{"id":1904,"date":"2024-06-04T16:09:18","date_gmt":"2024-06-04T09:09:18","guid":{"rendered":"http:\/\/khoinguyenphat.vn\/?p=1904"},"modified":"2024-06-04T16:40:27","modified_gmt":"2024-06-04T09:40:27","slug":"nguyen-nhan-du-oi-khi-mang-thai","status":"publish","type":"post","link":"http:\/\/khoinguyenphat.vn\/index.php\/2024\/06\/04\/nguyen-nhan-du-oi-khi-mang-thai\/","title":{"rendered":"Nguy\u00ean nh\u00e2n d\u01b0 \u1ed1i khi mang thai"},"content":{"rendered":"\n

D\u01b0 \u1ed1i l\u00e0 t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 d\u01b0 th\u1eeba l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i v\u01b0\u1ee3t qu\u00e1 ch\u1ec9 s\u1ed1 \u1ed1i b\u00ecnh th\u01b0\u1eddng. N\u01b0\u1edbc \u1ed1i c\u00f3 vai tr\u00f2 c\u1ef1c k\u1ef3 quan tr\u1ecdng cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi, tuy nhi\u00ean d\u01b0 th\u1eeba n\u01b0\u1edbc \u1ed1i c\u00f3 th\u1ec3 ti\u1ec1m \u1ea9n m\u1ed9t s\u1ed1 nguy c\u01a1 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ea3n ph\u1ee5 v\u00e0 thai nhi.<\/strong><\/p>\n\n\n\n

1. N\u01b0\u1edbc \u1ed1i c\u00f3 ch\u1ee9c n\u0103ng g\u00ec?<\/h2>\n\n\n\n

Kho\u1ea3ng ng\u00e0y th\u1ee9 12\u00a0<\/em>khi tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh, t\u00fai \u1ed1i \u0111\u01b0\u1ee3c t\u1ea1o ra. Trong qu\u00fd \u0111\u1ea7u c\u1ee7a th\u1eddi k\u1ef3 thai ngh\u00e9n, n\u01b0\u1edbc \u1ed1i c\u00f3 t\u00ednh \u0111\u1eb3ng tr\u01b0\u01a1ng v\u00e0 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 huy\u1ebft t\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9. Trong qu\u00fd hai v\u00e0 n\u1eeda\u00a0sau\u00a0<\/em>c\u1ee7a th\u1eddi k\u1ef3 thai ngh\u00e9n d\u1ecbch \u1ed1i tr\u1edf n\u00ean nh\u01b0\u1ee3c tr\u01b0\u01a1ng.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Th\u1ec3 t\u00edch n\u01b0\u1edbc \u1ed1i<\/strong>\u00a0t\u0103ng d\u1ea7n cho \u0111\u1ebfn \u0111\u1ea7u c\u1ee7a 3 th\u00e1ng cu\u1ed1i thai k\u1ef3 v\u00e0 t\u1eeb \u0111\u00f3 gi\u1ea3m d\u1ea7n \u0111\u1ebfn khi thai \u0111\u1ee7 th\u00e1ng. Trong giai \u0111o\u1ea1n tu\u1ea7n th\u1ee9 37 \u0111\u1ebfn tu\u1ea7n th\u1ee9 41, th\u1ec3 t\u00edch n\u01b0\u1edbc \u1ed1i gi\u1ea3m \u0111i 10%. T\u1eeb tu\u1ea7n th\u1ee9 42 tr\u1edf \u0111i, th\u1ec3 t\u00edch n\u01b0\u1edbc \u1ed1i gi\u1ea3m \u0111i r\u1ea5t nhanh, kho\u1ea3ng 33% trong m\u1ed9t tu\u1ea7n.<\/p>\n\n\n\n

N\u01b0\u1edbc \u1ed1i \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong s\u1ef1 t\u1ed3n t\u1ea1i v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi. Tr\u01b0\u1eddng h\u1ee3p l\u01b0\u1ee3ng \u1ed1i qu\u00e1 \u00edt (c\u00f2n goiaj l\u00e0 thi\u1ec3u \u1ed1i) th\u00ec s\u1ebd ti\u1ec1m \u1ea9n nh\u1eefng nguy c\u01a1 nh\u01b0 g\u00e2y thi\u1ec3u s\u1ea3n ph\u1ed5i, ch\u00e8n \u00e9p d\u00e2y r\u1ed1n,…<\/p>\n\n\n\n

2. D\u01b0 \u1ed1i l\u00e0 g\u00ec?<\/h2>\n\n\n\n

D\u01b0 n\u01b0\u1edbc \u1ed1i\u00a0(r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u1ed1i)<\/strong>\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc \u1ed1i h\u00ecnh th\u00e0nh trong th\u1eddi thai k\u1ef3. D\u01b0 n\u01b0\u1edbc \u1ed1i hi\u1ec7n l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00e1 th\u01b0\u1eddng g\u1eb7p. N\u01b0\u1edbc \u1ed1i \u0111\u01b0\u1ee3c cho l\u00e0 b\u00ecnh th\u01b0\u1eddng khi \u0111\u1ea1t 250 \u2013 600 ml l\u00fac thai nhi t\u1eeb 16 – 32 tu\u1ea7n tu\u1ed5i. L\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i t\u0103ng d\u1ea7n theo tu\u1ed5i thai v\u00e0 \u0111\u1ebfn kho\u1ea3ng tu\u1ea7n th\u1ee9 34 c\u1ee7a thai k\u1ef3 n\u01b0\u1edbc \u1ed1i s\u1ebd l\u00ean 800ml v\u00e0 duy tr\u00ec cho \u0111\u1ebfn khi thai nhi 36 tu\u1ea7n tu\u1ed5i s\u1ebd \u0111\u1ea1t m\u1ee9c cao nh\u1ea5t 1000ml. Sau \u0111\u00f3, s\u1ebd gi\u1ea3m d\u1ea7n c\u00f2n kho\u1ea3ng 600 – 800ml v\u00e0o kho\u1ea3ng th\u1eddi gian\u00a0tr\u01b0\u1edbc\u00a0<\/em>khi sinh. Thai ph\u1ee5 b\u1ecb d\u01b0 n\u01b0\u1edbc \u1ed1i l\u00e0 khi l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i v\u01b0\u1ee3t qu\u00e1 tr\u00ean 2000ml.<\/p>\n\n\n\n

\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n\u00a0\u0111a \u1ed1i<\/strong>, b\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n si\u00eau \u00e2m v\u00e0 l\u1ea5y k\u1ebft qu\u1ea3 \u01b0\u1edbc l\u01b0\u1ee3ng gi\u00e1n ti\u1ebfp v\u1ec1 th\u1ec3 t\u00edch n\u01b0\u1edbc \u1ed1i. M\u1eb9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n d\u01b0 \u1ed1i khi ch\u1ec9 s\u1ed1 n\u01b0\u1edbc \u1ed1i (A.F.I: amniotic fluid index) qua si\u00eau \u00e2m t\u1eeb 12-25cm . \u0110a \u1ed1i l\u00e0 qu\u00e1 25 cm.<\/p>\n\n\n\n

3. H\u1eadu qu\u1ea3 c\u1ee7a d\u01b0 \u1ed1i<\/h2>\n\n\n\n

D\u01b0 \u1ed1i c\u00f3 th\u1ec3 l\u00e0m cho t\u1eed cung c\u1ee7a ng\u01b0\u1eddi m\u1eb9 tr\u1edf n\u00ean c\u0103ng v\u00e0 d\u1eabn t\u1edbi\u00a0sinh non<\/strong>\u00a0ho\u1eb7c v\u1ee1 m\u00e0ng \u1ed1i s\u1edbm (t\u00fai n\u01b0\u1edbc \u1ed1i). D\u01b0 \u1ed1i c\u0169ng c\u00f3 li\u00ean quan khi\u1ebfn thai b\u1ecb d\u1ecb t\u1eadt b\u00e2m sinh. Khi t\u00fai n\u01b0\u1edbc \u1ed1i v\u1ee1, m\u1ed9t l\u01b0\u1ee3ng l\u1edbn d\u1ecbch \u1ee9 l\u1ea1i t\u1eed cung c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1\u00a0bong nhau thai<\/strong>\u00a0(bong nhau s\u1edbm) ho\u1eb7c sa d\u00e2y r\u1ed1n<\/strong>\u00a0(khi d\u00e2y r\u1ed1n sa qua l\u1ed7 c\u1ed5 t\u1eed cung).<\/p>\n\n\n\n

D\u01b0 \u1ed1i l\u00e0m cho thai nhi d\u1ec5 d\u00e0ng xoay tr\u1edf v\u00ec c\u00f3 nhi\u1ec1u n\u01b0\u1edbc \u1ed1i bao xung quanh. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 m\u1eb9 b\u1ea7u c\u00f3 nguy c\u01a1 sinh ng\u00f4i ng\u01b0\u1ee3c kh\u00e1 cao. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u01b0 \u1ed1i l\u00e0 nh\u1eb9 v\u00e0 do s\u1ef1 t\u00edch t\u1ee5 n\u01b0\u1edbc \u1ed1i d\u1ea7n d\u1ea7n trong n\u1eeda\u00a0sau\u00a0<\/em>c\u1ee7a thai k\u1ef3. D\u01b0 \u1ed1i n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 th\u1edf, sinh non ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00e1c.<\/p>\n\n\n\n

N\u1ebfu m\u1eb9 b\u1ea7u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb d\u01b0 \u1ed1i th\u00ec b\u00e1c s\u0129 s\u1ebd theo d\u00f5i c\u1ea9n th\u1eadn vi\u1ec7c mang thai \u0111\u1ec3 gi\u00fap ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng. B\u00e1c s\u0129 s\u1ebd \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. D\u01b0 \u1ed1i nh\u1eb9 c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi. D\u01b0 \u1ed1i n\u1eb7ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb, ch\u1eb3ng h\u1ea1n nh\u01b0 l\u00e0m tho\u00e1t l\u01b0u n\u01b0\u1edbc \u1ed1i d\u01b0 th\u1eeba.<\/p>\n\n\n\n

4. T\u1ea1i sao l\u1ea1i b\u1ecb d\u01b0 \u1ed1i<\/h2>\n\n\n\n

N\u01b0\u1edbc \u1ed1i l\u00e0 d\u1ecbch bao quanh v\u00e0 \u0111\u1ec7m cho thai nhi b\u00ean trong t\u1eed cung, xu\u1ea5t ph\u00e1t t\u1eeb th\u1eadn c\u1ee7a em b\u00e9 v\u00e0 v\u00e0o t\u1eed cung t\u1eeb n\u01b0\u1edbc ti\u1ec3u c\u1ee7a em b\u00e9. Ch\u1ea5t d\u1ecbch \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 khi b\u00e9 nu\u1ed1t v\u00e0 qua c\u1eed \u0111\u1ed9ng th\u1edf.<\/p>\n\n\n\n

T\u1eeb khi mang thai \u0111\u1ebfn tu\u1ea7n th\u1ee9 36, l\u01b0\u1ee3ng d\u1ecbch lu\u00f4n t\u0103ng l\u00ean,\u00a0sau \u0111\u00f3 m\u1edbi\u00a0<\/em>gi\u1ea3m d\u1ea7n. N\u1ebfu b\u00e0o thai t\u1ea1o ra qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c kh\u00f4ng nu\u1ed1t \u0111\u1ee7, n\u01b0\u1edbc \u1ed1i s\u1ebd t\u00edch t\u1ee5 l\u1ea1i v\u00e0 g\u00e2y ra d\u01b0 \u1ed1i. \u0110\u00f4i khi c\u00e1c b\u00e1c s\u0129 kh\u00f4ng t\u00ecm ra \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n c\u1ee7a t\u00ecnh tr\u1ea1ng d\u01b0 \u1ed1i. C\u00e1c y\u1ebfu t\u1ed1 c\u00f3 li\u00ean quan \u0111\u1ebfn d\u01b0 \u1ed1i bao g\u1ed3m:<\/p>\n\n\n\n