{"id":14312,"date":"2022-05-18T13:30:27","date_gmt":"2022-05-18T06:30:27","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=14312"},"modified":"2022-05-18T13:30:27","modified_gmt":"2022-05-18T06:30:27","slug":"tang-huyet-ap-o-phu-nu-mang-thai-nhung-dieu-can-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/05\/18\/tang-huyet-ap-o-phu-nu-mang-thai-nhung-dieu-can-biet\/","title":{"rendered":"T\u0102NG HUY\u1ebeT \u00c1P \u1ede PH\u1ee4 N\u1eee MANG THAI – NH\u1eeeNG \u0110I\u1ec0U C\u1ea6N BI\u1ebeT"},"content":{"rendered":"

Bs. Tr\u1ea7n Th\u1ecb Ph\u01b0\u01a1ng Khanh – Khoa PCKLN, TT.KSBT An Giang<\/em><\/strong><\/p>\n

Huy\u1ebft \u00e1p l\u00e0 \u00e1p l\u1ef1c c\u1ee7a d\u00f2ng m\u00e1u l\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch nh\u1eb1m \u0111\u01b0a m\u00e1u \u0111\u1ebfn nu\u00f4i d\u01b0\u1ee1ng c\u00e1c m\u00f4 t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3. \u00c1p l\u1ef1c n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o ra do s\u1ee9c c\u1ea3n c\u1ee7a tim v\u00e0 \u0111\u1ed9ng m\u1ea1ch. Theo khuy\u1ebfn c\u00e1o c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u v\u00e0 H\u1ed9i Tim m\u1ea1ch Vi\u1ec7t Nam, t\u0103ng huy\u1ebft \u00e1p (THA) l\u00e0 khi huy\u1ebft \u00e1p t\u00e2m thu \u2265140 mmHg v\u00e0\/ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng \u226590 mmHg. T\u1ea1i Vi\u1ec7t Nam, theo k\u1ebft qu\u1ea3 \u0111i\u1ec1u tra n\u0103m 2015 c\u1ee7a C\u1ee5c y t\u1ebf d\u1ef1 ph\u00f2ng th\u00ec s\u1ed1 ng\u01b0\u1eddi m\u1eafc THA chi\u1ebfm t\u1ef7 l\u1ec7 18,9% d\u00e2n s\u1ed1 tr\u01b0\u1edfng th\u00e0nh v\u00e0 c\u00f3 xu h\u01b0\u1edbng ng\u00e0y c\u00e0ng tr\u1ebb h\u00f3a. Ng\u01b0\u1eddi m\u1eafc THA k\u00e9o d\u00e0i s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. N\u1ebfu ph\u1ee5 n\u1eef mang thai b\u1ecb THA kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt – s\u1ea3n gi\u1eadt c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong \u1edf b\u00e0 m\u1eb9 v\u00e0 g\u00e2y suy thai, thai l\u01b0u ho\u1eb7c sinh non \u1edf thai nhi.<\/p>\n

Theo Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u (ESC) v\u00e0 Hi\u1ec7p h\u1ed9i THA Ch\u00e2u \u00c2u (ESH) n\u0103m 2018 th\u00ec hi\u1ec7n t\u01b0\u1ee3ng THA xu\u1ea5t hi\u1ec7n trong giai \u0111o\u1ea1n tr\u01b0\u1edbc khi mang thai ho\u1eb7c \u1edf tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 g\u1ecdi l\u00e0 THA m\u1ea1n t\u00ednh. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n 42 ng\u00e0y sau sinh, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n protein ni\u1ec7u. B\u00ean c\u1ea1nh \u0111\u00f3, do \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft trong qu\u00e1 tr\u00ecnh mang thai, THA xu\u1ea5t hi\u1ec7n \u1edf tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 (th\u01b0\u1eddng l\u00e0 sau 37 tu\u1ea7n) v\u00e0 tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p v\u1ec1 l\u1ea1i b\u00ecnh th\u01b0\u1eddng trong v\u00f2ng 6 tu\u1ea7n sau sinh g\u1ecdi l\u00e0 THA thai k\u1ef3. Kho\u1ea3ng 50% tr\u01b0\u1eddng h\u1ee3p l\u00e0 giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt. Ti\u1ec1n s\u1ea3n gi\u1eadt (TSG) l\u00e0 THA ph\u00e1t hi\u1ec7n sau tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 k\u00e8m v\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a protein ni\u1ec7u ho\u1eb7c THA k\u00e8m c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u c\u01a1 quan \u0111\u00edch (gi\u1ea3m ti\u1ec3u c\u1ea7u, ph\u00f9 ph\u1ed5i, suy th\u1eadn, suy gan,…). Ngo\u00e0i ra, c\u00f2n c\u00f3 TSG tr\u00ean n\u1ec1n b\u1ec7nh l\u00fd THA m\u1ea1n t\u00ednh.<\/p>\n

Nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a THA \u1edf ph\u1ee5 n\u1eef mang thai:<\/strong><\/p>\n

*\u0110\u1ed1i v\u1edbi thai ph\u1ee5:<\/strong> Ti\u1ec1n s\u1ea3n gi\u1eadt \u2013 S\u1ea3n gi\u1eadt: N\u1ebfu TSG \u0111i k\u00e8m v\u1edbi co gi\u1eadt th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u1ea3n gi\u1eadt. S\u1ea3n gi\u1eadt \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng n\u1eb7ng n\u1ec1 cho m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh, n\u1ebfu n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong; H\u1ed9i ch\u1ee9ng HELLP: L\u00e0 h\u1ed9i ch\u1ee9ng thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft, t\u0103ng men gan v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u \u1edf thai ph\u1ee5, th\u01b0\u1eddng x\u1ea3y ra \u1edf giai \u0111o\u1ea1n cu\u1ed1i thai k\u1ef3. \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ef1c k\u1ef3 nguy hi\u1ec3m khi t\u00ecnh tr\u1ea1ng ti\u1ec1n s\u1ea3n gi\u1eadt – s\u1ea3n gi\u1eadt kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 n\u1eb7ng l\u00ean; \u1ea2nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi m\u1eb9 sau sinh, kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1eadm; D\u1ec5 g\u1eb7p t\u00ecnh tr\u1ea1ng THA \u1edf nh\u1eefng l\u1ea7n mang thai ti\u1ebfp theo; C\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan nh\u01b0: Tim m\u1ea1ch, th\u1eadn,\u2026<\/p>\n

*\u0110\u1ed1i v\u1edbi thai nhi:<\/strong> Thai ch\u1eadm ph\u00e1t tri\u1ec3n ho\u1eb7c ch\u1ebft l\u01b0u; Sinh non: Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec3 b\u1ea3o to\u00e0n t\u00ednh m\u1ea1ng c\u1ee7a m\u1eb9 v\u00e0 b\u00e9, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh ch\u1ea5m d\u1ee9t thai k\u1ef3 s\u1edbm h\u01a1n. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn nh\u1eefng em b\u00e9 sinh non kh\u00f4ng \u0111\u1ee7 s\u1ee9c kh\u1ecfe v\u00e0 c\u00f3 nguy c\u01a1 t\u1eed vong cao.<\/p>\n

Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y THA \u1edf ph\u1ee5 n\u1eef mang thai:<\/strong> Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng khi mang thai kh\u00f4ng khoa h\u1ecdc: \u0102n qu\u00e1 m\u1eb7n (>5g mu\u1ed1i\/ ng\u00e0y) ho\u1eb7c \u0103n qu\u00e1 nhi\u1ec1u d\u1eabn \u0111\u1ebfn t\u0103ng c\u00e2n m\u1ea5t ki\u1ec3m so\u00e1t; Thai ph\u1ee5 c\u00f3 l\u1ed1i s\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh: S\u1eed d\u1ee5ng ch\u1ea5t k\u00edch th\u00edch, r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1, kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c; Thai ph\u1ee5 m\u1eafc c\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh kh\u00e1c nh\u01b0 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng, R\u1ed1i lo\u1ea1n lipid m\u00e1u, Suy th\u1eadn m\u1ea1n,\u2026; Ph\u1ee5 n\u1eef mang thai \u1edf \u0111\u1ed9 tu\u1ed5i cao tr\u00ean 40 tu\u1ed5i ho\u1eb7c mang thai \u0111\u00f4i, \u0111a thai; Ph\u1ee5 n\u1eef tr\u01b0\u1edbc khi mang thai b\u1ecb THA ho\u1eb7c th\u1eeba c\u00e2n – b\u00e9o ph\u00ec; Th\u1eddi ti\u1ebft thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t, qu\u00e1 n\u00f3ng ho\u1eb7c qu\u00e1 l\u1ea1nh.<\/p>\n

D\u1ea5u hi\u1ec7u n\u00e0o nh\u1eadn bi\u1ebft huy\u1ebft \u00e1p cao khi mang thai?<\/strong><\/p>\n

T\u00f9y theo c\u01a1 \u0111\u1ecba t\u1eebng thai ph\u1ee5 m\u00e0 c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, c\u00f3 khi kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 d\u1ea5u hi\u1ec7u n\u00e0o. N\u1ebfu thai ph\u1ee5 \u1edf\u00a0 tu\u1ea7n th\u1ee9 20 c\u1ee7a thai k\u1ef3 (\u0111\u1eb7c bi\u1ec7t l\u00e0 tu\u1ea7n thai th\u1ee9 37) c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y c\u1ea7n li\u00ean h\u1ec7 ngay v\u1edbi b\u00e1c s\u0129 ph\u1ee5 s\u1ea3n \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m t\u00ecm protein trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 t\u1ea7m so\u00e1t huy\u1ebft \u00e1p nh\u1eb1m ph\u00e1t hi\u1ec7n s\u1edbm\u00a0 THA thai k\u1ef3 \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a t\u00ecnh tr\u1ea1ng ti\u1ebfn tri\u1ec3n \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt – s\u1ea3n gi\u1eadt. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng THA ph\u1ed5 bi\u1ebfn khi mang thai: S\u01b0ng ph\u00f9 tay, ch\u00e2n; T\u0103ng c\u00e2n \u0111\u1ed9t ng\u1ed9t; R\u1ed1i lo\u1ea1n th\u1ecb l\u1ef1c (nh\u00ecn m\u1edd, nh\u00ecn \u0111\u00f4i, m\u1ea5t th\u1ecb l\u1ef1c tho\u00e1ng qua\u2026); Bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda; \u0110au \u0111\u1ea7u d\u1eef d\u1ed9i, \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, \u0111au ng\u1ef1c sau x\u01b0\u01a1ng \u1ee9c v\u00e0 kh\u00f3 th\u1edf.<\/p>\n

T\u00f3m l\u1ea1i, ph\u1ee5 n\u1eef chu\u1ea9n b\u1ecb mang thai n\u00ean t\u1ea7m so\u00e1t THA \u0111\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh k\u1ecbp th\u1eddi, gi\u1ea3m c\u00e2n n\u1eb7ng n\u1ebfu b\u1ecb th\u1eeba c\u00e2n – b\u00e9o ph\u00ec. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai (\u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng s\u1ea3n ph\u1ee5 c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 th\u1eeba c\u00e2n b\u00e9o ph\u00ec, THA tr\u01b0\u1edbc khi mang thai, tu\u1ed5i cao, m\u1eafc c\u00e1c b\u1ec7nh m\u1ea1n t\u00ednh kh\u00e1c) n\u00ean tu\u00e2n th\u1ee7 l\u1ecbch kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 v\u00e0 theo d\u00f5i huy\u1ebft \u00e1p ch\u1eb7t ch\u1ebd nh\u1eb1m ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng THA thai k\u1ef3 \u0111\u1ec3 b\u00e1c s\u0129 s\u1ea3n khoa c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, v\u00ec huy\u1ebft \u00e1p cao \u1edf ph\u1ee5 n\u1eef mang thai n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 ki\u1ec3m so\u00e1t k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong m\u1eb9 nh\u01b0 l\u00e0 bi\u1ebfn ch\u1ee9ng ti\u1ec1n s\u1ea3n gi\u1eadt \u2013 s\u1ea3n gi\u1eadt, h\u1ed9i ch\u1ee9ng HELLP v\u00e0 nguy c\u01a1 sinh non, thai ch\u1eadm ph\u00e1t tri\u1ec3n ho\u1eb7c thai l\u01b0u \u1edf thai nhi.\/.<\/p>\n","protected":false},"excerpt":{"rendered":"

Bs. Tr\u1ea7n Th\u1ecb Ph\u01b0\u01a1ng Khanh – Khoa PCKLN, TT.KSBT An Giang Huy\u1ebft \u00e1p l\u00e0 \u00e1p l\u1ef1c c\u1ee7a d\u00f2ng m\u00e1u l\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch nh\u1eb1m \u0111\u01b0a m\u00e1u \u0111\u1ebfn nu\u00f4i d\u01b0\u1ee1ng c\u00e1c m\u00f4 t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3. \u00c1p l\u1ef1c n\u00e0y \u0111\u01b0\u1ee3c t\u1ea1o ra do s\u1ee9c c\u1ea3n c\u1ee7a tim v\u00e0 \u0111\u1ed9ng m\u1ea1ch. Theo khuy\u1ebfn c\u00e1o c\u1ee7a Hi\u1ec7p […]<\/p>\n","protected":false},"author":4,"featured_media":13373,"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-14312","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\/14312","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=14312"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/14312\/revisions"}],"predecessor-version":[{"id":14313,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/14312\/revisions\/14313"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/13373"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=14312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=14312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=14312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}