{"id":103383,"date":"2021-08-19T00:00:00","date_gmt":"2021-08-19T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/benh-da-hong-cau-o-tre-so-sinh\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"benh-da-hong-cau-o-tre-so-sinh","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/nhi\/benh-da-hong-cau-o-tre-so-sinh\/","title":{"rendered":"B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh nguy hi\u1ec3m nh\u01b0 th\u1ebf n\u00e0o?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh (polycythemia vera, hay PV) l\u00e0 m\u1ed9t b\u1ec7nh r\u1ed1i lo\u1ea1n s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o m\u00e1u r\u1ea5t hi\u1ebfm g\u1eb7p nh\u01b0ng g\u00e2y nguy hi\u1ec3m. R\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 th\u1ec3 do vi\u1ec7c t\u0103ng sinh h\u1ed3ng c\u1ea7u trong t\u1eeb khi c\u00f2n trong t\u1eed cung c\u1ee7a ng\u01b0\u1eddi m\u1eb9 ho\u1eb7c do truy\u1ec1n h\u1ed3ng c\u1ea7u t\u1eeb m\u1eb9 sang con hay song thai. B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh c\u1ea7n \u0111\u01b0\u1ee3c nh\u1eadn di\u1ec7n s\u1edbm \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. C\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u k\u0129 h\u01a1n v\u1ec1 ch\u1ee9ng b\u1ec7nh n\u00e0y trong b\u00e0i sau \u0111\u00e2y.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"b\u1ec7nh-da-h\u1ed3ng-c\u1ea7u-\u1edf-tr\u1ebb-s\u01a1-sinh\">B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/unnamed.jpg\" alt=\"benh-da-hong-cau-o-tre\" class=\"wp-image-25647\" width=\"712\" height=\"550\"\/><figcaption>B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/strong> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>T\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m th\u1ec3 t\u00edch h\u1ed3ng c\u1ea7u trong m\u00e1u t\u0129nh m\u1ea1ch ngo\u00e0i bi\u00ean (hematocrit &#8211; Hct) l\u1edbn h\u01a1n 65%<\/li><li>\u0110\u1ec9nh Hct c\u00f3 th\u1ec3 r\u01a1i v\u00e0o 2 gi\u1edd sau sanh v\u00e0 sau \u0111\u00f3 gi\u1ea3m d\u1ea7n, thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 sau 6 gi\u1edd.<\/li><li>Tri\u1ec7u ch\u1ee9ng hi\u1ebfm khi xu\u1ea5t hi\u1ec7n \u1edf tr\u1ebb n\u1ebfu Hct m\u00e1u t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean nh\u1ecf h\u01a1n 70%.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/strong> l\u00e0m t\u0103ng s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u trong m\u00e1u do nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn m\u00e1u \u0111\u1eb7c l\u1ea1i, t\u0103ng \u0111\u1ed9 nh\u1edbt t\u1eeb \u0111\u00f3 l\u00e0m ch\u1eadm l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1edbi c\u00e1c m\u00f4 v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf g\u00e2y r\u1ed1i lo\u1ea1n t\u01b0\u1edbi m\u00e1u m\u00f4, c\u1ea3n tr\u1edf vi\u1ec7c v\u1eadn chuy\u1ec3n oxy \u0111\u1ebfn m\u00f4. Ngo\u00e0i ra vi\u1ec7c t\u0103ng s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u trong m\u00e1u g\u00e2y t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vi nh\u1ed3i m\u00e1u n\u00e3o v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ea7n kinh kh\u00e1c c\u1ee7a tr\u1ebb.<\/li><li>Huy\u1ebft kh\u1ed1i th\u1eadn.<\/li><li>Vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed (NEC).<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng d\u1ef1a tr\u00ean x\u00e9t nghi\u1ec7m \u0111o t\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u trong m\u00e1u t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean ho\u1eb7c m\u00e1u cu\u1ed1ng r\u1ed1n. Th\u00f4ng th\u01b0\u1eddng tr\u1ebb kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb g\u00ec kh\u00e1c ngo\u00e0i truy\u1ec1n d\u1ecbch. Khi tr\u1ebb s\u01a1 sinh c\u00f3 tri\u1ec7u ch\u1ee9ng do b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thay m\u00e1u b\u00e1n ph\u1ea7n \u0111\u1ec3 gi\u1ea3m n\u1ed3ng \u0111\u1ed9 h\u1ed3ng c\u1ea7u.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-b\u1ec7nh-da-hong-c\u1ea7u-\u1edf-tr\u1ebb-s\u01a1-sinh\">Nguy\u00ean nh\u00e2n b\u1ec7nh \u0111a h\u00f4ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c chia l\u00e0m 2 nh\u00f3m nguy\u00ean nh\u00e2n ch\u00ednh sau \u0111\u00e2y:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tang-sinh-h\u1ed3ng-c\u1ea7u-trong-t\u1eed-cung\">T\u0103ng sinh h\u1ed3ng c\u1ea7u trong t\u1eed cung<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng thai ph\u1ee5 c\u00f3 b\u1ec7nh n\u1ec1n v\u00e0 b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ebf g\u00e2y t\u0103ng t\u1ea1o h\u1ed3ng c\u1ea7u trong m\u00e1u. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng rau thai (SGA).<\/li><li>Thai gi\u00e0 th\u00e1ng.<\/li><li>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3.<\/li><li>H\u00fat thu\u1ed1c l\u00e1 trong thai k\u1ef3.<\/li><li>R\u1ed1i lo\u1ea1n NST: trisomy 21, 18, 13.<\/li><li>H\u1ed9i ch\u1ee9ng Beckwith &#8211; Wiedemann.<\/li><li>T\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh.<\/li><li>Nhi\u1ec5m \u0111\u1ed9c gi\u00e1p s\u01a1 sinh.<\/li><li>Suy gi\u00e1p b\u1ea9m sinh.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"truy\u1ec1n-h\u1ed3ng-c\u1ea7u\">Truy\u1ec1n h\u1ed3ng c\u1ea7u<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n x\u1ea3y ra do m\u1ed9t l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u b\u1ea5t th\u01b0\u1eddng t\u1eeb ngo\u00e0i \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o h\u1ec7 tu\u1ea7n ho\u00e0n c\u1ee7a tr\u1ebb th\u01b0\u1eddng th\u1ea5y trong qua tr\u00ecnh chuy\u1ec3n d\u1ea1. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Truy\u1ec1n m\u00e1u m\u1eb9 con.<\/li><li>H\u1ed9i ch\u1ee9ng truy\u1ec1n m\u00e1u song thai.<\/li><li>C\u1eaft r\u1ed1n mu\u1ed9n.<\/li><li>Tr\u00e0o l\u01b0u sinh thu\u1eadn t\u1ef1 nhi\u00ean kh\u00f4ng nh\u1eadp vi\u1ec7n (unattended delivery).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-\u1edf-tr\u1ebb-s\u01a1-sinh-m\u1eafc-b\u1ec7nh-da-h\u1ed3ng-c\u1ea7u\">Tri\u1ec7u ch\u1ee9ng \u1edf tr\u1ebb s\u01a1 sinh m\u1eafc b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u th\u01b0\u1eddng r\u1ea5t hay g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh nh\u01b0ng l\u1ea1i kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng r\u00f5 r\u1ec7t. M\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p do b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 g\u1eb7p sau \u0111\u00e2y:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Tim m\u1ea1ch &#8211; h\u00f4 h\u1ea5p:<\/strong> Suy h\u00f4 h\u1ea5p, t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i dai d\u1eb3ng \u1edf tr\u1ebb s\u01a1 sinh g\u00e2y kh\u00f3 th\u1edf, th\u1edf nhanh, suy tim sung huy\u1ebft.<\/li><li><strong>Th\u1ea7n kinh trung \u01b0\u01a1ng: <\/strong>L\u01a1 m\u01a1, y\u1ebfu c\u01a1 ho\u1eb7c k\u00edch th\u00edch, v\u1eadt v\u00e3, b\u1ed3n ch\u1ed3n, d\u1ec5 gi\u1eadt m\u00ecnh, qu\u1ea5y kh\u00f3c, co gi\u1eadt.<\/li><li><strong>Ti\u00eau h\u00f3a:<\/strong> B\u00fa k\u00e9m, n\u00f4n m\u1eeda, vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed.<\/li><li><strong>Chuy\u1ec3n h\u00f3a:<\/strong> \u0110\u01b0\u1eddng huy\u1ebft, canxi m\u00e1u h\u1ea1, v\u00e0ng da.<\/li><li><strong>Th\u1eadn: <\/strong>Ti\u1ec3u \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 n\u01b0\u1edbc ti\u1ec3u, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng s\u1eadm, ti\u1ec3u b\u1ecdt.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nghi-ng\u1edd-m\u1eafc-b\u1ec7nh-da-h\u1ed3ng-c\u1ea7u-tr\u1ebb-s\u01a1-sinh-nen-kham-\u1edf-dau\">Nghi ng\u1edd m\u1eafc b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u, tr\u1ebb s\u01a1 sinh n\u00ean kh\u00e1m \u1edf \u0111\u00e2u?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf City &#8211; Q. B\u00ecnh T\u00e2n<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/371?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh vi\u1ec7n \u0111a khoa T\u00e2n H\u01b0ng &#8211; Q.7<\/li><\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/556?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-b\u1ec7nh-da-h\u1ed3ng-c\u1ea7u-\u1edf-tr\u1ebb-s\u01a1-sinh\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/benh-da-hong-cau-o-tre-so-sinh-2.jpg\" alt=\"benh-da-hong-cau-o-tre-so-sinh\" class=\"wp-image-20679\"\/><figcaption>M\u00e1y quay ly t\u00e2m hematocrit \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng v\u00e0 t\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m th\u1ec3 t\u00edch h\u1ed3ng c\u1ea7u (Hct) trong m\u00e1u \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch. C\u1ea7n l\u1eb7p \u0111i l\u1eb7p l\u1ea1i x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ph\u00f9 h\u1ee3p c\u0169ng nh\u01b0 theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a tr\u1ebb sau \u0111i\u1ec1u tr\u1ecb. N\u1ebfu tr\u1ebb \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng \u0111a h\u1ed3ng c\u1ea7u, n\u00ean ki\u1ec3m tra th\u00eam \u0111\u01b0\u1eddng huy\u1ebft, canxi m\u00e1u v\u00e0 kh\u1ea3o s\u00e1t b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng \u1edf ng\u01b0\u1eddi m\u1eb9. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra c\u00f3 th\u1ec3 l\u00e0m th\u00eam m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n nh\u01b0 \u0111\u1ebfm s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, bilirubin m\u00e1u, \u0111\u1ebfm h\u1ed3ng c\u1ea7u l\u01b0\u1edbi v\u00e0 h\u1ed3ng c\u1ea7u c\u00f3 nh\u00e2n \u1edf ngo\u1ea1i bi\u00ean.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-b\u1ec7nh-da-h\u1ed3ng-c\u1ea7u-\u1edf-tr\u1ebb-s\u01a1-sinh\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng tr\u1ebb kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng m\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua x\u00e9t nghi\u1ec7m m\u00e1u c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng c\u1ee7a b\u00e1c s\u0129 n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng truy\u1ec1n d\u1ecbch. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u1ebb s\u01a1 sinh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0ng Hct m\u00e1u l\u1edbn h\u01a1n 70% c\u1ea7n l\u1eb7p l\u1ea1i Hct sau m\u1ed7i 6h, n\u1ebfu kh\u00f4ng c\u1ea3i thi\u1ec7n c\u00f3 th\u1ec3 h\u1ed9i ch\u1ea9n \u0111\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p thay m\u00e1u m\u1ed9t ph\u1ea7n. \u0110\u1ed1i v\u1edbi tr\u1ebb c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 Hct m\u00e1u l\u1edbn h\u01a1n 65% c\u1ea7n thay m\u00e1u m\u1ed9t ph\u1ea7n ngay \u0111\u1ec3 gi\u1ea3m Hct d\u01b0\u1edbi 55% \u0111\u1ed3ng th\u1eddi l\u00e0m l\u00e0m gi\u1ea3m \u0111\u1ed9 nh\u1edbt m\u00e1u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thay m\u00e1u m\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch lo\u1ea1i b\u1ecf m\u00e1u m\u1ed7i l\u1ea7n 5 &#8211; 10 ml\/kg v\u00e0 ngay l\u1eadp t\u1ee9c thay th\u1ebf n\u00f3 b\u1edfi m\u1ed9t l\u01b0\u1ee3ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd 0,9%. Th\u1ec3 t\u00edch m\u00e1u c\u1ea7n thay kho\u00e3ng t\u1eeb 20 ml\/kg, th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt qua \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean. N\u00ean ho\u00e0n th\u00e0nh th\u1ee7 thu\u1eadt sau 15 \u0111\u1ebfn 20 ph\u00fat. Nh\u1eefng tr\u1ebb sau khi \u0111\u01b0\u1ee3c thay m\u00e1u lo\u00e3ng c\u1ea7n theo d\u00f5i ph\u00e1t tri\u1ec3n ch\u1ee9ng n\u0103ng th\u1ea7n kinh d\u00e0i h\u1ea1n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng g\u1eb7p nh\u01b0ng kh\u00f4ng hay xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u0169ng nh\u01b0 tri\u1ec7u ch\u1ee9ng n\u00ean c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i sau sinh b\u1edfi b\u00e1c s\u0129 \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n k\u1ecbp th\u1eddi, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. B\u1ed1 m\u1eb9 c\u1ea7n l\u01b0u t\u00e2m \u0111\u1ebfn nh\u1eefng d\u1ea5u hi\u1ec7u sau sinh c\u0169ng nh\u01b0 th\u0103m kh\u00e1m thai k\u1ef3 m\u1ed7i tam c\u00e1 nguy\u1ec7t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi cho tr\u1ebb.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n\n\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.msdmanuals.com\/home\/children-s-health-issues\/blood-problems-in-newborns\/polycythemia-in-the-newborn\" target=\"_blank\" rel=\"noopener\">Polycythemia in the Newborn &#8211; Children&#8217;s Health Issues &#8211; MSD Manual Consumer Version (msdmanuals.com)<\/a><\/strong><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u \u1edf tr\u1ebb s\u01a1 sinh (polycythemia vera, hay PV) l\u00e0 m\u1ed9t b\u1ec7nh r\u1ed1i lo\u1ea1n s\u1ea3n xu\u1ea5t t\u1ebf b\u00e0o m\u00e1u r\u1ea5t hi\u1ebfm g\u1eb7p nh\u01b0ng g\u00e2y nguy hi\u1ec3m. R\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 th\u1ec3 do vi\u1ec7c t\u0103ng sinh h\u1ed3ng c\u1ea7u trong t\u1eeb khi c\u00f2n trong t\u1eed cung c\u1ee7a ng\u01b0\u1eddi m\u1eb9 ho\u1eb7c do truy\u1ec1n h\u1ed3ng c\u1ea7u [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88247,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[575,59],"tags":[],"class_list":["post-103383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-huyet-hoc","category-nhi"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/da-hong-cau-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/da-hong-cau-1-600x600.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103383"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103383\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88247"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}