{"id":103805,"date":"2021-09-29T00:00:00","date_gmt":"2021-09-29T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/hoi-chung-down\/"},"modified":"2023-05-23T00:00:00","modified_gmt":"2023-05-23T00:00:00","slug":"hoi-chung-down","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/nhi\/hoi-chung-down\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng down: Nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n c\u00f3 li\u00ean quan t\u1edbi s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec5m s\u1eafc th\u1ec3, th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eb9 sinh con \u1edf \u0111\u1ed9 tu\u1ed5i ngo\u00e0i 35. H\u1ed9i ch\u1ee9ng Down l\u00e0m cho em b\u00e9 khi sinh ra c\u00f3 m\u1ed9t s\u1ed1 b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u1ec7 tim m\u1ea1ch, ti\u00eau h\u00f3a, t\u00e2m th\u1ea7n &#8211; v\u1eadn \u0111\u1ed9ng, \u2026 B\u1ea5t th\u01b0\u1eddng n\u00e0y khi\u1ebfn b\u00e9 ch\u1eadm ph\u00e1t tri\u1ec3n, d\u1ea7n tr\u1edf n\u00ean kh\u00f9 kh\u1edd v\u00e0 h\u1ea7u nh\u01b0 kh\u00f4ng th\u1ec3 h\u1ecdc h\u00e0nh. V\u00ec l\u1ebd \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n c\u1ea7n th\u1ef1c hi\u1ec7n \u0111\u00fang l\u00fac \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n ngay t\u1eeb khi c\u00f2n trong b\u1ee5ng m\u1eb9. H\u00e3y c\u00f9ng <strong><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a><\/strong> t\u00ecm hi\u1ec3u v\u1ec1 h\u1ed9i ch\u1ee9ng n\u00e0y trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h\u1ed9i-ch\u1ee9ng-down-la-gi\">H\u1ed9i ch\u1ee9ng Down l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean b\u1edfi b\u00e1c s\u0129 Langdon Down v\u00e0o n\u0103m 1887, 70 n\u0103m sau nguy\u00ean nh\u00e2n c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm ra. Theo m\u1ed9t s\u1ed1 th\u1ed1ng k\u00ea c\u1ee7a CDC Hoa K\u1ef3, kho\u1ea3ng 6.000 tr\u1ebb m\u1eafc h\u1ed9i ch\u1ee9ng Down m\u1ed7i n\u0103m, t\u1ec9 l\u1ec7 v\u00e0o kho\u1ea3ng 1:700.  N\u0103m 2008, kho\u1ea3ng 1\/1.200 (250.700) c\u00f4ng d\u00e2n \u1edf Hoa K\u1ef3 m\u1eafc ph\u1ea3i h\u1ed9i ch\u1ee9ng n\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down g\u00e2y ra b\u1edfi t\u00ecnh tr\u1ea1ng th\u1eeba m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 21 (trisomy 21) trong b\u1ed9 gen, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tam th\u1ec3 21. Trisomy 21 l\u00e0 m\u1ed9t trong nh\u1eefng t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3 di truy\u1ec1n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. H\u1ed9i ch\u1ee9ng n\u00e0y bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 ch\u1eadm ph\u00e1t tri\u1ec3n v\u00e0 khuy\u1ebft t\u1eadt v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n c\u1ee7a tr\u1ebb.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/down_Syndrome_trisomy-1024x595.jpg\" alt=\"hoi-chung-down\" class=\"wp-image-29775\"\/><figcaption class=\"wp-element-caption\">H\u1ed9i ch\u1ee9ng Down g\u00e2y ra b\u1edfi s\u1ef1 d\u01b0 th\u1eeba 1 NST \u1edf b\u1ed9 NST s\u1ed1 21 (Trisomy 21) (Ngu\u1ed3n: National Human Geonome Research Attitude)<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-ra-h\u1ed9i-ch\u1ee9ng-down\">Nguy\u00ean nh\u00e2n g\u00e2y ra h\u1ed9i ch\u1ee9ng Down<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m s\u1eafc th\u1ec3 l\u00e0 nh\u1eefng \u0111o\u1ea1n gen nh\u1ecf trong c\u01a1 th\u1ec3, vi\u1ec7c h\u00ecnh th\u00e0nh c\u00e1c t\u00ednh tr\u1ea1ng \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a em b\u00e9 t\u1eeb l\u00fac trong b\u1ee5ng m\u1eb9, cho \u0111\u1ebfn khi l\u1edbn l\u00ean tr\u01b0\u1edfng th\u00e0nh ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o nhi\u1ec5m s\u1eafc th\u1ec3. Tr\u1ebb em nh\u1eadn ngu\u1ed3n d\u1eef li\u1ec7u di truy\u1ec1n t\u1eeb c\u1ea3 b\u1ed1 v\u00e0 m\u1eb9. M\u1ed9t t\u1ebf b\u00e0o ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng nh\u1eadn \u0111\u01b0\u1ee3c 23 nhi\u1ec5m s\u1eafc th\u1ec3 t\u1eeb b\u1ed1 v\u00e0 23 nhi\u1ec5m s\u1eafc th\u1ec3 t\u1eeb m\u1eb9, t\u1ed5ng c\u1eb7p ta c\u00f3 46 nhi\u1ec5m s\u1eafc th\u1ec3. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede tr\u1ebb em, m\u1ed9t c\u1eb7p nhi\u1ec5m s\u1eafc th\u1ec3 kh\u00f4ng ph\u00e2n chia \u0111\u00fang c\u00e1ch g\u00e2y ra h\u1ed9i ch\u1ee9ng Down. B\u00ecnh th\u01b0\u1eddng g\u1eb7p NST 21 ch\u1ec9 c\u00f3 2 NST, tuy nhi\u00ean v\u00ec s\u1ef1 ph\u00e2n chia b\u1ea5t th\u01b0\u1eddng \u0111\u00f3 m\u00e0 xu\u1ea5t hi\u1ec7n th\u00eam m\u1ed9t NST th\u1ee9 21 kh\u00e1c. Nh\u01b0 v\u1eady thai nhi l\u00fac n\u00e0y c\u00f3 47 nhi\u1ec5m s\u1eafc th\u1ec3 do th\u1eeba m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 21. S\u1ef1 b\u1ea5t th\u01b0\u1eddng n\u00e0y g\u00e2y t\u00ecnh tr\u1ea1ng ph\u00e1t tri\u1ec3n b\u1ea5t b\u00ecnh th\u01b0\u1eddng v\u1ec1 th\u1ec3 ch\u1ea5t, tr\u00ed tu\u1ec7.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 m\u1eb7t th\u1ec3 ch\u1ea5t, tr\u00ed th\u00f4ng minh c\u00f3 th\u1ec3 k\u00e9o d\u00e0i su\u1ed1t \u0111\u1eddi v\u00e0 l\u00e0m gi\u1ea3m tu\u1ed5i th\u1ecd c\u0169ng nh\u01b0 h\u1ea1n ch\u1ebf nhi\u1ec1u v\u1ec1 m\u1eb7t s\u1ee9c kh\u1ecfe. Tuy nhi\u00ean, nh\u1eefng \u0111\u1ee9a tr\u1ebb m\u1eafc h\u1ed9i ch\u1ee9ng Down c\u00f3 th\u1ec3 l\u1edbn l\u00ean, sinh ho\u1ea1t \u1edf m\u1ee9c t\u01b0\u01a1ng \u0111\u1ed1i so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. S\u1ef1 ph\u00e1t tri\u1ec3n v\u1ec1 m\u1eb7t y t\u1ebf, khoa h\u1ecdc n\u00f3i chung \u0111\u00e3 gi\u00fap cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng Down v\u00e0 gia \u0111\u00ecnh c\u1ee7a h\u1ecd c\u00f3 c\u01a1 h\u1ed9i v\u00e0 \u0111i\u1ec1u ki\u1ec7n s\u1ed1ng t\u1ed1t h\u01a1n, \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 v\u00e0 gi\u00fap \u0111\u1ee1 nhi\u1ec1u h\u01a1n \u0111\u1ec3 v\u01b0\u01a1n t\u1edbi m\u1ed9t cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng nh\u1ea5t c\u00f3 th\u1ec3. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-gay-ra-b\u1edfi-h\u1ed9i-ch\u1ee9ng-down\">Tri\u1ec7u ch\u1ee9ng g\u00e2y ra b\u1edfi h\u1ed9i ch\u1ee9ng Down<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down g\u00e2y suy gi\u1ea3m nh\u1eadn th\u1ee9c \u1edf nhi\u1ec1u m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau \u1edf h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p , suy gi\u1ea3m nh\u1eadn th\u1ee9c n\u1eb7ng (IQ 20-35) ho\u1eb7c nh\u1eb9 (IQ 50-75). Em b\u00e9 sinh ra th\u01b0\u1eddng s\u1ebd b\u1ecb ch\u1eadm v\u1ec1 ng\u00f4n ng\u1eef v\u00e0 v\u1eadn \u0111\u1ed9ng th\u00f4 (thay v\u00ec v\u1eadn \u0111\u1ed9ng tinh vi). Chi\u1ec1u cao c\u1ee7a b\u1ec7nh nh\u00e2n Down c\u0169ng th\u1ea5p h\u01a1n v\u00e0 nguy c\u01a1 b\u1ecb b\u00e9o ph\u00ec cao h\u01a1n. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kho\u1ea3ng 50% tr\u1ebb em b\u1ecb Down m\u1eafc b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh c\u1ea3nh th\u01b0\u1eddng g\u1eb7p l\u00e0 th\u00f4ng li\u00ean th\u1ea5t, \u1ed1ng nh\u0129 th\u1ea5t,&#8230; Kho\u1ea3ng 5% tr\u1ebb c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu c\u1ee7a h\u1ec7 ti\u00eau ho\u00e1 bi\u1ec3u hi\u1ec7n b\u1eb1ng h\u1eb9p t\u00e1 tr\u00e0ng, tu\u1ef5 h\u00ecnh nh\u1eabn&#8230; Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 g\u1eb7p b\u1ec7nh Hirschsprung v\u00e0 b\u1ec7nh celiac. S\u1ed1 kh\u00e1c s\u1ebd m\u1eafc b\u1ec7nh v\u1ec1  n\u1ed9i ti\u1ebft nh\u01b0 b\u1ec7nh tuy\u1ebfn gi\u00e1p nh\u01b0 suy gi\u00e1p ho\u1eb7c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u1ec7 x\u01b0\u01a1ng kh\u1edbp c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 s\u1ef1 m\u1ea5t \u1ed5n \u0111\u1ecbnh c\u1ee7a kh\u1edbp \u0111\u1ed9i ch\u1ea9m v\u00e0 x\u01b0\u01a1ng ch\u1eadu d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng y\u1ebfu, li\u1ec7t c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng Down. Kho\u1ea3ng 60% c\u00e1c case b\u1ec7nh g\u1eb7p ph\u1ea3i c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u1eaft, bao g\u1ed3m \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nh\u00e3n \u00e1p, m\u1eaft l\u00e1c v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n kh\u00fac x\u1ea1 nh\u01b0 c\u1eadn th\u1ecb, lo\u1ea1n th\u1ecb,&#8230; Ngo\u00e0i ra c\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c v\u1ec1 r\u1ed1i lo\u1ea1n th\u00ednh gi\u00e1c c\u0169ng nh\u01b0 t\u1ec9 l\u1ec7 nhi\u1ec5m tr\u00f9ng tai cao h\u01a1n. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t trong c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng Down \u0111\u00f3 l\u00e0 l\u00e3o h\u00f3a xu\u1ea5t hi\u1ec7n s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c \u0111\u1ea9y nhanh. Tu\u1ed5i th\u1ecd trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng Down r\u01a1i v\u00e0o m\u1ee9c 55 tu\u1ed5i. Tuy nhi\u00ean g\u1ea7n \u0111\u00e2y nhi\u1ec1u case b\u1ec7nh ghi nh\u1eadn v\u1edbi tu\u1ed5i th\u1ecd 70 \u0111\u1ebfn 80 tu\u1ed5i. Tu\u1ed5i th\u1ecd gi\u1ea3m \u1edf nh\u00f3m b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 do c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u1ec7 tim m\u1ea1ch v\u00e0 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd nguy hi\u1ec3m nh\u01b0 nhi\u1ec5m tr\u00f9ng, b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng t\u1ee7y cao h\u01a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u1ee5 n\u1eef m\u1eafc h\u1ed9i ch\u1ee9ng Down c\u00f3 kh\u1ea3 n\u0103ng sinh con c\u0169ng m\u1eafc Down l\u00e0 50%. Tuy nhi\u00ean, \u0111a s\u1ed1 c\u00e1c thai nhi c\u00f3 Trisomy 21 s\u1ebd b\u1ecb s\u1ea3y t\u1ef1 nhi\u00ean. \u0110\u00e0n \u00f4ng m\u1eafc h\u1ed9i ch\u1ee9ng Down g\u1ea7n nh\u01b0 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh \u1edf th\u1ec3 kh\u1ea3m. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/22.CHUNG-TAY-VI-TRE-.jpg\" alt=\"hoi-chung-down\" class=\"wp-image-29776\"\/><figcaption class=\"wp-element-caption\">H\u00ecnh \u1ea3nh c\u00e1c tr\u1ebb em m\u1eafc h\u1ed9i ch\u1ee9ng Down \u1edf Vi\u1ec7t Nam (ngu\u1ed3n: S\u1edf Lao \u0111\u1ed9ng v\u00e0 Th\u01b0\u01a1ng binh H\u00e0 N\u1ed9i)<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft tr\u1ebb sinh ra m\u1eafc h\u1ed9i ch\u1ee9ng Down c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/li>\n\n\n\n<li>Ph\u1ea3n x\u1ea1 moro k\u00e9m ho\u1eb7c g\u1ea7n nh\u01b0 \u00e2m t\u00ednh<\/li>\n\n\n\n<li>Qu\u00e1 du\u1ed7i c\u00e1c kh\u1edbp, c\u00e1c ng\u00f3n<\/li>\n\n\n\n<li>Xu\u1ea5t hi\u1ec7n l\u1edbp da th\u1eeba \u1edf sau g\u00e1y<\/li>\n\n\n\n<li>N\u00e9t m\u1eb7t ph\u1eb3ng, khu\u00f4n m\u1eb7t b\u1ecb b\u1eb9t<\/li>\n\n\n\n<li>M\u1eaft x\u1ebfch l\u00ean tr\u00ean<\/li>\n\n\n\n<li>D\u1ecb d\u1ea1ng v\u00f2m tai<\/li>\n\n\n\n<li>C\u1ed5 ng\u1eafn<\/li>\n\n\n\n<li>L\u01b0\u1ee1i ph\u1ed3ng, l\u01b0\u1ee1i b\u1ef1<\/li>\n\n\n\n<li>B\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu x\u01b0\u01a1ng ch\u1eadu<\/li>\n\n\n\n<li>C\u00f3 r\u00e3nh kh\u1ec9<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00ean c\u1ea1nh nh\u1eefng b\u1ea5t th\u01b0\u1eddng, r\u1ed1i lo\u1ea1n v\u00e0 khi\u1ebfm khuy\u1ebft v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu c\u01a1 th\u1ec3, tr\u1ebb em m\u1eafc h\u1ed9i ch\u1ee9ng Down c\u00f2n c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n khi\u1ebfm khuy\u1ebft v\u1ec1 m\u1eb7t tinh th\u1ea7n, tr\u00ed tu\u1ec7, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00f3 nh\u1eefng h\u00e0nh vi b\u1ed1c \u0111\u1ed3ng, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t h\u00e0nh vi t\u1ed1t<\/li>\n\n\n\n<li>Kh\u1ea3 n\u0103ng ph\u00e1n x\u00e9t k\u00e9m, ch\u1eadm ch\u1ea1p<\/li>\n\n\n\n<li>Suy gi\u1ea3m t\u1eadp trung, kh\u00f4ng th\u1ec3 ch\u00fa \u00fd trong th\u1eddi gian d\u00e0i<\/li>\n\n\n\n<li>Kh\u1ea3 n\u0103ng h\u1ecdc t\u1eadp k\u00e9m, ti\u1ebfp thu kh\u00f4ng t\u1ed1t<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"m\u1eafc-h\u1ed9i-ch\u1ee9ng-down-co-ch\u1eefa-d\u01b0\u1ee3c-khong\">M\u1eafc h\u1ed9i ch\u1ee9ng down c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down k\u00e9o d\u00e0i t\u1edbi cu\u1ed1i \u0111\u1eddi, do b\u1ea3n ch\u1ea5t l\u00e0 b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u1eb7t di truy\u1ec1n do \u0111\u00f3  ch\u01b0a c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3. Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i s\u1ed1ng chung v\u1edbi h\u1ed9i ch\u1ee9ng Down  su\u1ed1t \u0111\u1eddi v\u00e0 ph\u1ea3i ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o gia \u0111\u00ecnh. Tuy nhi\u00ean, c\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n ng\u00e0y m\u1ed9t xa c\u1ee7a y khoa, vi\u1ec7c ch\u0103m s\u00f3c to\u00e0n di\u1ec7n cho ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng Down \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng \u0111\u01b0\u1ee3c t\u1ea1o \u0111i\u1ec1u ki\u1ec7n v\u00e0 c\u00f3 m\u00f4i tr\u01b0\u1eddng s\u1ed1ng t\u1ed1t h\u01a1n. Ch\u00ednh nh\u1eefng \u0111i\u1ec1u n\u00e0y \u0111\u00e3 gi\u00fap cho ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng Down k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd, tr\u1edf th\u00e0nh nh\u1eefng c\u00f4ng d\u00e2n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, tham gia v\u00e0o nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng, ng\u00e0nh ngh\u1ec1 kh\u00e1c nhau trong x\u00e3 h\u1ed9i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, b\u1ea5t th\u01b0\u1eddng \u1edf c\u00e1c c\u01a1 quan kh\u00e1c nhau<\/li>\n\n\n\n<li>H\u1ed7 tr\u1ee3 ph\u00e1t tri\u1ec3n v\u1ec1 m\u1eb7t nh\u1eadn th\u1ee9c, tr\u00ed tu\u1ec7, kh\u1ea3 n\u0103ng h\u1ecdc t\u1eadp v\u00e0 m\u00f4i tr\u01b0\u1eddng s\u1ed1ng l\u00e0nh m\u1ea1nh<\/li>\n\n\n\n<li>Cho tr\u1ebb t\u1edbi nh\u1eefng l\u1edbp h\u1ecdc chuy\u00ean bi\u1ec7t cho ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng Down<\/li>\n\n\n\n<li><span style=\"color: var(--cs-color-primary); font-family: var(--cs-font-base-family), sans-serif; font-size: var(--cs-font-base-size); font-style: var(--cs-font-base-style); font-weight: var(--cs-font-base-weight); letter-spacing: var(--cs-font-base-letter-spacing);\">\u0110\u1ea3m b\u1ea3o tr\u1ebb c\u00f3 c\u01a1 h\u1ed9i ti\u1ebfp x\u00fac v\u00e0 \u0111\u01b0\u1ee3c h\u1ecdc ng\u00f4n ng\u1eef c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 b\u00e9 c\u00f3 c\u01a1 h\u1ed9i h\u00f2a nh\u1eadp v\u1edbi c\u1ed9ng \u0111\u1ed3ng v\u00e0 ph\u00e1t tri\u1ec3n b\u1ea3n th\u00e2n.<\/span><\/li>\n\n\n\n<li>K\u1ebft n\u1ed1i c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng Down t\u1eeb \u0111\u00f3 x\u00e2y d\u1ef1ng m\u1ed9t c\u1ed9ng \u0111\u1ed3ng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1 l\u1eabn nhau<\/li>\n\n\n\n<li>Ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c \u0111ang \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o nghi\u00ean c\u1ee9u tuy nhi\u00ean ch\u01b0a c\u00f3 c\u00f4ng b\u1ed1 ch\u00ednh th\u1ee9c v\u00e0 r\u1ed9ng r\u00e3i k\u1ebft qu\u1ea3 c\u0169ng nh\u01b0 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. C\u00e2u tr\u1ea3 l\u1eddi v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1eadn g\u1ed1c h\u1ed9i ch\u1ee9ng Down v\u1eabn c\u00f2n d\u1edf dang.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/high-angle-child-woman-painting.jpg\" alt=\"hoi-chung-down\" class=\"wp-image-29777\"\/><figcaption class=\"wp-element-caption\">Hi\u1ec7n ch\u01b0a c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng Down, ch\u1ec9 c\u00f3 th\u1ec3 gi\u00fap tr\u1ebb h\u00f2a nh\u1eadp v\u1edbi c\u1ed9ng \u0111\u1ed3ng<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cach-phong-ng\u1eeba-h\u1ed9i-ch\u1ee9ng-down\">C\u00e1ch ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng Down<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng Down l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n li\u00ean quan \u0111\u1ebfn nhi\u1ec5m s\u1eafc th\u1ec3, \u0111\u00e2y l\u00e0 ph\u01b0\u01a1ng di\u1ec7n m\u00e0 con ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 can thi\u1ec7p \u0111\u01b0\u1ee3c \u0111\u1ec3 ph\u00f2ng ng\u1eeba. Do \u0111\u00f3 kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba n\u00e0o \u0111\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng Down. \u0110i\u1ec1u duy nh\u1ea5t c\u00e1c c\u1eb7p b\u1ed1 m\u1eb9 c\u00f3 th\u1ec3 \u0111\u00f3 l\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe sinh s\u1ea3n ti\u1ec1n sinh, trong \u0111\u00f3 c\u00f3 b\u01b0\u1edbc t\u1ea7m so\u00e1t c\u00e1c d\u1ecb t\u1eadt thai nhi. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129, chuy\u00ean gia t\u01b0 v\u1ea5n v\u1ec1 t\u1ec9 l\u1ec7 sinh con m\u1eafc h\u1ed9i ch\u1ee9ng Down, c\u0169ng nh\u01b0 th\u1eddi gian t\u1ea7m so\u00e1t theo quy \u0111\u1ecbnh v\u00e0 t\u1ec9 l\u1ec7 t\u1ea7m so\u00e1t ra b\u1ec7nh l\u00e0 bao nhi\u00eau. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 cao c\u1ee7a sinh con b\u1ecb Down l\u00e0 c\u00f3 thai mu\u1ed9n, sau \u0111\u1ed9 tu\u1ed5i 35 t\u1ec9 l\u1ec7 l\u00e0 1\/30 v\u00e0 t\u0103ng cao d\u1ea7n theo \u0111\u1ed9 tu\u1ed5i. Do \u0111\u00f3 c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng n\u00ean c\u00f3 k\u1ebf ho\u1ea1ch sinh con tr\u01b0\u1edbc \u0111\u1ed9 tu\u1ed5i n\u00e0y \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ec9 l\u1ec7 d\u1ecb t\u1eadt cho thai nhi, \u0111\u1ed3ng th\u1eddi ph\u1ea3i kh\u00e1m thai \u0111\u1ea7y \u0111\u1ee7 theo l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129 s\u1ea3n khoa.  Bi\u1ec7n ph\u00e1p t\u1ea7m so\u00e1t hi\u1ec7n nay c\u00f3 gi\u00e1 tr\u1ecb c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn \u0111\u00f3 l\u00e0 si\u00eau \u00e2m, \u0111o d\u1ed9 m\u1edd da g\u00e1y. \u0110\u1eb7c bi\u1ec7t \u1edf trong 3 th\u00e1ng \u0111\u1ea7u, kho\u1ea3ng 75% tr\u1ebb m\u1eafc b\u1ec7nh c\u00f3 \u0111\u1ed9 m\u1edd da g\u00e1y d\u00e0y h\u01a1n v\u00e0 kh\u00f4ng c\u00f3 x\u01b0\u01a1ng c\u00e1nh m\u0169i. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><u>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc b\u1ec7nh tr\u01b0\u1edbc sinh kh\u00f4ng x\u00e2m l\u1ea5n:<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m NIPT: th\u1ef1c hi\u1ec7n b\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n th\u1ee9 10 c\u1ee7a thai k\u1ef3<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m Double test : th\u1ef1c hi\u1ec7n trong kho\u1ea3ng th\u1eddi gian thai \u0111\u01b0\u1ee3c 11 tu\u1ea7n 6 ng\u00e0y \u0111\u1ebfn 13 tu\u1ea7n 6 ng\u00e0y v\u00e0 ti\u1ebfn h\u00e0nh si\u00eau \u00e2m \u0111o \u0111\u1ed9 m\u1edd da g\u00e1y.<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m Triple test : th\u1ef1c hi\u00ean khi thai k\u1ef3 \u0111\u01b0\u1ee3c 15 \u2013 20 tu\u1ea7n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"> <strong><u>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc b\u1ec7nh tr\u01b0\u1edbc sinh c\u00f3 x\u00e2m l\u1ea5n:<\/u><\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e9t nghi\u1ec7m gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh tuy nhi\u00ean c\u00f3 x\u00e2m l\u1ea5n v\u00e0o b\u00e0o thai \u0111\u1ec3 l\u1ea5y m\u1eabu x\u00e9t nghi\u1ec7m nh\u01b0 <strong>ch\u1ecdc \u1ed1i<\/strong>, <strong>sinh thi\u1ebft&nbsp;gai&nbsp;nhau.<\/strong><\/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\">H\u1ed9i ch\u1ee9ng Down l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n g\u00e2y ra b\u1edfi s\u1ef1 gia t\u0103ng 1 nhi\u1ec5m s\u1eafc th\u1ec3 21 (3 NST 21). Tr\u1ebb em m\u1eafc b\u1ec7nh Down s\u1ebd mang trong m\u00ecnh nh\u1eefng khi\u1ebfm khuy\u1ebft v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu, t\u00e2m sinh l\u00fd b\u1ea5t th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 suy gi\u1ea3m v\u1ec1 m\u1eb7t tr\u00ed tu\u1ec7, t\u01b0 duy. Ng\u00e0y nay v\u1eabn ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 do \u0111\u00f3 vi\u1ec7c t\u1ea7m so\u00e1t, ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe sinh s\u1ea3n tr\u1edf th\u00e0nh bi\u1ec7n ph\u00e1p h\u1eefu hi\u1ec7u \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng tr\u1ebb em sinh ra b\u1ecb h\u1ed9i ch\u1ee9ng Down. <\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><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, Doctor c\u00f3 s\u1eb5n Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<p class=\"wp-block-paragraph\"> H\u1ed9i ch\u1ee9ng Down (Trisomy 21), Nina N. Powell-Hamilton, <a style=\"font-family: var(--cs-font-headings-family), sans-serif; font-size: 1rem; font-weight: var(--cs-font-headings-weight); letter-spacing: var(--cs-font-headings-letter-spacing); text-transform: var(--cs-font-headings-text-transform); font-style: var(--cs-font-base-style); display: inline !important;\" href=\"https:\/\/www.msdmanuals.com\/vi\/chuy%C3%AAn-gia\/nhi-khoa\/nhi%E1%BB%85m-s%E1%BA%AFc-th%E1%BB%83-v%C3%A0-%C4%91%E1%BB%99t-bi%E1%BA%BFn-gen\/h%E1%BB%99i-ch%E1%BB%A9ng-down-trisomy-21\" target=\"_blank\" rel=\"noreferrer noopener\">MSD Manuals.<\/a> <\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng Down l\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n c\u00f3 li\u00ean quan t\u1edbi s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec5m s\u1eafc th\u1ec3, th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eb9 sinh con \u1edf \u0111\u1ed9 tu\u1ed5i ngo\u00e0i 35. H\u1ed9i ch\u1ee9ng Down l\u00e0m cho em b\u00e9 khi sinh ra c\u00f3 m\u1ed9t s\u1ed1 b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u1ec7 tim m\u1ea1ch, ti\u00eau h\u00f3a, [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":89901,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-103805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhi"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/young-female-nurse-with-stethoscope-posing-against-white-wall-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/young-female-nurse-with-stethoscope-posing-against-white-wall-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\/103805","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=103805"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103805\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89901"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103805"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103805"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}