{"id":2234,"date":"2024-11-22T10:18:25","date_gmt":"2024-11-22T03:18:25","guid":{"rendered":"http:\/\/khoinguyenphat.vn\/?p=2234"},"modified":"2024-11-22T10:18:27","modified_gmt":"2024-11-22T03:18:27","slug":"hoi-chung-hellp-co-nguy-hiem-khong","status":"publish","type":"post","link":"http:\/\/khoinguyenphat.vn\/index.php\/2024\/11\/22\/hoi-chung-hellp-co-nguy-hiem-khong\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng HELLP c\u00f3 nguy hi\u1ec3m kh\u00f4ng?"},"content":{"rendered":"\n<p><em>H\u1ed9i ch\u1ee9ng HELLP l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p nh\u01b0ng c\u1ef1c k\u1ef3 nguy hi\u1ec3m, h\u1ed9i ch\u1ee9ng n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf giai \u0111o\u1ea1n cu\u1ed1i thai k\u1ef3. H\u00e3y c\u00f9ng\u00a0<a href=\"http:\/\/khoinguyenphat.vn\/\">KNP<\/a>\u00a0t\u00ecm hi\u1ec3u ngay nh\u00e9!<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"1024\" height=\"576\" src=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-1024x576.png\" alt=\"\" class=\"wp-image-2235\" srcset=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-1024x576.png 1024w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-300x169.png 300w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-768x432.png 768w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-1536x864.png 1536w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong-600x338.png 600w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Hoi-chung-HELLP-co-nguy-hiem-khong.png 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><em>H\u1ed9i ch\u1ee9ng HELLP m\u1ed9t bi\u1ebfn ch\u1ee9ng r\u1ea5t nguy hi\u1ec3m trong thai k\u00ec<\/em><\/figcaption><\/figure><\/div>\n\n\n<h2>H\u1ed9i ch\u1ee9ng HELLP l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng HELLP \u0111\u01b0\u1ee3c coi l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a <a href=\"http:\/\/khoinguyenphat.vn\/index.php\/2024\/11\/20\/tien-san-giat-la-gi-co-nguy-hiem-khong\/\">ti\u1ec1n s\u1ea3n gi\u1eadt<\/a>, l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n nguy hi\u1ec3m li\u00ean quan \u0111\u1ebfn gan v\u00e0 m\u00e1u, th\u01b0\u1eddng g\u1eb7p \u1edf 5 \u2013 8% ph\u1ee5 n\u1eef \u0111ang mang thai, ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 sau tu\u1ea7n 20 khi mang b\u1ea7u. Tri\u1ec7u ch\u1ee9ng c\u1ee7a HELLP th\u01b0\u1eddng kh\u00e1 m\u01a1 h\u1ed3, r\u1ed9ng v\u00e0 r\u1ea5t kh\u00f3 \u0111\u1ec3 nh\u1eadn bi\u1ebft, ch\u1ea9n \u0111o\u00e1n s\u1edbm. <\/p>\n\n\n\n<p>HELLP v\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. Kho\u1ea3ng 10-20% ph\u1ee5 n\u1eef b\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng s\u1ebd ph\u00e1t tri\u1ec3n th\u00e0nh h\u1ed9i ch\u1ee9ng HELLP. Ti\u1ec1n s\u1ea3n gi\u1eadt l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n thai k\u1ef3 g\u00e2y ra huy\u1ebft \u00e1p cao v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan, trong khi HELLP l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng h\u01a1n v\u1edbi m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m cao h\u01a1n.<\/p>\n\n\n\n<p>T\u00ean g\u1ecdi <strong>HELLP<\/strong> l\u00e0 t\u1eeb vi\u1ebft t\u1eaft c\u1ee7a ba d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua x\u00e9t nghi\u1ec7m m\u00e1u:<\/p>\n\n\n\n<ul><li><strong>HE<\/strong> (Hemolysis &#8211; tan m\u00e1u): T\u00ecnh tr\u1ea1ng c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u b\u1ecb ph\u00e1 h\u1ee7y qu\u00e1 s\u1edbm v\u00e0 qu\u00e1 nhanh, d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u do m\u00e1u kh\u00f4ng mang \u0111\u1ee7 oxy cung c\u1ea5p cho c\u01a1 th\u1ec3.<\/li><\/ul>\n\n\n\n<ul><li><strong>EL<\/strong> (Elevated Liver Enzymes &#8211; men gan t\u0103ng cao): \u0110\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u gan ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng, khi c\u00e1c t\u1ebf b\u00e0o gan b\u1ecb vi\u00eam ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng, gi\u1ea3i ph\u00f3ng l\u01b0\u1ee3ng l\u1edbn enzyme v\u00e0o m\u00e1u.<\/li><\/ul>\n\n\n\n<ul><li><strong>LP <\/strong>(Low Platelet Count &#8211; gi\u1ea3m ti\u1ec3u c\u1ea7u): Khi s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u th\u1ea5p, kh\u1ea3 n\u0103ng \u0111\u00f4ng m\u00e1u c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb gi\u1ea3m, l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li><\/ul>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng c\u00f3 th\u1ec3 kh\u00f3 ch\u1ea9n \u0111o\u00e1n, \u0111\u1eb7c bi\u1ec7t khi kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng huy\u1ebft \u00e1p cao v\u00e0 protein trong n\u01b0\u1edbc ti\u1ec3u. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a HELLP \u0111\u00f4i khi b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi vi\u00eam d\u1ea1 d\u00e0y, c\u1ea3m c\u00fam, vi\u00eam gan c\u1ea5p t\u00ednh, b\u1ec7nh t\u00fai m\u1eadt ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c trong\u00a0<a href=\"http:\/\/khoinguyenphat.vn\/index.php\/2024\/11\/15\/tam-ca-nguyet-thu-ba-me-bau-can-biet\/\">giai \u0111o\u1ea1n tam c\u00e1 nguy\u1ec7t<\/a>.<\/p>\n\n\n\n<h2>H\u1ed9i ch\u1ee9ng HELLP g\u00e2y nguy hi\u1ec3m nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" width=\"800\" height=\"533\" src=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Li-do-chinh-de-doa-tinh-mang-cua-me-la-vo-gan-xuat-huyet-nao-phu-nao.-Voi-thai-nhi-la-rau-bong-non-sinh-non-sinh-som..jpg\" alt=\"\" class=\"wp-image-2237\" srcset=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Li-do-chinh-de-doa-tinh-mang-cua-me-la-vo-gan-xuat-huyet-nao-phu-nao.-Voi-thai-nhi-la-rau-bong-non-sinh-non-sinh-som..jpg 800w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Li-do-chinh-de-doa-tinh-mang-cua-me-la-vo-gan-xuat-huyet-nao-phu-nao.-Voi-thai-nhi-la-rau-bong-non-sinh-non-sinh-som.-300x200.jpg 300w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Li-do-chinh-de-doa-tinh-mang-cua-me-la-vo-gan-xuat-huyet-nao-phu-nao.-Voi-thai-nhi-la-rau-bong-non-sinh-non-sinh-som.-768x512.jpg 768w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Li-do-chinh-de-doa-tinh-mang-cua-me-la-vo-gan-xuat-huyet-nao-phu-nao.-Voi-thai-nhi-la-rau-bong-non-sinh-non-sinh-som.-600x400.jpg 600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption><em>H\u1ed9i ch\u1ee9ng HELLP r\u1ea5t nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a m\u1eb9 l\u00e0 v\u1ee1 gan, xu\u1ea5t huy\u1ebft n\u00e3o, ph\u00f9 n\u00e3o. <\/em><br><em>V\u1edbi thai nhi l\u00e0 rau bong non, sinh non, sinh s\u1edbm.<\/em><\/figcaption><\/figure><\/div>\n\n\n<p>H\u1ed9i ch\u1ee9ng HELLP g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng \u1edf c\u1ea3 m\u1eb9 b\u1ea7u v\u00e0 thai nhi. Theo th\u1ed1ng k\u00ea, t\u1ef7 l\u1ec7 t\u1eed vong do h\u1ed9i ch\u1ee9ng HELLP g\u00e2y ra \u1edf m\u1eb9 dao \u0111\u1ed9ng t\u1eeb <strong>1% &#8211; 25%<\/strong>, c\u00f2n t\u1ef7 l\u1ec7 t\u1eed vong \u1edf thai nhi kho\u1ea3ng <strong>10% &#8211; 60%<\/strong>, ph\u1ee5 thu\u1ed9c v\u00e0o th\u1eddi gian ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p><strong>\u0110\u1ed1i v\u1edbi m\u1eb9<\/strong>:<\/p>\n\n\n\n<ul><li>\u0110\u1ed9ng kinh ho\u1eb7c c\u00e1c c\u01a1n co gi\u1eadt.<\/li><\/ul>\n\n\n\n<ul><li>\u0110\u1ed9t qu\u1ef5 do huy\u1ebft \u00e1p cao ho\u1eb7c ch\u1ea3y m\u00e1u trong n\u00e3o.<\/li><\/ul>\n\n\n\n<ul><li>V\u1ee1 gan, m\u00e1u t\u1ee5 d\u01b0\u1edbi bao gan, n\u1ee9t gan, suy th\u1eadn<\/li><\/ul>\n\n\n\n<ul><li>Ch\u1ea3y m\u00e1u (b\u0103ng huy\u1ebft qu\u00e1 nhi\u1ec1u trong khi sinh<\/li><\/ul>\n\n\n\n<ul><li>Ph\u00f9 ph\u1ed5i c\u1ea5p<\/li><\/ul>\n\n\n\n<ul><li>Ng\u1ea1t chu sinh g\u00e2y t\u1eed vong c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/li><\/ul>\n\n\n\n<ul><li>Bi\u1ebfn ch\u1ee9ng co gi\u1eadt, s\u1ed1c ho\u1eb7c t\u1eed vong.<\/li><\/ul>\n\n\n\n<p><strong>\u0110\u1ed1i v\u1edbi b\u00e9:<\/strong><\/p>\n\n\n\n<ul><li>Sinh non do ph\u1ea3i can thi\u1ec7p y t\u1ebf s\u1edbm.<\/li><\/ul>\n\n\n\n<ul><li>Suy h\u00f4 h\u1ea5p ho\u1eb7c t\u1eed vong do bi\u1ebfn ch\u1ee9ng tr\u01b0\u1edbc khi sinh.<\/li><\/ul>\n\n\n\n<h3>Nguy\u00ean nh\u00e2n h\u1ed9i ch\u1ee9ng HELLP<\/h3>\n\n\n\n<p>Hi\u1ec7n nay, nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c g\u00e2y ra h\u1ed9i ch\u1ee9ng HELLP v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng. Tuy nhi\u00ean, c\u00e1c chuy\u00ean gia cho r\u1eb1ng t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y. HELLP th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ee7a ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng v\u00e0 t\u0103ng huy\u1ebft \u00e1p trong thai k\u1ef3. Th\u1ed1ng k\u00ea cho th\u1ea5y c\u00f3 kho\u1ea3ng 10-20% ph\u1ee5 n\u1eef m\u1eafc ti\u1ec1n s\u1ea3n gi\u1eadt ti\u1ebfn tri\u1ec3n th\u00e0nh h\u1ed9i ch\u1ee9ng HELLP.<\/p>\n\n\n\n<p>Ti\u1ec1n s\u1ea3n gi\u1eadt x\u1ea3y ra v\u00e0 ti\u1ebfn tri\u1ec3n do s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa c\u00e1c ch\u1ea5t gi\u00e3n m\u1ea1ch v\u00e0 ch\u1ed1ng k\u1ebft d\u00ednh ti\u1ec3u c\u1ea7u (nh\u01b0 prostacyclin, NO) v\u1edbi c\u00e1c ch\u1ea5t co m\u1ea1ch v\u00e0 th\u00fac \u0111\u1ea9y \u0111\u00f4ng m\u00e1u (nh\u01b0 thromboxan A2, endothelin). S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u00e0y d\u1eabn \u0111\u1ebfn:<\/p>\n\n\n\n<ul><li>Co m\u1ea1ch, t\u0103ng \u0111\u1ed9 b\u00e1m d\u00ednh v\u00e0 k\u1ebft t\u1ee5 ti\u1ec3u c\u1ea7u.<\/li><\/ul>\n\n\n\n<ul><li>Ho\u1ea1t h\u00f3a n\u1ed9i m\u1ea1ch do thrombin, g\u00e2y ra t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u v\u00e0 l\u1eafng \u0111\u1ecdng fibrin.<\/li><\/ul>\n\n\n\n<ul><li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 v\u00e0 k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch.<\/li><\/ul>\n\n\n\n<p>Qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 di\u1ec5n ra nhanh ch\u00f3ng, \u0111\u00f4i khi ch\u1ec9 trong v\u00e0i gi\u1edd, d\u1eabn \u0111\u1ebfn \u0111\u00f4ng m\u00e1u lan t\u1ecfa n\u1ed9i m\u1ea1ch (DIC). H\u1eadu qu\u1ea3 l\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 \u0111\u00e3 n\u00eau tr\u00ean v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng m\u1eb9 b\u1ea7u n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<h4>\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao d\u1ec5 m\u1eafc h\u1ed9i ch\u1ee9ng HELLP l\u00e0: <\/h4>\n\n\n\n<p>&#8211; Ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed ti\u1ec1n s\u1ea3n gi\u1eadt \u1edf thai k\u1ef3 tr\u01b0\u1edbc<\/p>\n\n\n\n<p>&#8211; Thai ph\u1ee5 tr\u00ean 35 tu\u1ed5i<\/p>\n\n\n\n<p>&#8211; Ti\u1ec1n s\u1eed ho\u1eb7c m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng\/b\u1ec7nh l\u00fd th\u1eadn<\/p>\n\n\n\n<p>&#8211; Cao huy\u1ebft \u00e1p thai k\u1ef3<\/p>\n\n\n\n<p>&#8211; Th\u1ec3 tr\u1ea1ng b\u00e9o ph\u00ec<\/p>\n\n\n\n<h3>\u0110i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng HELLP<\/h3>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng HELLP t\u1eadp trung v\u00e0o vi\u1ec7c ch\u1ea5m d\u1ee9t thai k\u1ef3 \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9. Ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh l\u00e0 nhanh ch\u00f3ng \u0111\u01b0a thai nhi ra kh\u1ecfi t\u1eed cung, \u0111\u1ed3ng th\u1eddi x\u1eed tr\u00ed c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan nh\u01b0 \u1ed5n \u0111\u1ecbnh huy\u1ebft \u00e1p, ki\u1ec3m so\u00e1t c\u01a1n co gi\u1eadt v\u00e0 x\u1eed l\u00fd t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch lan t\u1ecfa (DIC). Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n trong v\u00f2ng 24 \u2013 48 gi\u1edd ho\u1eb7c t\u1ed1i \u0111a 5 ng\u00e0y sau sinh. Tuy nhi\u00ean, \u1edf m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ee5, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 14 ng\u00e0y, \u0111\u00f2i h\u1ecfi qu\u00e1 tr\u00ecnh theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"1024\" height=\"576\" src=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-1024x576.png\" alt=\"\" class=\"wp-image-2239\" srcset=\"http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-1024x576.png 1024w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-300x169.png 300w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-768x432.png 768w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-1536x864.png 1536w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1-600x338.png 600w, http:\/\/khoinguyenphat.vn\/wp-content\/uploads\/2024\/11\/Dieu-tri-va-phong-ngua-hoi-chung-HELLP-1.png 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption><em>\u0110i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng HELLP<\/em><\/figcaption><\/figure><\/div>\n\n\n<p>Hi\u1ec7n nay, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 tuy\u1ec7t \u0111\u1ed1i cho h\u1ed9i ch\u1ee9ng HELLP. Tuy nhi\u00ean, m\u1eb9 b\u1ea7u c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 b\u1eb1ng c\u00e1ch duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, k\u1ebft h\u1ee3p ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng v\u00e0 v\u1eadn \u0111\u1ed9ng h\u1ee3p l\u00fd \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 hay huy\u1ebft \u00e1p cao. \u0110\u1eb7c bi\u1ec7t, vi\u1ec7c kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng gi\u00fap b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c nguy c\u01a1 ti\u1ebfn tri\u1ec3n th\u00e0nh HELLP \u0111\u1ec3 can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, m\u1ed9t s\u1ed1 l\u01b0u \u00fd gi\u00fap m\u1eb9 b\u1ea7u gi\u1ea3m thi\u1ec3u nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng HELLP bao g\u1ed3m:<\/p>\n\n\n\n<ul><li>Chu\u1ea9n b\u1ecb s\u1ee9c kh\u1ecfe v\u00e0 th\u1ec3 ch\u1ea5t t\u1ed1t tr\u01b0\u1edbc khi mang thai.<\/li><\/ul>\n\n\n\n<ul><li>\u0110\u1ea3m b\u1ea3o kh\u00e1m thai \u0111\u1ec1u \u0111\u1eb7n v\u00e0 cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ti\u1ec1n s\u1eed gia \u0111\u00ecnh li\u00ean quan \u0111\u1ebfn ti\u1ec1n s\u1ea3n gi\u1eadt, HELLP ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n huy\u1ebft \u00e1p kh\u00e1c.<\/li><\/ul>\n\n\n\n<ul><li>Nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng trong thai k\u1ef3 v\u00e0 \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li><\/ul>\n\n\n\n<p>Vi\u1ec7c k\u1ebft h\u1ee3p c\u00e1c bi\u1ec7n ph\u00e1p ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe ch\u1ee7 \u0111\u1ed9ng c\u00f9ng theo d\u00f5i y t\u1ebf s\u1ebd gi\u00fap b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9 tr\u00e1nh kh\u1ecfi c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng do h\u1ed9i ch\u1ee9ng HELLP g\u00e2y ra.<\/p>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng HELLP l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m trong thai k\u1ef3, c\u00f3 m\u1ed1i li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi ti\u1ec1n s\u1ea3n gi\u1eadt. Vi\u1ec7c nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 can thi\u1ec7p y t\u1ebf k\u1ecbp th\u1eddi l\u00e0 y\u1ebfu t\u1ed1 s\u1ed1ng c\u00f2n \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ea3 m\u1eb9 v\u00e0 b\u00e9. N\u1ebfu b\u1ea1n \u0111ang mang thai ho\u1eb7c c\u00f3 \u00fd \u0111\u1ecbnh mang thai, h\u00e3y \u0111\u1ea3m b\u1ea3o th\u0103m kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 g\u1eb7p ph\u1ea3i h\u1ed9i ch\u1ee9ng n\u00e0y.<\/p>\n\n\n\n<p>Theo d\u00f5i th\u00eam nh\u1eefng ki\u1ebfn th\u1ee9c b\u1ed5 \u00edch khi mang thai:&nbsp;<a href=\"http:\/\/khoinguyenphat.vn\/index.php\/category\/vu-tru-me-bim\/hanh-trinh-thai-ky\/\">T\u1ea1i \u0111\u00e2y<\/a><\/p>\n\n\n\n<p><strong>K\u1ebft n\u1ed1i v\u1edbi&nbsp;ch\u00fang t\u00f4i t\u1ea1i<\/strong>:<\/p>\n\n\n\n<p>Fanpage:&nbsp;<a href=\"https:\/\/www.facebook.com\/stepbabyvietnam\/\">Stepbaby Vi\u1ec7t Nam<\/a><\/p>\n\n\n\n<p>Group:&nbsp;<a href=\"https:\/\/www.facebook.com\/groups\/337720413992916\">C\u1ed9ng \u0111\u1ed3ng m\u1eb9 b\u1ec9m s\u1eefa ch\u0103m con c\u00f9ng Stepbaby<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng HELLP l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m trong thai k\u1ef3, c\u00f3 m\u1ed1i li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi ti\u1ec1n s\u1ea3n gi\u1eadt, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong \u1edf c\u1ea3 m\u1eb9 v\u00e0 thai nhi.<\/p>\n","protected":false},"author":1,"featured_media":2235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[1,40,38],"tags":[132,131,48,134],"_links":{"self":[{"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/posts\/2234"}],"collection":[{"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2234"}],"version-history":[{"count":1,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/posts\/2234\/revisions"}],"predecessor-version":[{"id":2240,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/posts\/2234\/revisions\/2240"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/media\/2235"}],"wp:attachment":[{"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2234"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/khoinguyenphat.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}