{"id":26474,"date":"2024-05-27T13:59:04","date_gmt":"2024-05-27T06:59:04","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=26474"},"modified":"2024-05-27T14:01:05","modified_gmt":"2024-05-27T07:01:05","slug":"benh-thalassemia","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/05\/27\/benh-thalassemia\/","title":{"rendered":"B\u1ec7nh Thalassemia"},"content":{"rendered":"

Thalassemia (H\u1ed9i ch\u1ee9ng tan m\u00e1u) l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh r\u1ed1i lo\u1ea1n m\u00e1u di truy\u1ec1n, g\u00e2y ra b\u1edfi s\u1ef1 \u00a0khi\u1ebfm khuy\u1ebft trong t\u1ed5ng h\u1ee3p hemoglobin, m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a h\u1ed3ng c\u1ea7u. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh di truy\u1ec1n ph\u1ed5 bi\u1ebfn hi\u1ec7n nay. Khi m\u1eafc b\u1ec7nh, hemoglobin c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea5u tr\u00fac b\u1ea5t th\u01b0\u1eddng, h\u1eadu qu\u1ea3 l\u00e0 h\u1ed3ng c\u1ea7u b\u1ecb ph\u00e1 h\u1ee7y, qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n oxy g\u1eb7p nhi\u1ec1u gi\u00e1n \u0111o\u1ea1n. \u0110\u00f3 l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng tan m\u00e1u ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u1ef1c k\u1ef3 nghi\u00eam tr\u1ecdng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn con ng\u01b0\u1eddi c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi, y\u1ebfu ho\u1eb7c kh\u00f3 th\u1edf. Theo th\u1ed1ng k\u00ea, hi\u1ec7n nay, \u1edf n\u01b0\u1edbc ta c\u00f3 kho\u1ea3ng tr\u00ean\u00a012 tri\u1ec7u<\/strong>\u00a0ng\u01b0\u1eddi mang gen b\u1ec7nh\u00a0tan m\u00e1u b\u1ea9m sinh v\u00e0 c\u00f3 tr\u00ean 20.000 ng\u01b0\u1eddi b\u1ec7nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb c\u1ea3 \u0111\u1eddi. M\u1ed7i n\u0103m c\u00f3 th\u00eam kho\u1ea3ng 8.000 tr\u1ebb em sinh ra b\u1ecb b\u1ec7nh thalassemia, trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 2.000 tr\u1ebb b\u1ecb b\u1ec7nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 kho\u1ea3ng 800 tr\u1ebb kh\u00f4ng th\u1ec3 ra \u0111\u1eddi do ph\u00f9 thai.<\/span><\/p>\n

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Theo ng\u00e0nh chuy\u00ean m\u00f4n, c\u0103n b\u1ec7nh n\u00e0y g\u1ed3m 2 d\u1ea1ng ch\u00ednh, \u0111\u00f3 l\u00e0: \u03b1-Thalassemia v\u00e0 \u03b2-Thalassemia. T\u00f9y v\u00e0o s\u1ef1 thi\u1ebfu h\u1ee5t t\u1ed5ng h\u1ee3p chu\u1ed7i \u03b1 hay \u03b2 b\u1ec7nh nh\u00e2n s\u1ebd g\u1eb7p ph\u1ea3i nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau t\u1eeb nh\u1eb9, trung b\u00ecnh cho t\u1edbi t\u00ecnh tr\u1ea1ng n\u1eb7ng, r\u1ea5t n\u1eb7ng. V\u1edbi ng\u01b0\u1eddi m\u1eafc Thalassemia m\u1ee9c \u0111\u1ed9 nh\u1eb9, c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng kh\u00f4ng r\u00f5 r\u1ec7t, d\u00f9 b\u1ecb thi\u1ebfu m\u00e1u nh\u01b0ng b\u1ec7nh nh\u00e2n h\u1ea7u nh\u01b0 kh\u00f4ng ph\u00e1t hi\u1ec7n ra. Ch\u1ec9 t\u1edbi khi ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt ho\u1eb7c trong qu\u00e1 tr\u00ecnh mang thai, ng\u01b0\u1eddi b\u1ec7nh m\u1edbi bi\u1ebft c\u01a1 th\u1ec3 m\u00ecnh \u0111ang r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ecb tan m\u00e1u m\u1ee9c \u0111\u1ed9 trung b\u00ecnh, tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u c\u00f3 ph\u1ea7n nghi\u00eam tr\u1ecdng h\u01a1n; k\u1ec3 t\u1eeb khi l\u00ean 6 tu\u1ed5i, t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u th\u01b0\u1eddng xuy\u00ean xu\u1ea5t hi\u1ec7n v\u00e0 \u1ea3nh h\u01b0\u1edfng \u00edt nhi\u1ec1u t\u1edbi cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y. \u0110\u00e1ng lo ng\u1ea1i l\u00e0 khi h\u1ed9i ch\u1ee9ng tan m\u00e1u ph\u00e1t tri\u1ec3n \u1edf m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 r\u1ea5t n\u1eb7ng; d\u1ea5u hi\u1ec7u b\u1ec7nh th\u01b0\u1eddng ph\u00e1t tri\u1ec3n t\u1eeb khi b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c v\u00e0i th\u00e1ng tu\u1ed5i. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u01b0: v\u00e0ng da, k\u00edch th\u01b0\u1edbc gan, l\u00e1 l\u00e1ch to b\u1ea5t th\u01b0\u1eddng.\u00a0Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean ch\u1ee7 quan tr\u01b0\u1edbc nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u1ea5u t\u1ea1o b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3, v\u00ed d\u1ee5: x\u01b0\u01a1ng tr\u00e1n nh\u00f4 ra, m\u0169i t\u1eb9t,\u2026 N\u1ebfu m\u1eafc b\u1ec7nh t\u1eeb khi c\u00f2n nh\u1ecf v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, tr\u1ebb ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 k\u00e9m ph\u00e1t tri\u1ec3n c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tr\u00ed tu\u1ec7. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh Thalassemia ph\u00e1t tri\u1ec3n \u1edf m\u1ee9c \u0111\u1ed9 r\u1ea5t n\u1eb7ng, ngay t\u1eeb khi c\u00f2n trong b\u1ee5ng m\u1eb9, thai nhi \u0111\u00e3 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng. Th\u1eadm ch\u00ed, nhi\u1ec1u thai nhi b\u1ecb suy tim ho\u1eb7c t\u1eed vong t\u1eed vong tr\u01b0\u1edbc ho\u1eb7c ngay khi sinh.<\/span><\/p>\n

Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tan m\u00e1u b\u1ea9m sinh th\u01b0\u1eddng b\u1ecb qu\u00e1 t\u1ea3i s\u1eaft. S\u1eaft d\u01b0 th\u1eeba t\u00edch t\u1ee5 trong gan, tim, tinh ho\u00e0n\/bu\u1ed3ng tr\u1ee9ng v\u00e0 tuy\u1ebfn y\u00ean. T\u1eeb \u0111\u00f3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng, suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan n\u00e0y. V\u00ec v\u1eady trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng n\u00ean l\u1ef1a ch\u1ecdn c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m cho n\u0103ng l\u01b0\u1ee3ng cao m\u00e0 ch\u1ee9a h\u00e0m l\u01b0\u1ee3ng s\u1eaft th\u1ea5p nh\u01b0 h\u1ea1n ch\u1ebf \u0103n th\u1ecbt b\u00f2, th\u1ecbt tr\u00e2u, th\u1ecbt g\u00e0 \u0111\u00e1, th\u1ecbt ch\u00f3, tim, gan\u2026 v\u00e0 rau c\u00f3 m\u00e0u xanh \u0111\u1eadm nh\u01b0: c\u1ea3i xoong, rau ng\u00f3t, rau mu\u1ed1ng, rau d\u1ec1n \u2026c\u00e1c lo\u1ea1i n\u1ea5m. H\u1ea1n ch\u1ebf c\u00e1c ch\u1ea5t k\u00edch th\u00edch v\u00e0 n\u01b0\u1edbc ng\u1ecdt c\u00f3 ga: r\u01b0\u1ee3u, bia, caf\u00e9, coca, n\u00ean u\u1ed1ng n\u01b0\u1edbc tr\u00e0 t\u01b0\u01a1i h\u00e0ng ng\u00e0y v\u00e0 ngay sau b\u1eefa \u0103n \u0111\u1ec3 l\u00e0m gi\u1ea3m h\u1ea5p thu s\u1eaft t\u1eeb th\u1ef1c ph\u1ea9m. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh tan m\u00e1u b\u1ea9m sinh n\u00ean b\u1ed5 sung c\u00e1c lo\u1ea1i vitamin, kho\u00e1ng ch\u1ea5t c\u1ea7n thi\u1ebft cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a x\u01b0\u01a1ng nh\u1eb1m duy tr\u00ec th\u1ec3 tr\u1ea1ng v\u00e0 kh\u00f4ng l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam v\u1ea5n \u0111\u1ec1 qu\u00e1 t\u1ea3i s\u1eaft. B\u1ed5 sung c\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u canxi, k\u1ebdm v\u00e0\u00a0vitamin D\u00a0\u0111\u1ec3 cho x\u01b0\u01a1ng v\u1eefng ch\u1eafc nh\u01b0: t\u00f4m, cua, c\u00e1, \u2026 H\u1ea1n ch\u1ebf mu\u1ed1i trong kh\u1ea9u ph\u1ea7n \u0103n h\u1eb1ng ng\u00e0y.<\/span><\/p>\n

\u0110\u1ec3 ph\u00f2ng b\u1ec7nh thalassemia c\u00e1c b\u1ea1n tr\u1ebb v\u00e0 nh\u1eefng ng\u01b0\u1eddi trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb n\u00ean ch\u1ee7 \u0111\u1ed9ng\u00a0x\u00e9t nghi\u1ec7m, t\u1ea7m so\u00e1t gen b\u1ec7nh\u00a0c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. Ng\u01b0\u1eddi mang gen b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 qu\u1ea3n l\u00fd ngu\u1ed3n gen \u0111\u1ec3 tr\u00e1nh sinh ra con b\u1ecb b\u1ec7nh th\u1ec3 n\u1eb7ng. C\u00e1c c\u1eb7p \u0111\u00f4i c\u00f9ng mang gen \u0111\u00e3 k\u1ebft h\u00f4n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi mang thai v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p\u00a0ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh\u00a0ph\u00f9 h\u1ee3p. N\u1ebfu ng\u01b0\u1eddi v\u1ee3 \u0111\u00e3 mang thai c\u1ea7n s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh trong nh\u1eefng th\u00e1ng \u0111\u1ea7u nh\u1eb1m ph\u00e1t hi\u1ec7n gen b\u1ec7nh c\u00f3 th\u1ec3 c\u00f3 \u1edf thai nhi v\u00e0 t\u01b0 v\u1ea5n, \u0111\u00ecnh ch\u1ec9 n\u1ebfu ph\u00e1t hi\u1ec7n thai nhi b\u1ecb b\u1ec7nh thalassemia m\u1ee9c \u0111\u1ed9 n\u1eb7ng. Nh\u00ecn chung, Thalassemia l\u00e0 b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng tr\u00e1nh \u0111\u01b0\u1ee3c. Vi\u1ec7c quan t\u00e2m, ph\u00f2ng ng\u1eeba b\u1ec7nh thalassemia s\u1ebd g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng d\u00e2n s\u1ed1, gi\u00fap th\u1ef1c hi\u1ec7n th\u1eafng l\u1ee3i c\u00e1c m\u1ee5c ti\u00eau Ngh\u1ecb quy\u1ebft s\u1ed1 21 ng\u00e0y 25-10-2017 c\u1ee7a H\u1ed9i ngh\u1ecb l\u1ea7n th\u1ee9 s\u00e1u Ban Ch\u1ea5p h\u00e0nh Trung \u01b0\u01a1ng kh\u00f3a XII v\u1ec1 c\u00f4ng t\u00e1c d\u00e2n s\u1ed1 trong t\u00ecnh h\u00ecnh m\u1edbi. \u0110\u1ec3 c\u00f3 gia \u0111\u00ecnh m\u1ea1nh kh\u1ecfe \u2013 h\u1ea1nh ph\u00fac, v\u00ec ch\u1ea5t l\u01b0\u1ee3ng gi\u1ed1ng n\u00f2i; h\u00e3y t\u01b0 v\u1ea5n, kh\u00e1m s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi k\u1ebft h\u00f4n v\u00ec h\u1ea1nh ph\u00fac gia \u0111\u00ecnh, v\u00ec s\u1ef1 ph\u1ed3n vinh c\u1ee7a \u0111\u1ea5t n\u01b0\u1edbc\u201d.\/.<\/span><\/p>\n

Nguy\u1ec5n Minh Th\u1eddi- Trung t\u00e2m Y t\u1ebf TX T\u1ecbnh Bi\u00ean<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Thalassemia (H\u1ed9i ch\u1ee9ng tan m\u00e1u) l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c b\u1ec7nh r\u1ed1i lo\u1ea1n m\u00e1u di truy\u1ec1n, g\u00e2y ra b\u1edfi s\u1ef1 \u00a0khi\u1ebfm khuy\u1ebft trong t\u1ed5ng h\u1ee3p hemoglobin, m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a h\u1ed3ng c\u1ea7u. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng c\u0103n b\u1ec7nh di truy\u1ec1n ph\u1ed5 bi\u1ebfn hi\u1ec7n nay. Khi m\u1eafc b\u1ec7nh, hemoglobin c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea5u tr\u00fac […]<\/p>\n","protected":false},"author":14,"featured_media":26476,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[325,324],"tags":[],"class_list":["post-26474","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anh_chup","category-bai-viet"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26474","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=26474"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26474\/revisions"}],"predecessor-version":[{"id":26478,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/26474\/revisions\/26478"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/26476"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=26474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=26474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=26474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}