{"id":11061,"date":"2021-11-09T20:45:10","date_gmt":"2021-11-09T13:45:10","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11061"},"modified":"2021-11-09T20:45:10","modified_gmt":"2021-11-09T13:45:10","slug":"nguy-co-sinh-non-o-nhung-phu-nu-mang-thai-bi-nhiem-covid-19-nang","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/11\/09\/nguy-co-sinh-non-o-nhung-phu-nu-mang-thai-bi-nhiem-covid-19-nang\/","title":{"rendered":"Nguy c\u01a1 sinh non \u1edf nh\u1eefng ph\u1ee5 n\u1eef mang thai b\u1ecb nhi\u1ec5m COVID-19 n\u1eb7ng"},"content":{"rendered":"

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u t\u1ea1i \u0110\u1ea1i h\u1ecdc Y khoa Wayne State v\u00e0 Chi nh\u00e1nh Nghi\u00ean c\u1ee9u Ngo\u1ea1i khoa c\u1ee7a Vi\u1ec7n Y t\u1ebf Qu\u1ed1c gia \u1edf Detroit (bang Michigan, Hoa K\u1ef3) ph\u00e1t hi\u1ec7n ra ng\u01b0\u1eddi m\u1eb9 b\u1ecb nhi\u1ec5m COVID-19 c\u00e0ng n\u1eb7ng th\u00ec c\u00e0ng d\u1ec5 b\u1ecb sinh non.<\/h2>\n
\n

1. Ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi th\u1ebf n\u00e0o?<\/strong><\/p>\n

Sinh non, nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u c\u1ee7a b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong \u1edf 7 ng\u00e0y \u0111\u1ea7u sau sinh tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Sinh non \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p x\u1ea3y ra tr\u01b0\u1edbc 37 tu\u1ea7n tu\u1ed5i thai. 2\/3 s\u1ed1 ca sinh non l\u00e0 do chuy\u1ec3n d\u1ea1 sinh non t\u1ef1 ph\u00e1t. 1\/3 c\u00f2n l\u1ea1i l\u00e0 do c\u00e1c \u0111i\u1ec1u ki\u1ec7n y t\u1ebf \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi m\u1eb9 ho\u1eb7c thai nhi c\u1ea7n sinh.<\/p>\n

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u cho bi\u1ebft, t\u1ef7 l\u1ec7 sinh non l\u00e0 11,8% \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m virus corona, so v\u1edbi 8,7% \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb nhi\u1ec5m. Ch\u1ea9n \u0111o\u00e1n m\u1eafc COVID-19 c\u00f3 li\u00ean quan \u0111\u1ebfn nguy c\u01a1 sinh “r\u1ea5t non”, sinh non v\u00e0 sinh non cao h\u01a1n, t\u1ea5t c\u1ea3 \u0111\u1ec1u tr\u01b0\u1edbc 39 tu\u1ea7n tu\u1ed5i thai.<\/p>\n

2. Nguy c\u01a1 sinh non \u1edf ph\u1ee5 n\u1eef mang thai m\u1eafc COVID-19<\/strong><\/p>\n

\n
\"Zalo\"
Sinh non l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/figcaption><\/figure>\n<\/div>\n

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 ti\u1ebfn h\u00e0nh m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm ra t\u1ef7 l\u1ec7 sinh non \u1edf kho\u1ea3ng 1.000 ph\u1ee5 n\u1eef mang thai c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi COVID-19 ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u1ee7a h\u1ecd. K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean T\u1ea1p ch\u00ed S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3.<\/p>\n

Deborah Karasek, Ti\u1ebfn s\u0129, m\u1ed9t tr\u1ee3 l\u00fd gi\u00e1o s\u01b0 t\u1ea1i khoa s\u1ea3n, ph\u1ee5 khoa v\u00e0 khoa h\u1ecdc sinh s\u1ea3n t\u1ea1i \u0110\u1ea1i h\u1ecdc California, San Francisco, M\u1ef9 v\u00e0 c\u00e1c \u0111\u1ed3ng nghi\u1ec7p \u0111\u00e3 xem x\u00e9t m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa COVID-19 v\u00e0 sinh non \u0111\u1ed1i v\u1edbi h\u01a1n 240.000 ca sinh \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf California, M\u1ef9 t\u1eeb th\u00e1ng 7 n\u0103m 2020 \u0111\u1ebfn th\u00e1ng 1 n\u0103m 2021. Kho\u1ea3ng 9.000 ca trong s\u1ed1 \u0111\u00f3, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 3,7%, c\u00f3 m\u1ed9t x\u00e9t nghi\u1ec7m COVID-19 d\u01b0\u01a1ng t\u00ednh khi mang thai. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u cho bi\u1ebft, h\u1ecd \u0111\u00e3 s\u1eed d\u1ee5ng “\u01b0\u1edbc t\u00ednh s\u1ea3n khoa t\u1ed1t nh\u1ea5t v\u1ec1 tu\u1ed5i thai” \u0111\u1ec3 \u0111\u00e1nh d\u1ea5u c\u00e1c ca sinh l\u00e0 r\u1ea5t non th\u00e1ng (d\u01b0\u1edbi 32 tu\u1ea7n), non th\u00e1ng (d\u01b0\u1edbi 37 tu\u1ea7n), s\u1edbm (t\u1eeb 37 \u0111\u1ebfn 38 tu\u1ea7n) ho\u1eb7c \u0111\u1ee7 th\u00e1ng (gi\u1eefa 39 v\u00e0 44 tu\u1ea7n).<\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), mang thai khi\u1ebfn cho b\u00e0 m\u1eb9 c\u00f3 nguy c\u01a1 m\u1eafc COVID-19 n\u1eb7ng h\u01a1n, WHO khuy\u1ebfn kh\u00edch t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef \u0111ang mang thai ho\u1eb7c \u0111ang c\u00f3 \u00fd \u0111\u1ecbnh mang thai v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111ang cho con b\u00fa n\u00ean ti\u00eam vaccine \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ea3n th\u00e2n kh\u1ecfi COVID-19. Ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam vaccine ph\u00f2ng COVID-19 n\u1ebfu l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c ti\u00eam ph\u00f2ng l\u1edbn h\u01a1n nguy c\u01a1 ti\u1ec1m \u1ea9n do vaccine.<\/p>\n

Vi\u1ec7c t\u0103ng c\u01b0\u1eddng ti\u00eam ch\u1ee7ng l\u00e0 c\u1ea5p thi\u1ebft h\u01a1n khi \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c bi\u1ebfn th\u1ec3 c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y truy\u1ec1n cao v\u00e0 nh\u1eadn th\u1ea5y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng t\u1eeb COVID-19 \u1edf nh\u1eefng ng\u01b0\u1eddi mang thai kh\u00f4ng \u0111\u01b0\u1ee3c ti\u00eam ch\u1ee7ng.<\/p>\n

\n
\"Zalo\"
Ph\u1ee5 n\u1eef mang thai ho\u1eb7c \u0111ang c\u00f3 \u00fd \u0111\u1ecbnh mang thai n\u00ean ti\u00eam vaccine \u0111\u1ec3 b\u1ea3o v\u1ec7 b\u1ea3n th\u00e2n kh\u1ecfi COVID-19.<\/figcaption><\/figure>\n<\/div>\n

3. Nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt cao g\u00e2y ra sinh non \u1edf ph\u1ee5 n\u1eef mang thai<\/strong><\/p>\n

Nh\u00f3m nghi\u00ean c\u1ee9u c\u0169ng ph\u00e1t hi\u1ec7n ra r\u1eb1ng nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb COVID-19 n\u1eb7ng c\u00f3 nguy c\u01a1 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt cao g\u1ea5p 5 l\u1ea7n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. H\u01a1n n\u1eefa, nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt \u1edf ph\u1ee5 n\u1eef m\u1eafc b\u1ec7nh COVID-19 v\u1eeba ho\u1eb7c n\u1eb7ng cao g\u1ea5p 3,3 l\u1ea7n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c nhi\u1ec5m tr\u00f9ng nh\u1eb9. Ph\u00e1t hi\u1ec7n ch\u00ednh n\u00e0y l\u00e0 m\u1ed1i quan h\u1ec7 gi\u1eefa li\u1ec1u l\u01b0\u1ee3ng v\u00e0 \u0111\u00e1p \u1ee9ng gi\u1eefa m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nhi\u1ec5m tr\u00f9ng SARS-CoV-2 v\u00e0 nguy c\u01a1 ph\u00e1t tri\u1ec3n ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 sinh non sau \u0111\u00f3.<\/p>\n

T\u1ef7 l\u1ec7 sinh non v\u01b0\u1ee3t m\u1ee9c th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 do sinh non g\u00e2y ra b\u1edfi nh\u1eefng lo l\u1eafng v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi m\u1eb9, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u1ec1n s\u1ea3n gi\u1eadt.<\/p>\n

Ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p t\u0103ng \u0111\u1ed9t ng\u1ed9t sau tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3, g\u00e2y ra 76.000 ca t\u1eed vong m\u1eb9 v\u00e0 h\u01a1n 500.000 ca t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh m\u1ed7i n\u0103m.<\/p>\n

M\u1ed9t s\u1ed1 b\u00e0 m\u1eb9 b\u1ecb co gi\u1eadt (s\u1ea3n gi\u1eadt) v\u00e0 b\u1ecb xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd, nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u00e0y v\u00e0 m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1ecb m\u00f9. Tr\u1ebb s\u01a1 sinh c\u1ee7a nh\u1eefng b\u00e0 m\u1eb9 b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi t\u00ecnh tr\u1ea1ng n\u00e0y v\u00e0 c\u00f3 th\u1ec3 b\u1ecb h\u1ea1n ch\u1ebf ph\u00e1t tri\u1ec3n trong t\u1eed cung ho\u1eb7c ch\u1ebft trong t\u1eed cung.<\/p>\n

Nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 ra r\u1eb1ng nhi\u1ec5m COVID-19 c\u00e0ng n\u1eb7ng th\u00ec nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt c\u00e0ng cao, khi\u1ebfn c\u00e1c b\u00e1c s\u0129 ph\u1ea3i ti\u1ebfn h\u00e0nh cho b\u00e0 m\u1eb9 sinh s\u1edbm \u0111\u1ec3 c\u1ee9u s\u1ed1ng nh\u1eefng b\u00e0 m\u1eb9 b\u1ecb nhi\u1ec5m COVID-19.<\/p>\n

B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u t\u1ea1i \u0110\u1ea1i h\u1ecdc Y khoa Wayne State v\u00e0 Chi nh\u00e1nh Nghi\u00ean c\u1ee9u Ngo\u1ea1i khoa c\u1ee7a Vi\u1ec7n Y t\u1ebf Qu\u1ed1c gia \u1edf Detroit (bang Michigan, Hoa K\u1ef3) ph\u00e1t hi\u1ec7n ra ng\u01b0\u1eddi m\u1eb9 b\u1ecb nhi\u1ec5m COVID-19 c\u00e0ng n\u1eb7ng th\u00ec c\u00e0ng d\u1ec5 b\u1ecb sinh non. 1. Ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 \u1ea3nh […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-11061","post","type-post","status-publish","format-standard","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=11061"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11061\/revisions"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}