{"id":13583,"date":"2022-04-02T19:31:13","date_gmt":"2022-04-02T12:31:13","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13583"},"modified":"2022-04-02T19:31:13","modified_gmt":"2022-04-02T12:31:13","slug":"co-nen-xet-nghiem-dong-mau-hau-covid-19-o-phu-nu-mang-thai","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/04\/02\/co-nen-xet-nghiem-dong-mau-hau-covid-19-o-phu-nu-mang-thai\/","title":{"rendered":"C\u00f3 n\u00ean x\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u h\u1eadu COVID-19 \u1edf ph\u1ee5 n\u1eef mang thai?"},"content":{"rendered":"

TS. Tr\u1ea7n Th\u1ecb Ki\u1ec1u My, Tr\u01b0\u1edfng khoa \u0110\u00f4ng m\u00e1u, Vi\u1ec7n Huy\u1ebft h\u1ecdc – Truy\u1ec1n m\u00e1u Trung \u01b0\u01a1ng gi\u1ea3i \u0111\u00e1p b\u0103n kho\u0103n c\u1ee7a ph\u1ee5 n\u1eef mang thai li\u00ean quan \u0111\u1ebfn x\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u h\u1eadu COVID.<\/h2>\n
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\"C\u00f3<\/a><\/div>\n<\/figure>\n

H\u1ecfi<\/u><\/b>:\u00a0Em \u0111ang mang b\u1ea7u v\u00e0 \u0111i\u00a0kh\u00e1m h\u1eadu COVID<\/a>, ph\u00e1t hi\u1ec7n ch\u1ec9 s\u1ed1 D-dimer cao, ph\u00f2ng kh\u00e1m c\u00f3 n\u00f3i c\u1ea7n ki\u1ec3m tra xem c\u00f3 c\u1ea7n d\u00f9ng \u0111\u1ebfn thu\u1ed1c kh\u00f4ng? Em \u0111ang mang b\u1ea7u tu\u1ea7n 38 v\u00e0 m\u1eafc COVID 4 tu\u1ea7n tr\u01b0\u1edbc, b\u00e2y gi\u1edd em c\u00f3 n\u00ean \u0111i x\u00e9t nghi\u1ec7m D-dimer kh\u00f4ng \u1ea1 v\u00e0 chi ph\u00ed th\u1ebf n\u00e0o?<\/i><\/p>\n

TS. Tr\u1ea7n Th\u1ecb Ki\u1ec1u My tr\u1ea3 l\u1eddi<\/b><\/u>: D-dimer l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ec9 s\u1ed1 ti\u00ean l\u01b0\u1ee3ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng \u1edf b\u1ec7nh nh\u00e2n COVID-19, l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n c\u1ee9 \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u00f4ng \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n

T\u0103ng D-dimer c\u00f3 th\u1ec3 do s\u1ef1 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ea5p t\u00ednh, qu\u00e1 tr\u00ecnh vi\u00eam c\u0169ng nh\u01b0 huy\u1ebft kh\u1ed1i \u1edf b\u1ec7nh nh\u00e2n COVID-19. Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p nh\u01b0 gi\u1ea3m SpO2, ho k\u00e9o d\u00e0i, \u0111au t\u1ee9c ng\u1ef1c\u2026 v\u00e0 k\u00e8m theo t\u0103ng D-dimer c\u00f3 \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb\u00a0thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/a>.<\/p>\n

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\"C\u00f3<\/a><\/div>
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TS. Tr\u1ea7n Th\u1ecb Ki\u1ec1u My<\/p>\n<\/figcaption><\/figure>\n

Nghi\u00ean c\u1ee9u c\u1ee7a t\u00e1c gi\u1ea3 Liam Townsend, \u0111\u0103ng tr\u00ean T\u1ea1p ch\u00ed Huy\u1ebft kh\u1ed1i v\u00e0 \u0110\u00f4ng m\u00e1u cho th\u1ea5y: 25,3% b\u1ec7nh nh\u00e2n c\u00f3 D-dimer t\u0103ng tr\u00ean 500 \u00b5g\/ml trong kho\u1ea3ng th\u1eddi gian 4 th\u00e1ng sau m\u1eafc COVID-19, trong \u0111\u00f3 8% c\u00f3 D-dimer t\u0103ng t\u1eeb 2 l\u1ea7n ng\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u00ean.<\/p>\n

Tr\u00ean 90% c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 d\u1ea5u \u1ea5n vi\u00eam c\u0169ng nh\u01b0 c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00f4ng m\u00e1u c\u01a1 b\u1ea3n nh\u01b0 PT, APTT, Fibrinogen b\u00ecnh th\u01b0\u1eddng.<\/p>\n

C\u01a1 ch\u1ebf t\u0103ng D-dimer k\u00e9o d\u00e0i \u1edf b\u1ec7nh nh\u00e2n sau khi kh\u1ecfi COVID-19 c\u00f3 th\u1ec3 do qu\u00e1 tr\u00ecnh ti\u00eau s\u1ee3i huy\u1ebft ngo\u00e0i m\u1ea1ch \u1edf ph\u1ed5i. \u0110i\u1ec1u tr\u1ecb thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n t\u0103ng D-dimer dai d\u1eb3ng c\u0169ng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc.<\/p>\n

\u0110\u1ed1i v\u1edbi nh\u00f3m\u00a0thai ph\u1ee5 m\u1eafc COVID-19<\/a>, vi\u1ec7c s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m D-dimer \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 g\u1eb7p nhi\u1ec1u h\u1ea1n ch\u1ebf do b\u1ea3n th\u00e2n h\u1ea7u h\u1ebft c\u00e1c ph\u1ee5 n\u1eef mang thai \u0111\u1ec1u c\u00f3 t\u0103ng D-dimer v\u00e0 n\u1ed3ng \u0111\u1ed9 n\u00e0y t\u0103ng theo thai k\u1ef3. Do v\u1eady g\u00e2y kh\u00f3 kh\u0103n cho b\u00e1c s\u0129 trong vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Fibrin monomer (FM) l\u00e0 s\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh tr\u01b0\u1edbc khi t\u1ea1o c\u1ee5c \u0111\u00f4ng b\u1ec1n v\u1eefng. S\u1ef1 t\u0103ng n\u1ed3ng \u0111\u1ed9 FM ph\u1ea3n \u00e1nh c\u00f3 s\u1ef1 ho\u1ea1t h\u00f3a \u0111\u00f4ng m\u00e1u qu\u00e1 m\u1ee9c li\u00ean quan \u0111\u1ebfn t\u0103ng thrombin. N\u1ed3ng \u0111\u1ed9 FM t\u01b0\u01a1ng \u0111\u1ed1i \u1ed5n \u0111\u1ecbnh \u1edf ph\u1ee5 n\u1eef c\u00f3 thai kh\u1ecfe m\u1ea1nh. Do \u0111\u00f3, \u0111\u1ed1i v\u1edbi nh\u00f3m ph\u1ee5 n\u1eef mang thai n\u00f3i chung, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u00f3m thai ph\u1ee5 m\u1eafc COVID-19, x\u00e9t nghi\u1ec7m FM tin c\u1eady h\u01a1n trong \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng, t\u1eeb \u0111\u00f3 c\u00f3 nh\u1eefng \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

Hi\u1ec7n nay, x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng Fibrin monomer \u0111ang v\u1edbi chi ph\u00ed kho\u1ea3ng 700.000 \u0111\u1ed3ng. Th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 kho\u1ea3ng 3 gi\u1edd k\u1ec3 t\u1eeb khi nh\u1eadn m\u1eabu. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn x\u00e9t nghi\u1ec7m c\u1ea7n nh\u1ecbn \u0103n tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

TS. Tr\u1ea7n Th\u1ecb Ki\u1ec1u My, Tr\u01b0\u1edfng khoa \u0110\u00f4ng m\u00e1u, Vi\u1ec7n Huy\u1ebft h\u1ecdc – Truy\u1ec1n m\u00e1u Trung \u01b0\u01a1ng gi\u1ea3i \u0111\u00e1p b\u0103n kho\u0103n c\u1ee7a ph\u1ee5 n\u1eef mang thai li\u00ean quan \u0111\u1ebfn x\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u h\u1eadu COVID. H\u1ecfi:\u00a0Em \u0111ang mang b\u1ea7u v\u00e0 \u0111i\u00a0kh\u00e1m h\u1eadu COVID, ph\u00e1t hi\u1ec7n ch\u1ec9 s\u1ed1 D-dimer cao, ph\u00f2ng kh\u00e1m c\u00f3 n\u00f3i c\u1ea7n ki\u1ec3m […]<\/p>\n","protected":false},"author":4,"featured_media":12443,"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-13583","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13583","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=13583"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13583\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12443"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13583"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13583"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}