\"500\" \/><figcaption class=\"wp-caption-text\"><em>H\u00e3y ki\u1ec3m tra glucoso khi thai \u0111\u01b0\u1ee3c 28 tu\u1ea7n<\/em><\/figcaption><\/figure>\n<\/div>\n<div><\/div>\n<h3><span style=\"color: #282828;\"><b>7. 36 tu\u1ea7n &#8211; Strep nh\u00f3m B<\/b><\/span><\/h3>\n<div><span style=\"color: #282828;\">Li\u00ean c\u1ea7u nh\u00f3m B (GBS) l\u00e0 m\u1ed9t lo\u1ea1i nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong \u00e2m \u0111\u1ea1o ho\u1eb7c tr\u1ef1c tr\u00e0ng c\u1ee7a m\u1ed9t ph\u1ee5 n\u1eef mang thai. Trung T\u00e2m Ki\u1ec3m So\u00e1t v\u00e0 Ph\u00f2ng Ng\u1eeba B\u1ec7nh (CDC) \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb t\u1ea5t c\u1ea3 c\u00e1c ph\u1ee5 n\u1eef mang thai n\u00ean ki\u1ec3m tra strep B cho \u00e2m \u0111\u1ea1o th\u01b0\u1eddng xuy\u00ean. Ki\u1ec3m tra n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u1eefa tu\u1ea7n 35 &#8211; 37 c\u1ee7a thai k\u1ef3. H\u1ecdc vi\u1ec7n Nhi khoa M\u1ef9 c\u0169ng khuy\u1ebfn c\u00e1o t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1\u00a0tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc GBS c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh IV cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng GBS c\u1ee7a h\u1ecd \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t.<\/span><\/div>\n<div><\/div>\n<div><span style=\"color: #282828;\">Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c em b\u00e9 \u0111\u01b0\u1ee3c sinh ra t\u1eeb m\u1ed9t ng\u01b0\u1eddi m\u1eb9 ki\u1ec3m tra d\u01b0\u01a1ng t\u00ednh v\u1edbi GBS s\u1ebd b\u1ecb b\u1ec7nh. M\u1eb7c d\u00f9 GBS l\u00e0 hi\u1ebfm khi x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef mang thai nh\u01b0ng k\u1ebft qu\u1ea3 s\u1ebd nghi\u00eam tr\u1ecdng n\u1ebfu m\u1eafc ph\u1ea3i. Do \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 khuy\u1ebfn ngh\u1ecb c\u00e1c thai ph\u1ee5 coi x\u00e9t nghi\u1ec7m GBS nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a th\u00f3i quen ch\u0103m s\u00f3c tr\u01b0\u1edbc sinh.<\/span><\/div>\n<div><\/div>\n<div>Tr\u00ean \u0111\u00e2y l\u00e0 t\u1ed5ng h\u1ee3p c\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng m\u00e0 m\u1eb9 b\u1ea7u nh\u1ea5t \u0111\u1ecbnh ph\u1ea3i nh\u1edb \u0111\u1ec3 c\u00f3 th\u1ec3 theo d\u00f5i s\u00e1t nh\u1ea5t t\u00ecnh tr\u1ea1ng c\u1ee7a thai nhi. Hy v\u1ecdng nh\u1eefng th\u00f4ng tin tr\u00ean s\u1ebd gi\u1ea3i \u0111\u00e1p \u0111\u01b0\u1ee3c n\u1ed7i b\u0103n kho\u0103n c\u1ee7a c\u00e1c m\u1eb9 mang thai l\u1ea7n \u0111\u1ea7u. C\u00e1c m\u1eb9 c\u00f3 th\u1ec3 gh\u00e9\u00a0<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/camnang.bibomart.com.vn\/\" target=\"_blank\" rel=\"noopener\">C\u1ea9m nang BiBo Mart<\/a> <\/span>\u0111\u1ec3 c\u00f3 th\u00eam nhi\u1ec1u ki\u1ebfn th\u1ee9c hay v\u1ec1 ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb cho b\u00e9 c\u0169ng nh\u01b0 cho ch\u00ednh m\u00ecnh nh\u00e9!<\/div>\n","protected":false},"excerpt":{"rendered":"<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 7 x\u00e9t nghi\u1ec7m quan tr\u1ecdng nh\u1ea5t trong thai k\u1ef3 v\u00e0 l\u00fd do t\u1ea1i sao b\u1ea1n c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n ch\u00fang. L\u1eafng nghe v\u00e0 c\u00f3 nh\u1eefng quy\u1ebft \u0111\u1ecbnh th\u00f4ng minh nh\u00e9!   1. X\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi th\u1ee5 thai -S\u00e0ng l\u1ecdc di truy\u1ec1n   Th\u1eed nghi\u1ec7m di truy\u1ec1n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u mang thai, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t&#8230;&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":13104,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[],"class_list":["post-10365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mang-thai"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.0 (Yoast SEO v24.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c l\u1ea7n x\u00e9t nghi\u1ec7m quan tr\u1ecdng nh\u1ea5t trong thai k\u1ef3 m\u1eb9 b\u1ea7u ph\u1ea3i nh\u1edb k\u1ef9<\/title>\n<meta name=\"description\" content=\"Nhi\u1ec1u m\u1eb9 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