{"id":11347,"date":"2021-11-24T12:50:35","date_gmt":"2021-11-24T05:50:35","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11347"},"modified":"2021-11-24T12:50:35","modified_gmt":"2021-11-24T05:50:35","slug":"ngay-phong-chong-dai-thao-duong-14-11-roi-loan-duong-huyet-trong-thai-ky-anh-huong-len-me-va-thai-nhi","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/11\/24\/ngay-phong-chong-dai-thao-duong-14-11-roi-loan-duong-huyet-trong-thai-ky-anh-huong-len-me-va-thai-nhi\/","title":{"rendered":"\u201cNg\u00e0y ph\u00f2ng ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng 14\/11\u201d R\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft trong thai k\u1ef3 \u1ea3nh h\u01b0\u1edfng l\u00ean m\u1eb9 v\u00e0 thai nhi"},"content":{"rendered":"

Nguy\u1ec5n Th\u1ecb B\u1ea3o Duy \u2013 Khoa KSBT – TTYT Tho\u1ea1i S\u01a1n<\/em><\/strong><\/p>\n

    \n
  1. \u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 \u0111\u1ed1i v\u1edbi m\u1eb9<\/strong><\/li>\n<\/ol>\n

    C\u00e1c bi\u1ebfn ch\u1ee9ng thai k\u1ef3 th\u01b0\u1eddng g\u1eb7p nh\u01b0 ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt cao g\u1ea5p 4 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, nhi\u1ec5m tr\u00f9ng, b\u0103ng huy\u1ebft sau sinh…<\/p>\n

    Kh\u00f3 sinh: \u0110\u01b0\u1eddng trong m\u00e1u c\u1ee7a m\u1eb9 s\u1ebd truy\u1ec1n sang b\u00e9, l\u00e0m tuy\u1ebfn t\u1ee5y c\u1ee7a b\u00e9 ho\u1ea1t \u0111\u1ed9ng nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 s\u1ea3n xu\u1ea5t th\u00eam insulin. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn ph\u00e2n th\u00e2n tr\u00ean c\u1ee7a b\u00e9 \u2013 vai ph\u00e1t tri\u1ec3n nhanh trong thai k\u1ef3. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 g\u00e2y g\u00e3y x\u01b0\u01a1ng do vai r\u1ed9ng ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng n\u00e3o trong qu\u00e1 tr\u00ecnh sinh n\u1edf.<\/p>\n

    Sinh non, thai ch\u1ebft l\u01b0u, \u0111a \u1ed1i, v\u1ee1 \u1ed1i g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

    \"\"<\/p>\n

      \n
    1. \u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 \u0111\u1ed1i v\u1edbi thai nhi<\/strong><\/li>\n<\/ol>\n

      H\u1ed9i ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf tr\u1ebb s\u01a1 sinh: Sau sinh, tuy\u1ebfn t\u1ee5y c\u1ee7a b\u00e9 v\u1eabn ti\u1ebfp t\u1ee5c s\u1ea3n xu\u1ea5t ti\u1ebfp insulin \u0111\u1ec3 \u0111\u00e1p \u1ee9ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng d\u01b0 th\u1eeba tr\u01b0\u1edbc \u0111\u00e2y. Do \u0111\u00f3, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u00e9 s\u1ebd xu\u1ed1ng th\u1ea5p g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p g\u00e2y ra t\u00ecnh tr\u1ea1ng co gi\u1eadt d\u1eabn \u0111\u1ebfn h\u00f4n m\u00ea v\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o n\u1ebfu b\u00e9 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi.<\/p>\n

      Thai nhi c\u00f3 nguy c\u01a1 d\u1ecb t\u1eadt ho\u1eb7c t\u1eed vong, ch\u1eadm ph\u00e1t tri\u1ec3n, thai to, gi\u1ea3m s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a ph\u1ed5i.<\/p>\n

      B\u00e9o ph\u00ec: N\u1ebfu m\u1eb9 b\u1ecb th\u1eeba c\u00e2n v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u01b0\u1edbc khi mang thai, em b\u00e9 sinh ra c\u00f3 nguy c\u01a1 th\u1eeba c\u00e2n g\u1ea5p 3,5 l\u1ea7n so v\u1edbi nh\u1eefng b\u00e9 kh\u00e1c.<\/p>\n

      H\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p \u1edf tr\u1ebb s\u01a1 sinh: h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p x\u1ea3y ra v\u00ec em b\u00e9 c\u00f3 th\u1ec3 b\u1ecb sinh non khi ph\u1ed5i ch\u01b0a ph\u00e1t tri\u1ec3n \u0111\u1ea7y \u0111\u1ee7.<\/p>\n

      Thai nhi c\u00f3 nguy c\u01a1 b\u1ecb c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh \u1edf h\u1ec7 ti\u1ebft ni\u1ec7u, h\u1ec7 th\u1ea7n kinh, tim m\u1ea1ch…<\/p>\n

      B\u00e9 c\u0169ng d\u1ec5 b\u1ecb v\u00e0ng da trong 28 ng\u00e0y \u0111\u1ea7u sau sinh.<\/p>\n

        \n
      1. \u0110i\u1ec1u tr\u1ecb \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3:<\/strong><\/li>\n<\/ol>\n

        M\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft:<\/em><\/strong><\/p>\n

        – C\u00e1c b\u1ec7nh nh\u00e2n \u0110T\u0110 thai k\u1ef3 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u00edch c\u1ef1c v\u00e0 an to\u00e0n trong m\u1ed9t kho\u1ea3ng h\u1eb9p, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho c\u1ea3 s\u1ea3n ph\u1ee5 v\u00e0 thai nhi.<\/p>\n

        – \u0110\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i < 5,8mmol\/l, \u0111\u01b0\u1eddng huy\u1ebft 1 gi\u1edd sau \u0103n 7,8mmol\/l v\u00e0 2 gi\u1edd sau \u0103n < 7,2mmol\/l. C\u0169ng kh\u00f4ng n\u00ean \u0111\u1ec3 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i th\u1ea5p 3,4 mmol\/l.<\/p>\n

        Dinh d\u01b0\u1ee1ng \u0111i\u1ec1u tr\u1ecb:<\/em><\/strong><\/p>\n

        – C\u00e1c m\u1eb9 c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd \u0111\u1ec3 duy tr\u00ec l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft h\u1ea5p th\u1ee5 v\u00e0o c\u01a1 th\u1ec3.<\/p>\n

        – \u0102n s\u00e1ng \u0111\u1ea7y \u0111\u1ee7: C\u00f3 th\u1ec3 th\u1eed b\u1eaft \u0111\u1ea7u ng\u00e0y m\u1edbi v\u1edbi ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, m\u1ed9t qu\u1ea3 tr\u1ee9ng lu\u1ed9c v\u00e0 m\u1ed9t h\u1ed9p s\u1eefa chua.<\/p>\n

        – U\u1ed1ng t\u1eeb 6~8 ly n\u01b0\u1edbc trong ng\u00e0y.<\/p>\n

        – \u0102n \u00edt tinh b\u1ed9t, \u0111\u01b0\u1eddng b\u1edfi nh\u00f3m th\u1ee9c \u0103n n\u00e0y c\u00f3 ch\u1ee9a nhi\u1ec1u carbonhydrat s\u1ebd l\u00e0m \u0111\u01b0\u1eddng m\u00e1u t\u0103ng nhanh.<\/p>\n

        – M\u1eb9 b\u1ea7u c\u00f3 th\u1ec3 \u0103n tho\u1ea3i m\u00e1i c\u00e1c lo\u1ea1i rau c\u1ee7 kh\u00f4ng tinh b\u1ed9t nh\u01b0 rau di\u1ebfp, rau c\u1ea3i, c\u1ea7n t\u00e2y, s\u00fap l\u01a1 xanh, c\u00e0 r\u1ed1t…<\/p>\n

        – Th\u1ef1c ph\u1ea9m gi\u00e0u protein nh\u01b0 th\u1ecbt l\u1ee3n, g\u00e0, b\u00f2\u2026 tr\u1ee9ng, \u0111\u1eadu v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c ch\u1ebf bi\u1ebfn t\u1eeb s\u1eefa.<\/p>\n

        – \u0102n th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u ch\u1ea5t x\u01a1: nh\u01b0 ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, tr\u00e1i c\u00e2y, rau xanh, \u0111\u1eadu b\u1eafp…<\/p>\n

        – C\u00e1c th\u1ef1c ph\u1ea9m ki\u00eang \u0103n:\u00a0 H\u1ea1n ch\u1ebf \u0103n c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u \u0111\u01b0\u1eddng \u0111\u01a1n c\u00f3 trong th\u1ee9c \u0103n nh\u01b0 b\u00e1nh m\u00ec, b\u00e1nh ng\u1ecdt, c\u01a1m tr\u1eafng, x\u00f4i, n\u01b0\u1edbc ng\u1ecdt, k\u1eb9o…; s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i ch\u1ea5t b\u00e9o c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb th\u1ef1c v\u1eadt nh\u01b0 d\u1ea7u oliu, d\u1ea7u h\u01b0\u1edbng d\u01b0\u01a1ng, c\u00e1c lo\u1ea1i h\u1ea1t…; ki\u00eang \u0103n lo\u1ea1i c\u00f3 ch\u1ee9a nhi\u1ec1u ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a nh\u01b0: x\u00fac x\u00edch, th\u1ecbt x\u00f4ng kh\u00f3i.<\/p>\n

        \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/em><\/strong><\/p>\n

        – \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft b\u1eb1ng ti\u1ebft ch\u1ebf \u0111\u01a1n thu\u1ea7n. Cho \u0111\u1ebfn nay insulin human (ngu\u1ed3n g\u1ed1c ng\u01b0\u1eddi) l\u00e0 thu\u1ed1c duy nh\u1ea5t \u0111\u01b0\u1ee3c FDA ch\u1ea5p nh\u1eadn cho \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0110T\u0110 thai k\u1ef3, nh\u01b0 Insulin th\u01b0\u1eddng (Insulin Actrapid) v\u00e0 Insulin b\u00e1n ch\u1eadm NPH (Insulatard) ho\u1eb7c Insulin h\u1ed7n h\u1ee3p (Mixtard) gi\u1eefa Insulin th\u01b0\u1eddng v\u00e0 Insulin NPH. Li\u1ec1u trung b\u00ecnh l\u00fac kh\u1edfi \u0111\u1ea7u l\u00e0 0,3 \u0111\u01a1n v\u1ecb\/ kg c\u00e2n n\u1eb7ng\/ng\u00e0y, chia ti\u00eam d\u01b0\u1edbi da 2 – 4 l\u1ea7n m\u1ed7i ng\u00e0y, v\u00e0o tr\u01b0\u1edbc b\u1eefa \u0103n v\u00e0 tr\u01b0\u1edbc l\u00fac \u0111i ng\u1ee7.<\/p>\n

        – C\u00e1c b\u1ec7nh nh\u00e2n \u0110T\u0110 thai k\u1ef3 c\u1ea7n \u0111o \u0111\u01b0\u1eddng huy\u1ebft 4-6 l\u1ea7n\/ng\u00e0y (v\u00e0o tr\u01b0\u1edbc b\u1eefa \u0103n v\u00e0 2 gi\u1edd sau \u0103n, tr\u01b0\u1edbc khi \u0111i ng\u1ee7). B\u1ec7nh nh\u00e2n c\u1ea7n li\u00ean h\u1ec7 v\u1edbi B\u00e1c s\u1ef9 ngay n\u1ebfu th\u1ea5y k\u1ebft qu\u1ea3 \u0111\u01b0\u1eddng huy\u1ebft cao ho\u1eb7c th\u1ea5p b\u1ea5t th\u01b0\u1eddng. Ch\u00fa \u00fd th\u1eed x\u00ea t\u00f4n ni\u1ec7u khi \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c khi thai ph\u1ee5 b\u1ecb n\u00f4n nhi\u1ec1u.\/.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Nguy\u1ec5n Th\u1ecb B\u1ea3o Duy \u2013 Khoa KSBT – TTYT Tho\u1ea1i S\u01a1n \u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 \u0111\u1ed1i v\u1edbi m\u1eb9 C\u00e1c bi\u1ebfn ch\u1ee9ng thai k\u1ef3 th\u01b0\u1eddng g\u1eb7p nh\u01b0 ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt cao g\u1ea5p 4 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, nhi\u1ec5m tr\u00f9ng, b\u0103ng huy\u1ebft sau sinh… Kh\u00f3 sinh: \u0110\u01b0\u1eddng trong m\u00e1u […]<\/p>\n","protected":false},"author":4,"featured_media":11338,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[2,239],"tags":[],"class_list":["post-11347","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-su-kien","category-truyen-thong-theo-chu-de"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11347","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=11347"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11347\/revisions"}],"predecessor-version":[{"id":11348,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11347\/revisions\/11348"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11338"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11347"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11347"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}