Ch\u0103m s\u00f3c thai k\u1ef3 l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh v\u1edbi r\u1ea5t nhi\u1ec1u s\u1ef1 n\u1ed7 l\u1ef1c v\u00e0 t\u00ecnh y\u00eau th\u01b0\u01a1ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9. \u0110\u1ec3 ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t cho s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 b\u00e9, b\u1ea1n c\u1ea7n n\u1eafm \u0111\u01b0\u1ee3c l\u1ecbch kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 chu\u1ea9n, c\u0169ng nh\u01b0 quy tr\u00ecnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe thai k\u1ef3 ph\u00f9 h\u1ee3p.<\/p>\n

Ph\u00f2ng kh\u00e1m \u0110a khoa H\u00f2a \u0110\u1ee9c g\u1eedi \u0111\u1ebfn c\u00e1c m\u1eb9 l\u1ecbch kh\u00e1m thai \u0111\u1ecbnh k\u1ef3<\/strong> ti\u00eau chu\u1ea9n t\u1ea1i ph\u00f2ng kh\u00e1m \u0111\u01b0\u1ee3c b\u00e1c s\u0129 S\u1ea3n ph\u1ee5 khoa gi\u00e0u kinh nghi\u1ec7m c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ec1 xu\u1ea5t.\n<\/p>\n

\n
\n
M\u1ee5c L\u1ee5c<\/p>\nToggle<\/span>
1. Quy tr\u00ecnh kh\u00e1m thai l\u00e0 g\u00ec?<\/a><\/li>
2. L\u1ecbch Kh\u00e1m thai 3 th\u00e1ng \u0111\u1ea7u (t\u1eeb ng\u00e0y kinh cu\u1ed1i \u0111\u1ebfn 13 tu\u1ea7n 6 ng\u00e0y)<\/a>
Kh\u00e1m l\u1ea7n 1: sau khi tr\u1ec5 kinh 2-3 tu\u1ea7n (\u0111\u00e3 c\u00f3 tim thai)<\/a><\/li>
Kh\u00e1m l\u1ea7n 2:\u00a0l\u00fac thai 11 tu\u1ea7n – 13 tu\u1ea7n 6 ng\u00e0y<\/a><\/li><\/ul><\/li>
3. Kh\u00e1m thai 3 th\u00e1ng gi\u1eefa (t\u1eeb 14 tu\u1ea7n \u0111\u1ebfn 28 tu\u1ea7n 6 ng\u00e0y)<\/a>
Kh\u00e1m l\u1ea7n 1: t\u1eeb 16 – 20 tu\u1ea7n<\/a><\/li>
Kh\u00e1m l\u1ea7n 2: t\u1eeb 20 – 24 tu\u1ea7n<\/a><\/li>
Kh\u00e1m l\u1ea7n 3: t\u1eeb 24 – 28 tu\u1ea7n<\/a><\/li><\/ul><\/li>
4. Kh\u00e1m thai 3 th\u00e1ng cu\u1ed1i (t\u1eeb 29 tu\u1ea7n \u0111\u1ebfn 40 tu\u1ea7n)<\/a>
Kh\u00e1m l\u1ea7n 1: t\u1eeb 29 – 32 tu\u1ea7n<\/a><\/li>
Thai nhi 33 – 35 tu\u1ea7n tu\u1ed5i: kh\u00e1m 2 tu\u1ea7n\/l\u1ea7n<\/a><\/li>
Thai nhi 36 – 40 tu\u1ea7n tu\u1ed5i: kh\u00e1m 1 tu\u1ea7n\/ l\u1ea7n<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n
<\/span>1. Quy tr\u00ecnh kh\u00e1m thai l\u00e0 g\u00ec?<\/span><\/h2>\n
Quy tr\u00ecnh kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 l\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe sinh s\u1ea3n quan tr\u1ecdng, gi\u00fap b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a m\u1eb9 v\u00e0 thai nhi, \u0111\u1ed3ng th\u1eddi ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c nguy c\u01a1 v\u00e0 bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa nh\u01b0 b\u0103ng huy\u1ebft sau sinh, ti\u1ec1n s\u1ea3n gi\u1eadt, v\u1ee1 t\u1eed cung, ho\u1eb7c thuy\u00ean t\u1eafc \u1ed1i.<\/p>\n
Vi\u1ec7c tu\u00e2n th\u1ee7 l\u1ecbch kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o m\u1ed9t thai k\u1ef3 an to\u00e0n. L\u1ecbch kh\u00e1m c\u00f3 th\u1ec3 thay \u0111\u1ed5i n\u1ebfu m\u1eb9 b\u1ea7u g\u1eb7p d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng (\u0111au b\u1ee5ng, ra huy\u1ebft, ra n\u01b0\u1edbc) ho\u1eb7c c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 cao. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u1ea1n c\u1ea7n th\u1ef1c hi\u1ec7n theo l\u1ecbch h\u1eb9n c\u1ee7a b\u00e1c s\u0129.<\/p>\n
<\/span>2. L\u1ecbch Kh\u00e1m thai 3 th\u00e1ng \u0111\u1ea7u (t\u1eeb ng\u00e0y kinh cu\u1ed1i \u0111\u1ebfn 13 tu\u1ea7n 6 ng\u00e0y)<\/span><\/h2>\n
$\"L\u1ecbch$ <\/p>\n
<\/span>Kh\u00e1m l\u1ea7n 1: sau khi tr\u1ec5 kinh 2-3 tu\u1ea7n (\u0111\u00e3 c\u00f3 tim thai)<\/strong><\/span><\/h3>\n
M\u1ee5c \u0111\u00edch:<\/strong><\/p>\n
\n
X\u00e1c \u0111\u1ecbnh ch\u1eafc ch\u1eafn c\u00f3 thai hay kh\u00f4ng, v\u1ecb tr\u00ed l\u00e0m t\u1ed5 c\u1ee7a thai.<\/li>\n
X\u00e1c \u0111\u1ecbnh tu\u1ed5i thai \u2013 t\u00ednh ng\u00e0y d\u1ef1 sinh (t\u00ednh theo kinh cu\u1ed1i v\u00e0 si\u00eau \u00e2m 3 th\u00e1ng \u0111\u1ea7u)<\/li>\n
Ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i ngo\u1ea1i khoa c\u1ee7a m\u1eb9, v\u00e0 n\u1ebfu c\u00f3 th\u00ec s\u1ee9c kho\u1ebb c\u1ee7a m\u1eb9 c\u00f3 an to\u00e0n hay kh\u00f4ng n\u1ebfu v\u1eabn \u0111\u1ec3 thai k\u1ef3 ti\u1ebfp di\u1ec5n<\/li>\n
Ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd c\u1ee7a ph\u00f4i, thai (thai l\u01b0u, thai tr\u1ee9ng, \u2026)<\/li>\n
Ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd ph\u1ee5 khoa: vi\u00eam \u00e2m \u0111\u1ea1o, u x\u01a1 c\u01a1 t\u1eed cung, u nang bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n
Kh\u00e1m thai:<\/strong> kh\u00e1m \u00e2m \u0111\u1ea1o, \u0111\u1eb7t m\u1ecf v\u1ecbt<\/p>\n
Si\u00eau \u00e2m t\u1eed cung bu\u1ed3ng tr\u1ee9ng qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o:<\/strong><\/p>\n
\n
Ki\u1ec3m tra v\u1ecb tr\u00ed: thai trong hay thai ngo\u00e0i t\u1eed cung<\/li>\n
Tu\u1ed5i thai<\/li>\n
C\u00f3 tim thai ch\u01b0a?<\/li>\n
T\u00ecnh tr\u1ea1ng thai: thai tr\u1ee9ng, \u0111a thai, do\u1ea1 s\u1ea3y thai, thai l\u01b0u, \u2026<\/li>\n<\/ul>\n
X\u00e9t nghi\u1ec7m m\u00e1u m\u1eb9 t\u1ed5ng qu\u00e1t<\/strong> (th\u1ef1c hi\u1ec7n khi \u0111\u00e3 x\u00e1c \u0111\u1ecbnh c\u00f3 tim thai qua si\u00eau \u00e2m)<\/p>\n
\n
T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u<\/li>\n
Nh\u00f3m m\u00e1u ABO, Rhesus<\/li>\n
HBsAg (vi\u00eam gan B), HIV, giang mai<\/li>\n
Rubella virus IgM, IgG<\/li>\n
Chlamydia Trachomatis IgM, IgG<\/li>\n
Ti\u1ec1n s\u1eed s\u1ea3y thai li\u00ean ti\u1ebfp: Cytomegalovirus IgM, IgG v\u00e0 Toxoplasmosis IgM, IgG<\/li>\n
\u0110\u01b0\u1eddng huy\u1ebft khi \u0111\u00f3i<\/li>\n
N\u01b0\u1edbc ti\u1ec3u 10 th\u00f4ng s\u1ed1<\/li>\n<\/ul>\n
T\u00f9y v\u00e0o t\u1eebng t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho b\u1ea1n l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t c\u00e1c b\u1ec7nh kh\u00e1c khi c\u1ea7n thi\u1ebft.<\/p>\n
<\/span>Kh\u00e1m l\u1ea7n 2:<\/strong>\u00a0l\u00fac thai 11 tu\u1ea7n – 13 tu\u1ea7n 6 ng\u00e0y<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong> \u0111o huy\u1ebft \u00e1p,<\/p>\n
S\u00e0ng l\u1ecdc d\u1ecb t\u1eadt thai nhi 3 th\u00e1ng \u0111\u1ea7u:<\/strong><\/p>\n
\n
Si\u00eau \u00e2m\u00a0\u0111o \u0111\u1ed9 m\u1edd da g\u00e1y:\u00a0nh\u1eb1m \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ecb b\u1ec7nh Down c\u1ee7a thai nhi<\/li>\n
X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u1ecb t\u1eadt thai: Double test (sau khi \u0111o \u0111\u1ed9 m\u1edd da g\u00e1y) – cho bi\u1ebft nguy c\u01a1 m\u1eafc c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh nh\u01b0 h\u1ed9i ch\u1ee9ng Patau (Trisomy 13), Edwards (Trisomy 18) hay h\u1ed9i ch\u1ee9ng Down (Trisomy 21).<\/li>\n<\/ul>\n
(*)Ngo\u00e0i ra, b\u1ea1n c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn\u00a0X\u00e9t nghi\u1ec7m\u00a0NIPT\u00a0c\u00f3 \u0111\u1ed9 nh\u1ea1y cao h\u01a1n (tr\u00ean 90%) thay cho x\u00e9t nghi\u1ec7m Double test<\/em><\/p>\n
S\u00e0ng l\u1ecdc ti\u1ec1n s\u1ea3n gi\u1eadt qu\u00fd I:<\/strong><\/p>\n
\n
Si\u00eau \u00e2m Doppler m\u00e0u \u0111o ch\u1ec9 s\u1ed1 xung (PI) \u0111\u1ed9ng m\u1ea1ch t\u1eed cung<\/li>\n
X\u00e9t nghi\u1ec7m m\u00e1u\u00a0PLGF<\/li>\n
X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u: nh\u1eb1m ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng m\u00e1u, protein \u0111\u1ec3 t\u1ea7m so\u00e1t d\u1ea5u hi\u1ec7u c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 v\u00e0 nguy c\u01a1 ti\u1ec1n s\u1ea3n gi\u1eadt.<\/li>\n<\/ul>\n
(*) N\u1ebfu l\u1ea7n kh\u00e1m thai tr\u01b0\u1edbc m\u1eb9 b\u1ea7u ch\u01b0a th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u m\u1eb9 t\u1ed5ng qu\u00e1t<\/strong> th\u00ec s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m v\u00e0o giai \u0111o\u1ea1n n\u00e0y.<\/em><\/p>\n
<\/span>3. Kh\u00e1m thai 3 th\u00e1ng gi\u1eefa (t\u1eeb 14 tu\u1ea7n \u0111\u1ebfn 28 tu\u1ea7n 6 ng\u00e0y)<\/span><\/h2>\n
$\"L\u1ecbch$ <\/p>\n
M\u1ee5c \u0111\u00edch:\u00a0<\/strong><\/p>\n
\n
X\u00e1c \u0111\u1ecbnh l\u1ea1i s\u1ed1 l\u01b0\u1ee3ng thai<\/li>\n
T\u1ea7m so\u00e1t h\u00ecnh th\u00e1i h\u1ecdc thai nhi qua si\u00eau \u00e2m<\/li>\n
Ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ec7nh l\u00fd h\u1edf eo t\u1eed cung, ti\u1ec1n s\u1ea3n gi\u1eadt, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhau ti\u1ec1n \u0111\u1ea1o, do\u1ea1 s\u1ea3y thai<\/li>\n
Theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai<\/li>\n<\/ul>\n
<\/span>Kh\u00e1m l\u1ea7n 1: t\u1eeb 16 – 20 tu\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong> \u0111o huy\u1ebft \u00e1p, \u0111o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/p>\n
Si\u00eau \u00e2m thai (thai, nhau thai, n\u01b0\u1edbc \u1ed1i) \u0111\u01b0\u1eddng b\u1ee5ng:<\/strong> ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng c\u1ee7a thai k\u1ef3 nh\u01b0 \u0111a \u1ed1i, \u0111a thai, nhau ti\u1ec1n \u0111\u1ea1o,….<\/p>\n
Si\u00eau \u00e2m t\u1eed cung bu\u1ed3ng tr\u1ee9ng qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o (\u0111o chi\u1ec1u d\u00e0i c\u1ed5 t\u1eed cung):<\/strong> \u0111o \u0111\u1ed9 d\u00e0i c\u1ed5 t\u1eed cung \u0111\u00e1nh gi\u00e1 nguy c\u01a1 sinh non<\/p>\n
X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n
\n
Triple test:\u00a0\u0111\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc d\u1ecb t\u1eadt thai, m\u1eb9 b\u1ea7u s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m x\u00e9t nghi\u1ec7m n\u00e0y trong tr\u01b0\u1eddng h\u1ee3p\u00a0ch\u01b0a\u00a0l\u00e0m x\u00e9t nghi\u1ec7m Double test \u1edf qu\u00fd 1<\/li>\n
N\u01b0\u1edbc ti\u1ec3u:\u00a0ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0\u00a0t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3,\u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3,\u00a0nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u-sinh d\u1ee5c<\/li>\n
Ti\u00eam ng\u1eeba u\u1ed1n v\u00e1n (VAT): ti\u00eam v\u1eafc-xin ng\u1eeba u\u1ed1n v\u00e1n cho m\u1eb9 \u0111\u1ec3 ph\u00f2ng ng\u1eeba b\u1ec7nh u\u1ed1n v\u00e1n r\u1ed1n cho thai nhi. Ti\u00eam hai m\u0169i c\u00e1ch nhau m\u1ed9t th\u00e1ng, m\u0169i th\u1ee9 hai c\u00e1ch ng\u00e0y sinh d\u1ef1 ki\u1ebfn \u00edt nh\u1ea5t l\u00e0 m\u1ed9t th\u00e1ng.<\/li>\n<\/ul>\n
L\u1ecbch ti\u00eam VAT cho\u00a0thai ph\u1ee5:<\/strong><\/p>\n
\n
VAT 1: c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/li>\n
VAT 2: c\u00e1ch VAT 1 t\u1ed1i thi\u1ec3u 1 th\u00e1ng (\u2265 30 ng\u00e0y)<\/li>\n
VAT 3: \u1edf thai k\u1ef3 sau, c\u00e1ch VAT 2 t\u1ed1i thi\u1ec3u 6 th\u00e1ng (\u2265 180 ng\u00e0y)<\/li>\n
VAT 4: \u1edf thai k\u1ef3 sau, c\u00e1ch VAT 3 t\u1ed1i thi\u1ec3u 1 n\u0103m<\/li>\n
VAT 5: \u1edf thai k\u1ef3 sau, c\u00e1ch VAT 4 t\u1ed1i thi\u1ec3u 1 n\u0103m<\/li>\n<\/ul>\n
<\/span>Kh\u00e1m l\u1ea7n 2: t\u1eeb 20 – 24 tu\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong> \u0111o huy\u1ebft \u00e1p, \u0111o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/p>\n
Si\u00eau \u00e2m h\u00ecnh th\u00e1i h\u1ecdc 3D\/4D:<\/strong> kh\u1ea3o s\u00e1t h\u00ecnh th\u00e1i thai nhi, x\u00e1c \u0111\u1ecbnh nhau thai, l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i. T\u00ecm c\u00e1c b\u1ea5t th\u01b0\u1eddng \u1edf tim, x\u01b0\u01a1ng, c\u1ed9t s\u1ed1ng, n\u00e3o, th\u1eadn, ch\u00e2n tay,\u2026Trong giai \u0111o\u1ea1n n\u00e0y, b\u00e1c s\u0129 \u0111\u00e3 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y kh\u00e1 r\u00f5 c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a thai nhi. Do \u0111\u00f3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm d\u1ecb d\u1ea1ng \u1edf c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng c\u0169ng nh\u01b0 d\u1ecb t\u1eadt h\u00ecnh th\u00e1i nh\u01b0 s\u1ee9t m\u00f4i, h\u1edf h\u00e0m \u1ebfch<\/p>\n
Si\u00eau \u00e2m t\u1eed cung bu\u1ed3ng tr\u1ee9ng qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o (\u0111o chi\u1ec1u d\u00e0i c\u1ed5 t\u1eed cung):<\/strong> th\u1ef1c hi\u1ec7n si\u00eau \u00e2m n\u00e0y n\u1ebfu l\u1ea7n kh\u00e1m thai tr\u01b0\u1edbc thai ph\u1ee5 ch\u01b0a \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n
X\u00e9t nghi\u1ec7m:<\/strong> n\u01b0\u1edbc ti\u1ec3u (ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u-sinh d\u1ee5c)<\/p>\n
<\/span>Kh\u00e1m l\u1ea7n 3: t\u1eeb 24 – 28 tu\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong> \u0111o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/p>\n
Si\u00eau \u00e2m thai<\/strong> (thai, nhau thai, n\u01b0\u1edbc \u1ed1i) \u0111\u01b0\u1eddng b\u1ee5ng<\/p>\n
S\u00e0ng l\u1ecdc ti\u1ec1n s\u1ea3n gi\u1eadt giai \u0111o\u1ea1n 2:<\/strong> t\u1ec9 s\u1ed1 sFIt-1\/PIGF<\/p>\n
X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n
\n
Dung n\u1ea1p \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n
N\u01b0\u1edbc ti\u1ec3u 10 th\u00f4ng s\u1ed1<\/span><\/li>\n<\/ul>\n
<\/span>4. Kh\u00e1m thai 3 th\u00e1ng cu\u1ed1i (t\u1eeb 29 tu\u1ea7n \u0111\u1ebfn 40 tu\u1ea7n)<\/span><\/h2>\n
$\"L\u1ecbch$ <\/p>\n
M\u1ee5c \u0111\u00edch:\u00a0<\/strong><\/p>\n
\n
Theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai<\/li>\n
X\u00e1c \u0111\u1ecbnh ng\u00f4i, th\u1ebf, t\u00ecnh tr\u1ea1ng khung ch\u1eadu<\/li>\n
X\u00e1c \u0111\u1ecbnh b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn thai<\/li>\n
Si\u00eau \u00e2m: x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc thai, ng\u00f4i thai, v\u1ecb tr\u00ed nhau, t\u00ecnh tr\u1ea1ng \u1ed1i, \u2026<\/li>\n<\/ul>\n
<\/span>Kh\u00e1m l\u1ea7n 1: t\u1eeb 29 – 32 tu\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong> \u0111o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/p>\n
Si\u00eau \u00e2m thai:<\/strong><\/p>\n
\n
X\u00e1c \u0111\u1ecbnh ng\u00f4i thai<\/li>\n
X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed nhau b\u00e1m v\u00e0 \u0111\u1ed9 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a b\u00e1nh nhau<\/li>\n
\u01af\u1edbc l\u01b0\u1ee3ng c\u00e2n thai th\u00f4ng qua c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u1ecdc c\u1ee7a thai nhi nh\u01b0 v\u00f2ng \u0111\u1ea7u, chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i, v\u00f2ng b\u1ee5ng,…<\/li>\n
Ho\u1ea1t \u0111\u1ed9ng tim thai, \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 v\u00e0 n\u00e3o th\u1ea5t c\u1ee7a thai nhi<\/li>\n
Si\u00eau \u00e2m m\u00e0u: \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi th\u00f4ng qua c\u00e1c th\u00f4ng s\u1ed1 Doppler \u0111\u1ed9ng m\u1ea1ch r\u1ed1n, \u0111\u1ed9ng m\u1ea1ch n\u00e3o gi\u1eefa.<\/li>\n<\/ul>\n
X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n
\n
X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u:<\/strong> ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u – sinh d\u1ee5c<\/li>\n<\/ul>\n
<\/span>Thai nhi 33 – 35 tu\u1ea7n tu\u1ed5i: kh\u00e1m 2 tu\u1ea7n\/l\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong><\/p>\n
\n
\u0110o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/li>\n
Kh\u00e1m trong, ki\u1ec3m tra c\u1ed5 t\u1eed cung v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u chuy\u1ec3n d\u1ea1 sinh non.<\/li>\n<\/ul>\n
Si\u00eau \u00e2m thai:<\/strong><\/p>\n
\n
X\u00e1c \u0111\u1ecbnh ng\u00f4i thai<\/li>\n
X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed nhau b\u00e1m v\u00e0 \u0111\u1ed9 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a b\u00e1nh nhau<\/li>\n
\u01af\u1edbc l\u01b0\u1ee3ng c\u00e2n thai th\u00f4ng qua c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u1ecdc c\u1ee7a thai nhi nh\u01b0 v\u00f2ng \u0111\u1ea7u, chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i, v\u00f2ng b\u1ee5ng, …<\/li>\n<\/ul>\n
X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n
\n
X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u:<\/strong> ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u-sinh d\u1ee5c<\/li>\n<\/ul>\n
<\/span>Thai nhi 36 – 40 tu\u1ea7n tu\u1ed5i: kh\u00e1m 1 tu\u1ea7n\/ l\u1ea7n<\/span><\/h3>\n
Kh\u00e1m thai:<\/strong><\/p>\n
\n
Kh\u00e1m n\u1eafn b\u1ee5ng x\u00e1c \u0111\u1ecbnh ng\u00f4i c\u1ee7a thai nhi<\/li>\n
\u0110o chi\u1ec1u cao t\u1eed cung, \u0111o v\u00f2ng b\u1ee5ng, nghe tim thai<\/li>\n
Kh\u00e1m trong, ki\u1ec3m tra c\u1ed5 t\u1eed cung v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u chuy\u1ec3n d\u1ea1.<\/li>\n<\/ul>\n
Si\u00eau \u00e2m thai:<\/strong><\/p>\n
\n
X\u00e1c \u0111\u1ecbnh ng\u00f4i thai<\/li>\n
X\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed nhau b\u00e1m v\u00e0 \u0111\u1ed9 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a b\u00e1nh nhau<\/li>\n
\u01af\u1edbc l\u01b0\u1ee3ng c\u00e2n thai th\u00f4ng qua c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u1ecdc c\u1ee7a thai nhi nh\u01b0 v\u00f2ng \u0111\u1ea7u, chi\u1ec1u d\u00e0i x\u01b0\u01a1ng \u0111\u00f9i, v\u00f2ng b\u1ee5ng, …<\/li>\n<\/ul>\n
X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n
\n
X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u: ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh l\u00fd nh\u01b0 t\u0103ng huy\u1ebft \u00e1p thai k\u1ef3, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u-sinh d\u1ee5c<\/li>\n
X\u00e9t nghi\u1ec7m Non-Stress-Test (NST) m\u1ed7i tu\u1ea7n: nh\u1eb1m ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi v\u00e0 ki\u1ec3m tra xem em b\u00e9 c\u00f3 nh\u1eadn \u0111\u1ee7 oxy hay kh\u00f4ng.<\/li>\n
X\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t Li\u00ean c\u1ea7u khu\u1ea9n nh\u00f3m B (GBS – Group B Streptococcus):ch\u1ec9 \u0111\u1ecbnh t\u1eeb tu\u1ea7n 36-37 tu\u1ea7n 6 ng\u00e0y<\/li>\n<\/ul>\n
Li\u00ean h\u1ec7 \u0111\u1eb7t l\u1ecbch Kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 t\u1ea1i Ph\u00f2ng kh\u00e1m \u0110a khoa H\u00f2a \u0110\u1ee9c \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi t\u00ecnh tr\u1ea1ng thai c\u1ee7a b\u1ea1n!<\/strong><\/p>\n\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
PH\u00d2NG KH\u00c1M \u0110A KHOA HO\u00c0 \u0110\u1ee8C<\/strong><\/span><\/p>
\ud83c\udfe5 \u0110\u1ecba ch\u1ec9:<\/strong> 04 – 06 – 08 \u0110inh C\u00f4ng Tr\u00e1ng, Ph\u01b0\u1eddng Quy Nh\u01a1n Nam, t\u1ec9nh Gia Lai<\/span><\/p>
\u260e\ufe0f Hotline: 0256 350 7789<\/a><\/strong> – 0935 056 468<\/a><\/strong><\/span><\/p>
\u24d5 Fanpage:<\/strong>\u00a0Ph\u00f2ng kh\u00e1m \u0110a khoa Ho\u00e0 \u0110\u1ee9c<\/a><\/strong><\/span><\/p>
\ud83c\udf10 Website:<\/strong> https:\/\/ytehoaduc.com.vn\/en\/<\/a><\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t \n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tZalo OA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t \n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tHotline: 0935 056 468<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n
BS: Ph\u1ea1m Nh\u1eadt T\u00e2n<\/strong><\/p>\n
\u00a0<\/body><\/p>\n","protected":false},"excerpt":{"rendered":"
\u00a0 Ch\u0103m s\u00f3c thai k\u1ef3 l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh v\u1edbi r\u1ea5t nhi\u1ec1u s\u1ef1 n\u1ed7 l\u1ef1c v\u00e0 t\u00ecnh y\u00eau th\u01b0\u01a1ng c\u1ee7a […]<\/p>\n","protected":false},"author":2,"featured_media":6167,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[132],"tags":[],"class_list":["post-6162","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-san-phu-khoa"],"acf":[],"_links":{"self":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/6162","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/comments?post=6162"}],"version-history":[{"count":6,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/6162\/revisions"}],"predecessor-version":[{"id":9208,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/posts\/6162\/revisions\/9208"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/media\/6167"}],"wp:attachment":[{"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/media?parent=6162"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/categories?post=6162"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ytehoaduc.com.vn\/en\/wp-json\/wp\/v2\/tags?post=6162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}