{"id":2089,"date":"2020-11-11T12:49:17","date_gmt":"2020-11-11T05:49:17","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=2089"},"modified":"2021-08-16T08:18:35","modified_gmt":"2021-08-16T01:18:35","slug":"xet-nghiem-mau-phu-nu-mang-thai","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2020\/11\/11\/xet-nghiem-mau-phu-nu-mang-thai\/","title":{"rendered":"S\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a x\u00e9t nghi\u1ec7m nh\u00f3m m\u00e1u tr\u01b0\u1edbc khi sinh \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai"},"content":{"rendered":"\t\t
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B\u1ea1n \u0111\u00e3 t\u1eebng x\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh ch\u01b0a? Hi\u1ec7n c\u00f3 kh\u00e1 nhi\u1ec1u ng\u01b0\u1eddi khi \u0111\u01b0\u1ee3c h\u1ecfi, c\u00e2u tr\u1ea3 l\u1eddi l\u00e0 ch\u01b0a.<\/p>\n

Nh\u01b0 ch\u00fang ta bi\u1ebft, C\u00f3 4 nh\u00f3m m\u00e1u ch\u00ednh: A, B, AB, O. Ngo\u00e0i 4 nh\u00f3m tr\u00ean ch\u00fang ta c\u00f2n bi\u1ebft \u0111\u1ebfn y\u1ebfu t\u1ed1 RH. M\u1ed7i m\u1ed9t nh\u00f3m m\u00e1u n\u00e0y ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a v\u00e0o s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a nh\u1eefng protein kh\u00e1c tr\u00ean h\u1ed3ng c\u1ea7u, m\u1ed9t trong s\u1ed1 \u0111\u00f3 c\u00f3 y\u1ebfu t\u1ed1 Rh. N\u1ebfu tr\u00ean b\u1ec1 m\u1eb7t c\u00e1c nh\u00f3m tr\u00ean c\u00f3 protein \u0111\u1eb7c hi\u1ec7u n\u00e0y th\u00ec l\u00e0 Rh d\u01b0\u01a1ng (+), n\u1ebfu kh\u00f4ng c\u00f3 l\u00e0 Rh \u00e2m (-)<\/p>\n

V\u1eady c\u00f3 c\u1ea7n thi\u1ebft ph\u1ea3i bi\u1ebft nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh kh\u00f4ng? Theo t\u00f4i l\u00e0 c\u00f3 b\u1edfi c\u00e1c l\u00fd do sau \u0111\u00e2y:<\/p>\n

M\u1ed9t l\u00e0<\/strong>, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p, vi\u1ec7c bi\u1ebft \u0111\u01b0\u1ee3c nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh s\u1ebd gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian cho \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/p>\n

Hai l\u00e0<\/strong>, N\u1ebfu l\u00e0 ph\u1ee5 n\u1eef mang thai l\u1ea1i v\u00f4 c\u00f9ng quan tr\u1ecdng, \u0111\u1ea3m b\u1ea3o cho b\u00e0 m\u1eb9 v\u00e0 thai nhi an to\u00e0n n\u00ean c\u1ea7n bi\u1ebft r\u00f5 nh\u00f3m m\u00e1u, \u0111\u1ec3 d\u1ef1 ph\u00f2ng c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:\"\"<\/p>\n

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  • B\u1ec7nh l\u00fd t\u00e1n huy\u1ebft \u1edf thai k\u1ef3 sau.<\/li>\n
  • T\u00ecnh tr\u1ea1ng b\u0103ng huy\u1ebft sau sinh c\u1ea7n truy\u1ec1n m\u00e1u cho m\u1eb9 \u1edf l\u1ea7n sinh n\u00e0y.<\/li>\n
  • T\u00ecnh tr\u1ea1ng t\u00e1n huy\u1ebft tr\u1ebb sau sinh.<\/li>\n<\/ul>\n

    Tr\u01b0\u1eddng h\u1ee3p n\u1ebfu m\u1eb9 RH (-), con RH (+) v\u00e0 m\u1eb9 \u1edf l\u1ea7n sinh n\u1edf th\u1ee9 2 tr\u1edf \u0111i, m\u1eb9 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u00edch ng\u1eeba anti D, m\u00e1u c\u1ee7a m\u1eb9 tr\u1ed9n l\u1eabn m\u00e1u c\u1ee7a con, RH (-) c\u1ee7a m\u1eb9 ph\u00e1t hi\u1ec7n kh\u00e1ng nguy\u00ean RH (+) tr\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o m\u00e1u c\u1ee7a con s\u1ebd t\u1ea5n c\u00f4ng d\u1eabn \u0111\u1ebfn t\u00e1n huy\u1ebft thai nhi, g\u00e2y hi\u1ec7u qu\u1ea3 nghi\u00eam tr\u1ecdng.<\/p>\n

    N\u1ebfu thai ph\u1ee5 c\u00f3 nh\u00f3m m\u00e1u Rh- v\u00e0 cha c\u1ee7a \u0111\u1ee9a b\u00e9 c\u0169ng mang nh\u00f3m m\u00e1u Rh- th\u00ec s\u1ebd b\u1ea1n kh\u00f4ng bao gi\u1edd ph\u1ea3i lo l\u1eafng v\u1ec1 vi\u1ec7c n\u00e0y.<\/p>\n

    Ng\u00e0y nay, vi\u1ec7c ph\u00f2ng ng\u1eeba, \u0111i\u1ec1u tr\u1ecb t\u00e1n huy\u1ebft tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c khi thai ph\u1ee5 bi\u1ebft \u0111\u01b0\u1ee3c nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh, c\u1ee7a ch\u1ed3ng \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh hu\u1ed1ng b\u1eb1ng c\u00e1ch ti\u00eam Anti-D (RHO) Immunoglobulin.<\/p>\n

    Anti-D (RHO) Immunoglobulin \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i thai nhi mang nh\u00f3m m\u00e1u Rh d\u01b0\u01a1ng \u1edf nh\u1eefng ph\u1ee5 n\u1eef mang thai c\u00f3 nh\u00f3m m\u00e1u Rh \u00e2m.<\/p>\n

    Trong tr\u01b0\u1eddng h\u1ee3p mang thai l\u1ea7n \u0111\u1ea7u, cha b\u00e9 c\u00f3 Rh+ v\u00e0 thai ph\u1ee5 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m kh\u00f4ng c\u00f3 kh\u00e1ng th\u1ec3 anti-D th\u00ec vi\u1ec7c ti\u00eam anti-D \u0111\u1ec3 d\u1ef1 ph\u00f2ng b\u1ec7nh l\u00fd t\u00e1n huy\u1ebft cho thai k\u1ef3 sau \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 sau:<\/p>\n

      \n
    • M\u0169i \u0111\u1ea7u ti\u00ean: v\u00e0o tu\u1ea7n th\u1ee9 28 c\u1ee7a thai k\u1ef3<\/li>\n
    • Tu\u1ea7n 34: ti\u00eam m\u0169i nh\u1eafc l\u1ea1i<\/li>\n
    • Trong v\u00f2ng 72 gi\u1edd sau sinh: ti\u00eam m\u0169i nh\u1eafc l\u1ea1i<\/li>\n<\/ul>\n

      Tr\u01b0\u1eddng h\u1ee3p mang thai l\u1ea7n 2 tr\u1edf \u0111i, N\u1ebfu ph\u1ee5 n\u1eef mang thai \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m cho k\u1ebft qu\u1ea3 nh\u00f3m m\u00e1u RH (-), s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ti\u00eam 2 li\u1ec1u huy\u1ebft thanh mi\u1ec5n d\u1ecbch Rh (Rh immune-globulin) trong thai k\u1ef3.<\/p>\n

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      • M\u0169i 1: \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o tu\u1ea7n th\u1ee9 28 c\u1ee7a thai k\u1ef3.<\/li>\n
      • M\u0169i 2: trong v\u00f2ng 72 gi\u1edd sau khi sinh.<\/li>\n<\/ul>\n

        \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe m\u1ecdi ng\u01b0\u1eddi n\u00ean ki\u1ec3m tra s\u1ee9c kh\u1ecfe, x\u00e9t nghi\u1ec7m nh\u00f3m m\u00e1u, \u0111\u1eb7c bi\u1ec7t ph\u1ee5 n\u1eef mang thai. Tr\u01b0\u1eddng h\u1ee3p nh\u00f3m m\u00e1u RH \u2013 c\u1ea7n li\u00ean h\u1ec7 c\u00e1c b\u1ec7nh vi\u1ec7n chuy\u00ean khoa ph\u1ee5 s\u1ea3n kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n, \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u1ea7n \u0111\u0103ng k\u00fd ti\u00eam ng\u1eeba Anti D theo ph\u00e1c \u0111\u1ed3. \u0110\u1ecba ch\u1ec9 g\u1ee3i \u00fd: B\u1ec7nh Vi\u1ec7n Ph\u1ee5 S\u1ea3n T\u1eeb D\u0169, Ph\u1ee5 S\u1ea3n Ph\u01b0\u01a1ng Ch\u00e2u.<\/p>\n

        Ths. Nguy\u1ec5n Th\u1ecb Thu Th\u1ee7y<\/strong>
        Trung t\u00e2m ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt An Giang<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

        B\u1ea1n \u0111\u00e3 t\u1eebng x\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh ch\u01b0a? Hi\u1ec7n c\u00f3 kh\u00e1 nhi\u1ec1u ng\u01b0\u1eddi khi \u0111\u01b0\u1ee3c h\u1ecfi, c\u00e2u tr\u1ea3 l\u1eddi l\u00e0 ch\u01b0a. Nh\u01b0 ch\u00fang ta bi\u1ebft, C\u00f3 4 nh\u00f3m m\u00e1u ch\u00ednh: A, B, AB, O. Ngo\u00e0i 4 nh\u00f3m tr\u00ean ch\u00fang ta c\u00f2n bi\u1ebft \u0111\u1ebfn y\u1ebfu t\u1ed1 RH. M\u1ed7i m\u1ed9t nh\u00f3m m\u00e1u n\u00e0y […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[20,258,239],"tags":[],"class_list":["post-2089","post","type-post","status-publish","format-standard","hentry","category-tltt-all","category-tltt-skss","category-truyen-thong-theo-chu-de"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2089","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2089"}],"version-history":[{"count":9,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2089\/revisions"}],"predecessor-version":[{"id":8342,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2089\/revisions\/8342"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2089"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2089"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}