{"id":3803,"date":"2021-03-29T13:18:46","date_gmt":"2021-03-29T06:18:46","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=3803"},"modified":"2021-03-29T13:18:46","modified_gmt":"2021-03-29T06:18:46","slug":"dai-thao-duong-thai-ky_nhung-dieu-phu-nu-mang-thai-can-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/03\/29\/dai-thao-duong-thai-ky_nhung-dieu-phu-nu-mang-thai-can-biet\/","title":{"rendered":"\u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG THAI K\u1ef2_NH\u1eeeNG \u0110I\u1ec0U PH\u1ee4 N\u1eee MANG THAI C\u1ea6N BI\u1ebeT"},"content":{"rendered":"

\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) l\u00e0 m\u1ed9t b\u1ec7nh m\u00e3n t\u00ednh th\u01b0\u1eddng g\u1eb7p v\u00e0 c\u00f3 t\u1ed1c \u0111\u1ed9 t\u0103ng nhanh tr\u00ean to\u00e0n c\u1ea7u. U\u1edbc t\u00ednh \u0111\u1ebfn n\u0103m 2020 s\u1ebd c\u00f3 438 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0110T\u0110, trong \u0111\u00f3 kho\u1ea3ng 50% l\u00e0 ng\u01b0\u1eddi ch\u00e2u \u00c1. Vi\u1ec7t Nam l\u00e0 qu\u1ed1c gia \u0110\u00f4ng Nam \u00c1 v\u1edbi d\u00e2n s\u1ed1 kho\u1ea3ng 94 tri\u1ec7u ng\u01b0\u1eddi c\u00f3 t\u1ef7 l\u1ec7 \u0110T\u0110 t\u00edp 2 ng\u00e0y c\u00e0ng t\u0103ng. N\u0103m 2010, t\u1ef7 l\u1ec7 \u0110T\u0110 t\u00edp 2 \u1edf Tp.HCM l\u00e0 10.8% \u1edf nam v\u00e0 11,7% \u1edf n\u1eef. C\u00f9ng v\u1edbi b\u1ec7nh \u0110T\u0110, \u0110T\u0110 thai k\u1ef3 c\u0169ng ng\u00e0y c\u00e0ng t\u0103ng do tu\u1ed5i sinh \u0111\u1ebb t\u0103ng, ph\u1ee5 n\u1eef ng\u00e0y c\u00e0ng th\u1eeba c\u00e2n, b\u00e9o ph\u00ec v\u00e0 \u00edt v\u1eadn \u0111\u1ed9ng. T\u1ea1i Vi\u1ec7t Nam, trong m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y t\u1ea1i c\u00e1c v\u00f9ng mi\u1ec1n kh\u00e1c nhau, th\u00ec t\u1ef7 l\u1ec7 n\u00e0y t\u0103ng t\u1eeb 3,9% v\u00e0o n\u0103m 2004 \u0111\u1ebfn 20,3% n\u0103m 2012 v\u00e0 20,9% n\u0103m 2017.<\/p>\n

    \n
  1. V\u1eady \u0110T\u0110 thai k\u1ef3 l\u00e0 g\u00ec?<\/li>\n<\/ol>\n

    \u0110\u00e1i th\u00e1o thai k\u1ef3 l\u00e0 \u0110T\u0110 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong 3 th\u00e1ng gi\u1eefa ho\u1eb7c 3 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 \u0111\u1ed1i v\u00e0 kh\u00f4ng ph\u1ea3i l\u00e0 \u0110T\u0110 t\u00edp1, t\u00edp 2 \u0111\u00e3 c\u00f3 t\u1eeb tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n: \u0110T\u0110 thai k\u1ef3 khi c\u00f3 \u00edt nh\u1ea5t 1 trong 3 ti\u00eau chu\u1ea9n sau:<\/p>\n

      \n
    1. \u0110\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i: \u2265 5.1 mmol\/l (\u2265 92 mg\/dl)<\/li>\n
    2. \u0110\u01b0\u1eddng huy\u1ebft sau 1h: \u2265 10 mmol\/l (\u2265 180 mg\/dl)<\/li>\n
    3. \u0110\u01b0\u1eddng huy\u1ebft sau 2h: \u2265 8.5 mmol\/l (\u2265 153 mg\/dl)<\/li>\n
    4. Ai c\u00f3 nguy c\u01a1 m\u1eafc \u0110T\u0110 thai k\u1ef3?<\/li>\n<\/ol>\n

      \u0110T\u0110 thai k\u1ef3 c\u00f3 xu h\u01b0\u1edbng hay g\u1eb7p \u1edf nh\u1eefng thai ph\u1ee5 sinh con khi l\u1edbn tu\u1ed5i, th\u1eeba c\u00e2n- b\u00e9o ph\u00ec, ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc \u0110T\u0110, ti\u1ec1n s\u1eed s\u1ea3n khoa b\u1ea5t th\u01b0\u1eddng: sinh con to \u2265 4000g, thai ch\u1ebft l\u01b0u kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, ti\u1ec1n s\u1eed b\u1ea5t th\u01b0\u1eddng v\u1ec1 dung n\u1ea1p glucose, Glucose ni\u1ec7u d\u01b0\u01a1ng t\u00ednh, m\u1eafc h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang\u2026<\/p>\n

      3.\u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0110T\u0110 thai k\u1ef3 \u0111\u1ed1i v\u1edbi m\u1eb9 v\u00e0 thai nh\u01b0 th\u1ebf n\u00e0o?<\/p>\n

      Thai ph\u1ee5 m\u1eafc \u0110T\u0110 thai k\u1ef3 s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt, s\u1ea3n gi\u1eadt, nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u, \u0111\u1ebb non, \u0111a \u00f3i v\u00e0 nguy hi\u1ec3m nh\u1ea5t l\u00e0 thai ch\u1ebft l\u01b0u trong su\u1ed1t qu\u00e1 tr\u00ecnh mang thai. Ngo\u00e0i ra, b\u00e0 m\u1eb9 s\u1ebd g\u1eb7p kh\u00f3 kh\u0103n khi chuy\u1ec3n d\u1ea1 do thai to l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng cho b\u00e9 v\u00e0 m\u1eb9 trong khi sinh. Tr\u1ebb sinh ra c\u00f3 nguy c\u01a1 b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c m\u1eafc c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh nguy hi\u1ec3m.<\/p>\n

        \n
      1. Ph\u1ee5 n\u1eef mang thai c\u1ea7n l\u00e0m g\u00ec \u0111\u1ec3 h\u1ea1n ch\u1ebf nguy c\u01a1 m\u1eafc \u0110T\u0110 thai k\u1ef3?<\/li>\n<\/ol>\n

        Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng:<\/p>\n

        \u0102n \u0111a d\u1ea1ng nhi\u1ec1u lo\u1ea1i th\u1ef1c ph\u1ea9m v\u00e0 \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 4 nh\u00f3m: ch\u1ea5t b\u1ed9t, ch\u1ea5t \u0111\u1ea1m, ch\u1ea5t b\u00e9o, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t nh\u1eb1m t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe cho b\u00e0 m\u1eb9 v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi.<\/p>\n

        – H\u1ea1n ch\u1ebf \u0103n m\u1eb7n, nh\u1ea5t l\u00e0 nh\u1eefng thai ph\u1ee5 c\u00f3 ph\u00f9, t\u0103ng huy\u1ebft \u00e1p, nhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n \u0111\u1ec3 tr\u00e1nh tai bi\u1ebfn khi sinh. N\u00ean s\u1eed d\u1ee5ng mu\u1ed1in d\u01b0\u1edbi 5 gam mu\u1ed1i\/ng\u00e0y (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 01 mu\u1ed7ng c\u00e0 ph\u00ea).<\/p>\n

        – Kh\u00f4ng n\u00ean d\u00f9ng r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1 v\u00e0 c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 c\u00e0 ph\u00ea, thu\u1ed1c l\u00e1, n\u01b0\u1edbc tr\u00e0 \u0111\u1eb7c. Gi\u1ea3m \u0103n c\u00e1c lo\u1ea1i gia v\u1ecb nh\u01b0 \u1edbt, h\u1ea1t ti\u00eau, t\u1ecfi…<\/p>\n

        – Gi\u1ea3m c\u00e1c th\u1ef1c ph\u1ea9m, m\u00f3n \u0103n ch\u1ebf bi\u1ebfn s\u1eb5n, n\u01b0\u1edbc ng\u1ecdt c\u00f3 ga v\u00e0 kh\u00f4ng c\u00f3 ga, c\u00e1c lo\u1ea1i b\u00e1nh k\u1eb9o, x\u00fac x\u00edch, th\u1ecbt x\u00f4ng kh\u00f3i, gi\u00f2, ch\u1ea3, bim bim\u2026 T\u0103ng c\u01b0\u1eddng \u0103n nhi\u1ec1u th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1 v\u00e0 vitamin nh\u01b0 rau c\u1ea3i, tr\u00e1i c\u00e2y \u00edt \u0111\u01b0\u1eddng.<\/p>\n

        V\u1eadn \u0111\u1ed9ng v\u00e0 ngh\u1ec9 ng\u01a1i:<\/p>\n

        – Ph\u1ee5 n\u1eef khi mang thai n\u00ean ho\u1ea1t \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng v\u00e0 ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd. Tuy nhi\u00ean, kh\u00f4ng n\u00ean ngh\u1ec9 ng\u01a1i ho\u00e0n to\u00e0n m\u00e0 c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 t\u1eadp luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c ph\u00f9 h\u1ee3p, \u0111\u00fang m\u1ee9c nh\u01b0 t\u1eadp c\u00e1c \u0111\u1ed9ng t\u00e1c nh\u1eb9 nh\u00e0ng, t\u1eadp th\u1edf s\u00e2u, th\u1edf \u0111\u1ec1u, co du\u1ed7i ch\u00e2n tay \u00edt nh\u1ea5t 30 ph\u00fat m\u1ed7i ng\u00e0y \u0111\u1ec3 h\u1ea1n ch\u1ebf nguy c\u01a1 m\u1eafc \u0110T\u0110 thai k\u1ef3 v\u00e0 gi\u00fap qu\u00e1 tr\u00ecnh sinh n\u1edf d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n

        Ki\u1ec3m so\u00e1t t\u0103ng c\u00e2n trong thai k\u1ef3:<\/p>\n

        T\u00f9y theo t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng (ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 BMI =c\u00e2n n\u0103ng\/(chi\u1ec1u cao)2) tr\u01b0\u1edbc khi c\u00f3 thai \u0111\u1ec3 khuy\u1ebfn ngh\u1ecb m\u1ee9c t\u0103ng c\u00e2n trong th\u1eddi k\u1ef3 mang thai, nh\u01b0 sau:<\/p>\n

        + Suy dinh d\u01b0\u1ee1ng (BMI <18,5): t\u0103ng t\u1eeb 12,5-18 kg.<\/p>\n

        + B\u00ecnh th\u01b0\u1eddng (BMI: 18,5-24,9): t\u0103ng t\u1eeb 11,5-16 kg.<\/p>\n

        + Th\u1eeba c\u00e2n (BMI: 25-29,9): t\u0103ng t\u1eeb 7-11,5 kg.<\/p>\n

        + B\u00e9o ph\u00ec (BMI \u2265 30): t\u0103ng t\u1eeb 5-9 kg.<\/p>\n

        Ngo\u00e0i ra \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 \u0110T\u0110 thai k\u1ef3 c\u0169ng c\u1ea7n gi\u1ea3m c\u00e2n cho \u0111\u1ed1i t\u01b0\u1ee3ng th\u1eeba c\u00e2n, b\u00e9o ph\u00ec tr\u01b0\u1edbc khi mang thai.<\/p>\n

        \u0110T\u0110 thai k\u1ef3 g\u00e2y h\u1eadu qu\u1ea3 r\u1ea5t nghi\u00eam tr\u1ecdng v\u00e0 t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn thai nhi v\u00e0 b\u00e0 m\u1eb9, v\u00ec v\u1eady ph\u1ee5 n\u1eef c\u00f3 thai n\u00ean t\u1ea7m so\u00e1t \u0110T\u0110 thai k\u1ef3 t\u1eeb tu\u1ea7n thai th\u1ee9 24 \u2013 28 \u0111\u00e2y l\u00e0 th\u1eddi \u0111i\u1ec3m t\u1ed1t nh\u1ea5t cho ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng chuy\u1ec3n h\u00f3a carbonhydrat trong thai k\u1ef3. \u0110\u1ed1i v\u1edbi c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao c\u1ea7n t\u1ea7m so\u00e1t s\u1edbm h\u01a1n v\u00e0 n\u1ebfu k\u1ebft qu\u1ea3 \u00e2m t\u00ednh c\u1ea7n th\u1ef1c hi\u1ec7n l\u1ea1i nghi\u1ec7m ph\u00e1p t\u1ea7m so\u00e1t v\u00e0o th\u1eddi \u0111i\u1ec3m thai 24 \u2013 28 tu\u1ea7n tu\u1ed5i.\/.<\/p>\n

        Bs. Tr\u1ea7n Th\u1ecb Ph\u01b0\u01a1ng Khanh \u2013 Trung t\u00e2m KSBT An Giang<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

        \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) l\u00e0 m\u1ed9t b\u1ec7nh m\u00e3n t\u00ednh th\u01b0\u1eddng g\u1eb7p v\u00e0 c\u00f3 t\u1ed1c \u0111\u1ed9 t\u0103ng nhanh tr\u00ean to\u00e0n c\u1ea7u. U\u1edbc t\u00ednh \u0111\u1ebfn n\u0103m 2020 s\u1ebd c\u00f3 438 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0110T\u0110, trong \u0111\u00f3 kho\u1ea3ng 50% l\u00e0 ng\u01b0\u1eddi ch\u00e2u \u00c1. Vi\u1ec7t Nam l\u00e0 qu\u1ed1c gia \u0110\u00f4ng Nam \u00c1 v\u1edbi d\u00e2n s\u1ed1 kho\u1ea3ng 94 tri\u1ec7u […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[4,2],"tags":[],"class_list":["post-3803","post","type-post","status-publish","format-standard","hentry","category-ban-tin-tong-hop","category-tin-tuc-su-kien"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3803","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=3803"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3803\/revisions"}],"predecessor-version":[{"id":3805,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/3803\/revisions\/3805"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=3803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=3803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=3803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}