{"id":8333,"date":"2025-08-11T11:46:54","date_gmt":"2025-08-11T04:46:54","guid":{"rendered":"https:\/\/ytehoaduc.com.vn\/en\/?p=8333"},"modified":"2025-09-18T15:00:25","modified_gmt":"2025-09-18T08:00:25","slug":"tang-san-tuyen-thuong-than-o-tre-so-sinh","status":"publish","type":"post","link":"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/","title":{"rendered":"T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 g\u00ec? C\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm qua s\u00e0ng l\u1ecdc s\u01a1 sinh t\u1ea1i Quy Nh\u01a1n"},"content":{"rendered":"<p><body><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u1ee5c L\u1ee5c<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #046531;color:#046531\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #046531;color:#046531\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#Tang_san_tuyen_thuong_than_bam_sinh_o_tre_so_sinh_%E2%80%93_Sang_loc_va_chan_doan_som_tai_Quy_Nhon_Binh_Dinh\" >T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh \u2013 S\u00e0ng l\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm t\u1ea1i Quy Nh\u01a1n, B\u00ecnh \u0110\u1ecbnh<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#1_Tong_quan_benh_tang_san_tuyen_thuong_than_bam_sinh\" >1. T\u1ed5ng quan b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#2_Tang_san_tuyen_thuong_than_bam_sinh_la_gi\" >2. T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh l\u00e0 g\u00ec?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#3_Nguyen_nhan_va_co_che_benh_tang_san_tuyen_thuong_than_bam_sinh\" >3. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#4_Trieu_chung_benh_tang_san_tuyen_thuong_than_bam_sinh_CAH_o_tre_so_sinh\" >4. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH) \u1edf tr\u1ebb s\u01a1 sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#5_Phuong_phap_chan_doan_tang_san_thuong_than_nhu_the_nao\" >5. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn nh\u01b0 th\u1ebf n\u00e0o?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#6_Lay_mau_got_chan_%E2%80%93_phuong_phap_vang_trong_sang_loc_tang_san_tuyen_thuong_than_bam_sinh\" >6. L\u1ea5y m\u00e1u g\u00f3t ch\u00e2n \u2013 ph\u01b0\u01a1ng ph\u00e1p v\u00e0ng trong s\u00e0ng l\u1ecdc t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#7_Phuong_phap_dieu_tri_tang_san_tuyen_thuong_than_bam_sinh_CAH_o_tre_so_sinh\" >7. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH) \u1edf tr\u1ebb s\u01a1 sinh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#8_Ket_luan\" >8. K\u1ebft lu\u1eadn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ytehoaduc.com.vn\/en\/tang-san-tuyen-thuong-than-o-tre-so-sinh\/#GOI_XET_NGHIEM_SANG_LOC_SO_SINH_TAI_TRUNG_TAM_XET_NGHIEM_%E2%80%93_GIAI_PHAU_BENH_%E2%80%93_TE_BAO_HOC_HOA_DUC\" >G\u00d3I X\u00c9T NGHI\u1ec6M S\u00c0NG L\u1eccC S\u01a0 SINH T\u1ea0I TRUNG T\u00c2M X\u00c9T NGHI\u1ec6M &#8211; GI\u1ea2I PH\u1eaaU B\u1ec6NH &#8211; T\u1ebe B\u00c0O H\u1eccC H\u00d2A \u0110\u1ee8C<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"Tang_san_tuyen_thuong_than_bam_sinh_o_tre_so_sinh_%E2%80%93_Sang_loc_va_chan_doan_som_tai_Quy_Nhon_Binh_Dinh\"><\/span>T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh \u2013 S\u00e0ng l\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm t\u1ea1i Quy Nh\u01a1n, B\u00ecnh \u0110\u1ecbnh<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p data-start=\"195\" data-end=\"608\"><strong data-start=\"195\" data-end=\"240\">T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH)<\/strong> l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft di truy\u1ec1n hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe tr\u1ebb s\u01a1 sinh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. B\u1ec7nh li\u00ean quan \u0111\u1ebfn s\u1ef1 thi\u1ebfu h\u1ee5t ho\u1eb7c r\u1ed1i lo\u1ea1n t\u1ed5ng h\u1ee3p hormone c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u2013 c\u01a1 quan n\u1eb1m ph\u00eda tr\u00ean th\u1eadn, gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u h\u00f2a huy\u1ebft \u00e1p, c\u00e2n b\u1eb1ng mu\u1ed1i n\u01b0\u1edbc v\u00e0 ph\u00e1t tri\u1ec3n gi\u1edbi t\u00ednh.<\/p>\n<p data-start=\"610\" data-end=\"1097\">Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, t\u1ef7 l\u1ec7 tr\u1ebb m\u1eafc b\u1ec7nh c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng, v\u00ec v\u1eady vi\u1ec7c <strong data-start=\"688\" data-end=\"753\">hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u00e1t hi\u1ec7n s\u1edbm<\/strong> tr\u1edf n\u00ean v\u00f4 c\u00f9ng quan tr\u1ecdng. T\u1ea1i <strong data-start=\"786\" data-end=\"838\">Ph\u00f2ng kh\u00e1m \u0110a khoa H\u00f2a \u0110\u1ee9c (Quy Nh\u01a1n, B\u00ecnh \u0110\u1ecbnh)<\/strong>, d\u1ecbch v\u1ee5 <strong data-start=\"848\" data-end=\"879\">x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong> \u0111\u01b0\u1ee3c tri\u1ec3n khai theo quy tr\u00ecnh chu\u1ea9n, gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh v\u00e0 nhi\u1ec1u r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a kh\u00e1c, mang l\u1ea1i c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe cho b\u00e9 ngay t\u1eeb nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111\u1eddi.<\/p>\n<h2 style=\"text-align: justify\" data-start=\"682\" data-end=\"698\"><span class=\"ez-toc-section\" id=\"1_Tong_quan_benh_tang_san_tuyen_thuong_than_bam_sinh\"><\/span>1. T\u1ed5ng quan b\u1ec7nh t<strong data-start=\"699\" data-end=\"738\">\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"699\" data-end=\"979\"><strong data-start=\"699\" data-end=\"738\">T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/strong> (Congenital Adrenal Hyperplasia \u2013 CAH) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd di truy\u1ec1n hi\u1ebfm g\u1eb7p nh\u01b0ng r\u1ea5t nguy hi\u1ec3m n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. B\u1ec7nh xu\u1ea5t hi\u1ec7n ngay t\u1eeb khi tr\u1ebb ch\u00e0o \u0111\u1eddi, do s\u1ef1 thi\u1ebfu h\u1ee5t enzym c\u1ea7n thi\u1ebft \u0111\u1ec3 s\u1ea3n xu\u1ea5t hormone c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p style=\"text-align: justify\" data-start=\"981\" data-end=\"1340\">\u1ede tr\u1ebb s\u01a1 sinh, tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c s\u1ea3n xu\u1ea5t cortisol \u2013 hormone \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a v\u00e0 ph\u1ea3n \u1ee9ng stress, aldosterone \u2013 hormone c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i, v\u00e0 m\u1ed9t ph\u1ea7n hormone sinh d\u1ee5c androgen. Khi thi\u1ebfu h\u1ee5t c\u00e1c hormone n\u00e0y, c\u01a1 th\u1ec3 b\u00e9 s\u1ebd g\u1eb7p r\u1ed1i lo\u1ea1n nghi\u00eam tr\u1ecdng, \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn s\u1ef1 s\u1ed1ng c\u00f2n v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n l\u00e2u d\u00e0i.<\/p>\n<p style=\"text-align: justify\" data-start=\"1342\" data-end=\"1487\">\u0110i\u1ec3m \u0111\u00e1ng ch\u00fa \u00fd l\u00e0 b\u1ec7nh <strong data-start=\"1366\" data-end=\"1437\">c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n r\u1ea5t s\u1edbm th\u00f4ng qua x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong>, gi\u00fap can thi\u1ec7p k\u1ecbp th\u1eddi v\u00e0 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng.<\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" src=\"https:\/\/ytehoaduc.com.vn\/en\/wp-content\/uploads\/2024\/12\/Buon-non-mat-nuoc-co-the-la-bieu-hien-cua-benh-tang-san-thuong-than-bam-sinhKU6Nz-300x169.webp\" alt=\"T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 g\u00ec? C\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm qua s\u00e0ng l\u1ecdc s\u01a1 sinh t\u1ea1i Quy Nh\u01a1n\"><\/p>\n<p style=\"text-align: left\"><em>X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh t\u1ea1i Quy Nh\u01a1n gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh, b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tr\u1ebb ngay t\u1eeb nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111\u1eddi<\/em><\/p>\n<h2 style=\"text-align: justify\" data-start=\"1494\" data-end=\"1542\"><span class=\"ez-toc-section\" id=\"2_Tang_san_tuyen_thuong_than_bam_sinh_la_gi\"><\/span>2. T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"1543\" data-end=\"1891\">T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh l\u00e0 b\u1ec7nh l\u00fd <strong data-start=\"1590\" data-end=\"1623\">l\u1eb7n tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng<\/strong>, ngh\u0129a l\u00e0 b\u00e9 s\u1ebd m\u1eafc b\u1ec7nh khi nh\u1eadn gen \u0111\u1ed9t bi\u1ebfn t\u1eeb c\u1ea3 b\u1ed1 v\u00e0 m\u1eb9. Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu l\u00e0 do \u0111\u1ed9t bi\u1ebfn gen <strong data-start=\"1726\" data-end=\"1737\">CYP21A2<\/strong> g\u00e2y thi\u1ebfu enzym <strong data-start=\"1754\" data-end=\"1772\">21-hydroxylase<\/strong>, khi\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 cortisol v\u00e0 aldosterone, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng ti\u1ebft androgen b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p style=\"text-align: justify\" data-start=\"1893\" data-end=\"1960\">T\u00f9y v\u00e0o m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t enzym, b\u1ec7nh \u0111\u01b0\u1ee3c chia th\u00e0nh hai th\u1ec3 ch\u00ednh:<\/p>\n<ul style=\"text-align: justify\" data-start=\"1961\" data-end=\"2147\">\n<li data-start=\"1961\" data-end=\"2046\">\n<p data-start=\"1963\" data-end=\"2046\"><strong data-start=\"1963\" data-end=\"1978\">Th\u1ec3 c\u1ed5 \u0111i\u1ec3n<\/strong> (chi\u1ebfm \u0111a s\u1ed1), g\u1ed3m th\u1ec3 <strong data-start=\"2002\" data-end=\"2014\">m\u1ea5t mu\u1ed1i<\/strong> v\u00e0 th\u1ec3 <strong data-start=\"2022\" data-end=\"2043\">nam h\u00f3a \u0111\u01a1n thu\u1ea7n<\/strong>.<\/p>\n<\/li>\n<li data-start=\"2047\" data-end=\"2147\">\n<p data-start=\"2049\" data-end=\"2147\"><strong data-start=\"2049\" data-end=\"2070\">Th\u1ec3 kh\u00f4ng c\u1ed5 \u0111i\u1ec3n<\/strong> (nh\u1eb9 h\u01a1n), c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t mu\u1ed9n v\u00e0 tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng ngay sau sinh.<\/p>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 d\u1ea1ng <strong data-start=\"321\" data-end=\"366\">t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH)<\/strong> c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n gi\u1edbi t\u00ednh v\u00e0 h\u00ecnh th\u00e1i b\u00ean ngo\u00e0i c\u1ee7a tr\u1ebb s\u01a1 sinh, d\u1eabn \u0111\u1ebfn thay \u0111\u1ed5i c\u1ea5u tr\u00fac gi\u1edbi t\u00ednh ngay t\u1eeb khi ch\u00e0o \u0111\u1eddi. \u1ede nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, tr\u1ebb c\u00f3 nguy c\u01a1 g\u1eb7p bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 m\u1ea5t mu\u1ed1i ho\u1eb7c s\u1ed1c th\u01b0\u1ee3ng th\u1eadn, \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp \u0111\u1ebfn t\u00ednh m\u1ea1ng. Tr\u00ean to\u00e0n c\u1ea7u, t\u1ef7 l\u1ec7 m\u1eafc CAH \u01b0\u1edbc t\u00ednh dao \u0111\u1ed9ng t\u1eeb 1\/10.000 \u0111\u1ebfn 1\/15.000 tr\u1ebb s\u01a1 sinh. M\u1eb7c d\u00f9 \u0111\u00e2y l\u00e0 b\u1ec7nh l\u00fd hi\u1ebfm g\u1eb7p, nh\u01b0ng n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm th\u00f4ng qua s\u00e0ng l\u1ecdc s\u01a1 sinh v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang ph\u00e1c \u0111\u1ed3, ph\u1ea7n l\u1edbn tr\u1ebb c\u00f3 th\u1ec3 s\u1ed1ng kh\u1ecfe m\u1ea1nh v\u00e0 ph\u00e1t tri\u1ec3n g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h2 style=\"text-align: justify\" data-start=\"2154\" data-end=\"2186\"><span class=\"ez-toc-section\" id=\"3_Nguyen_nhan_va_co_che_benh_tang_san_tuyen_thuong_than_bam_sinh\"><\/span>3. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh t<strong data-start=\"699\" data-end=\"738\">\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"2187\" data-end=\"2418\">Trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, enzym 21-hydroxylase c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t cortisol v\u00e0 aldosterone \u1edf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Khi enzym n\u00e0y b\u1ecb thi\u1ebfu h\u1ee5t ho\u1eb7c kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng, qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p hormone b\u1ecb gi\u00e1n \u0111o\u1ea1n:<\/p>\n<ul style=\"text-align: justify\" data-start=\"2419\" data-end=\"2689\">\n<li data-start=\"2419\" data-end=\"2508\">\n<p data-start=\"2421\" data-end=\"2508\"><strong data-start=\"2421\" data-end=\"2433\">Cortisol<\/strong> gi\u1ea3m \u2192 c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi stress v\u00e0 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a \u0111\u01b0\u1eddng.<\/p>\n<\/li>\n<li data-start=\"2509\" data-end=\"2597\">\n<p data-start=\"2511\" data-end=\"2597\"><strong data-start=\"2511\" data-end=\"2526\">Aldosterone<\/strong> gi\u1ea3m \u2192 c\u01a1 th\u1ec3 m\u1ea5t mu\u1ed1i, m\u1ea5t n\u01b0\u1edbc, h\u1ea1 huy\u1ebft \u00e1p v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<\/li>\n<li data-start=\"2598\" data-end=\"2689\">\n<p data-start=\"2600\" data-end=\"2689\"><strong data-start=\"2600\" data-end=\"2612\">Androgen<\/strong> t\u0103ng \u2192 g\u00e2y nam h\u00f3a c\u01a1 quan sinh d\u1ee5c ngo\u00e0i \u1edf tr\u1ebb g\u00e1i, d\u1eady th\u00ec s\u1edbm \u1edf tr\u1ebb trai.<\/p>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify\" data-start=\"2691\" data-end=\"2842\">\u1ede tr\u1ebb s\u01a1 sinh, s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng hormone n\u00e0y di\u1ec5n ra nhanh ch\u00f3ng v\u00e0 nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf th\u1ec3 m\u1ea5t mu\u1ed1i, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/p>\n<h2 style=\"text-align: justify\" data-start=\"2849\" data-end=\"2887\"><span class=\"ez-toc-section\" id=\"4_Trieu_chung_benh_tang_san_tuyen_thuong_than_bam_sinh_CAH_o_tre_so_sinh\"><\/span>4. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH) \u1edf tr\u1ebb s\u01a1 sinh<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"214\" data-end=\"471\">T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. <strong data-start=\"354\" data-end=\"387\">Tri\u1ec7u ch\u1ee9ng CAH \u1edf tr\u1ebb s\u01a1 sinh<\/strong> th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong nh\u1eefng ng\u00e0y ho\u1eb7c tu\u1ea7n \u0111\u1ea7u sau sinh v\u00e0 c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft qua:<\/p>\n<p style=\"text-align: justify\" data-start=\"473\" data-end=\"827\">M\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u n\u1ed5i b\u1eadt l\u00e0 <strong data-start=\"509\" data-end=\"538\">t\u0103ng c\u00e2n nhanh b\u1ea5t th\u01b0\u1eddng<\/strong> kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, \u0111\u1eb7c bi\u1ec7t t\u1eadp trung \u1edf b\u1ee5ng, c\u1ed5 v\u00e0 m\u1eb7t. Nhi\u1ec1u tr\u1ebb s\u01a1 sinh m\u1eafc CAH c\u00f3 bi\u1ec3u hi\u1ec7n <strong data-start=\"638\" data-end=\"684\">b\u00fa k\u00e9m, n\u00f4n \u00f3i, s\u1ee5t c\u00e2n \u0111\u1ed9t ng\u1ed9t, m\u1ea5t n\u01b0\u1edbc<\/strong> v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p <strong data-start=\"723\" data-end=\"757\">b\u01b0\u1edbc v\u00e0o giai \u0111o\u1ea1n d\u1eady th\u00ec s\u1edbm<\/strong>, khi\u1ebfn chi\u1ec1u cao t\u0103ng nhanh nh\u01b0ng l\u1ea1i d\u1ec5 th\u1ea5p h\u01a1n khi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n<p style=\"text-align: justify\" data-start=\"829\" data-end=\"1143\">Ngo\u00e0i ra, b\u1ec7nh c\u00f2n g\u00e2y <strong data-start=\"852\" data-end=\"878\">da m\u1ecfng, d\u1ec5 t\u1ed5n th\u01b0\u01a1ng<\/strong>, xu\u1ea5t hi\u1ec7n c\u00e1c v\u1ebft r\u1ea1n m\u00e0u \u0111\u1ecf ho\u1eb7c t\u00edm \u1edf b\u1ee5ng, \u0111\u00f9i, c\u00e1nh tay. \u1ede n\u1eef gi\u1edbi tr\u01b0\u1edfng th\u00e0nh, CAH c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn <strong data-start=\"984\" data-end=\"1042\">r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, m\u1ecdc l\u00f4ng nhi\u1ec1u \u1edf m\u1eb7t, gi\u1ecdng tr\u1ea7m<\/strong>; trong khi c\u1ea3 nam v\u00e0 n\u1eef \u0111\u1ec1u c\u00f3 nguy c\u01a1 <strong data-start=\"1082\" data-end=\"1129\">lo\u00e3ng x\u01b0\u01a1ng, n\u1ed5i m\u1ee5n n\u1eb7ng, t\u0103ng cholesterol<\/strong> v\u00e0 v\u00f4 sinh.<\/p>\n<p style=\"text-align: justify\" data-start=\"1145\" data-end=\"1388\">Vi\u1ec7c nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c <strong data-start=\"1168\" data-end=\"1218\">tri\u1ec7u ch\u1ee9ng t\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn \u1edf tr\u1ebb s\u01a1 sinh<\/strong> v\u00e0 ti\u1ebfn h\u00e0nh <strong data-start=\"1232\" data-end=\"1266\">s\u00e0ng l\u1ecdc s\u01a1 sinh ph\u00e1t hi\u1ec7n CAH<\/strong> s\u1ebd gi\u00fap ch\u1ea9n \u0111o\u00e1n k\u1ecbp th\u1eddi, t\u1eeb \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng v\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb.<\/p>\n<h2 style=\"text-align: justify\"><span class=\"ez-toc-section\" id=\"5_Phuong_phap_chan_doan_tang_san_thuong_than_nhu_the_nao\"><\/span>5. Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn nh\u01b0 th\u1ebf n\u00e0o?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"207\" data-end=\"597\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p <strong data-start=\"223\" data-end=\"285\">s\u00e0ng l\u1ecdc t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh<\/strong> hi\u1ec7n nay c\u00f3 th\u1ec3 bao g\u1ed3m: ch\u1ecdc \u1ed1i \u0111\u1ec3 ki\u1ec3m tra b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n, si\u00eau \u00e2m thai, ch\u1ee5p X-quang, x\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng <strong data-start=\"403\" data-end=\"438\">17-OHP (17-hydroxyprogesterone)<\/strong>, x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u00e1nh gi\u00e1 n\u1ed3ng \u0111\u1ed9 hormone, ki\u1ec3m tra \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 v\u00e0, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t, c\u00f3 th\u1ec3 c\u1ea7n th\u1ef1c hi\u1ec7n ti\u1ec3u ph\u1eabu \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n<p style=\"text-align: justify\" data-start=\"599\" data-end=\"1062\">\u0110\u1eb7c bi\u1ec7t, <strong data-start=\"609\" data-end=\"663\">ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc s\u01a1 sinh b\u1eb1ng l\u1ea5y m\u00e1u g\u00f3t ch\u00e2n<\/strong> \u0111\u01b0\u1ee3c xem l\u00e0 <strong data-start=\"676\" data-end=\"705\">hi\u1ec7u qu\u1ea3 v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t<\/strong>. Ch\u1ec9 c\u1ea7n l\u1ea5y m\u1ed9t l\u01b0\u1ee3ng m\u00e1u r\u1ea5t nh\u1ecf t\u1eeb g\u00f3t ch\u00e2n c\u1ee7a b\u00e9 (do v\u00f9ng da \u1edf \u0111\u00e2y m\u1ecfng v\u00e0 \u00edt d\u00e2y th\u1ea7n kinh), x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm CAH c\u0169ng nh\u01b0 nhi\u1ec1u b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a kh\u00e1c. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 <strong data-start=\"924\" data-end=\"957\">\u0111\u01a1n gi\u1ea3n, an to\u00e0n, \u00edt g\u00e2y \u0111au<\/strong> v\u00e0 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ngay trong 48\u201372 gi\u1edd sau sinh, gi\u00fap can thi\u1ec7p k\u1ecbp th\u1eddi \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.<\/p>\n<h2 style=\"text-align: justify\" data-start=\"3538\" data-end=\"3578\"><span class=\"ez-toc-section\" id=\"6_Lay_mau_got_chan_%E2%80%93_phuong_phap_vang_trong_sang_loc_tang_san_tuyen_thuong_than_bam_sinh\"><\/span>6. L\u1ea5y m\u00e1u g\u00f3t ch\u00e2n \u2013 ph\u01b0\u01a1ng ph\u00e1p v\u00e0ng trong s\u00e0ng l\u1ecdc t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"163\" data-end=\"526\"><strong data-start=\"163\" data-end=\"217\">Ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc s\u01a1 sinh b\u1eb1ng l\u1ea5y m\u00e1u g\u00f3t ch\u00e2n<\/strong> hi\u1ec7n \u0111\u01b0\u1ee3c xem l\u00e0 <strong data-start=\"235\" data-end=\"302\">hi\u1ec7u qu\u1ea3 v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t trong th\u1eddi \u0111\u1ea1i y h\u1ecdc ti\u1ebfn b\u1ed9 ng\u00e0y nay<\/strong>. Ch\u1ec9 c\u1ea7n l\u1ea5y m\u1ed9t l\u01b0\u1ee3ng m\u00e1u r\u1ea5t nh\u1ecf t\u1eeb g\u00f3t ch\u00e2n c\u1ee7a b\u00e9 \u2013 n\u01a1i c\u00f3 v\u00f9ng da m\u1ecfng v\u00e0 \u00edt d\u00e2y th\u1ea7n kinh \u2013 x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm <strong data-start=\"433\" data-end=\"478\">t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH)<\/strong> c\u00f9ng nhi\u1ec1u b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft, chuy\u1ec3n h\u00f3a kh\u00e1c.<\/p>\n<p style=\"text-align: justify\" data-start=\"528\" data-end=\"745\">\u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 <strong data-start=\"559\" data-end=\"592\">\u0111\u01a1n gi\u1ea3n, an to\u00e0n, \u00edt g\u00e2y \u0111au <\/strong>cho tr\u1ebb\u00a0v\u00e0 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ngay trong <strong data-start=\"624\" data-end=\"646\">48\u201372 gi\u1edd sau sinh<\/strong>, gi\u00fap b\u00e1c s\u0129 can thi\u1ec7p k\u1ecbp th\u1eddi \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng cho tr\u1ebb.<\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" src=\"https:\/\/ytehoaduc.com.vn\/en\/wp-content\/uploads\/2024\/12\/Thuc-hien-lay-mau-got-chan-tre-so-sinh-xet-nghiem-sang-locStLFO-300x195.webp\" alt=\"T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 g\u00ec? C\u00e1ch nh\u1eadn bi\u1ebft v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm qua s\u00e0ng l\u1ecdc s\u01a1 sinh t\u1ea1i Quy Nh\u01a1n\"><\/p>\n<p style=\"text-align: justify\"><em>L\u1ea5y m\u00e1u g\u00f3t ch\u00e2n s\u00e0ng l\u1ecdc s\u01a1 sinh t\u1ea1i Quy Nh\u01a1n \u2013 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n, an to\u00e0n gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh v\u00e0 nhi\u1ec1u r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a b\u1ea9m sinh kh\u00e1c<\/em><\/p>\n<h2 style=\"text-align: justify\" data-start=\"4950\" data-end=\"4998\"><span class=\"ez-toc-section\" id=\"7_Phuong_phap_dieu_tri_tang_san_tuyen_thuong_than_bam_sinh_CAH_o_tre_so_sinh\"><\/span>7. <strong data-start=\"274\" data-end=\"354\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH) \u1edf tr\u1ebb s\u01a1 sinh<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"358\" data-end=\"620\">Khi tr\u1ebb \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh m\u1eafc <strong data-start=\"384\" data-end=\"423\">t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh<\/strong>, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u s\u1edbm v\u00e0 duy tr\u00ec li\u00ean t\u1ee5c trong su\u1ed1t qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n. M\u1ee5c ti\u00eau ch\u00ednh l\u00e0 b\u1ed5 sung l\u01b0\u1ee3ng hormone thi\u1ebfu h\u1ee5t, ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i.<\/p>\n<ul style=\"text-align: justify\" data-start=\"622\" data-end=\"1337\">\n<li data-start=\"622\" data-end=\"977\">\n<p data-start=\"624\" data-end=\"977\"><strong data-start=\"624\" data-end=\"652\">B\u1ed5 sung hormone thay th\u1ebf<\/strong>: Do tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn kh\u00f4ng t\u1ef1 s\u1ea3n xu\u1ea5t \u0111\u1ee7 cortisol v\u00e0 \u0111\u00f4i khi c\u1ea3 aldosterone, b\u00e1c s\u0129 s\u1ebd k\u00ea c\u00e1c lo\u1ea1i thu\u1ed1c hormone thay th\u1ebf nh\u01b0 hydrocortison ho\u1eb7c fludrocortison. Li\u1ec1u l\u01b0\u1ee3ng s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ecbnh k\u1ef3 d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng, tu\u1ed5i v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a tr\u1ebb, gi\u00fap duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng chuy\u1ec3n h\u00f3a b\u00ecnh th\u01b0\u1eddng v\u00e0 \u1ed5n \u0111\u1ecbnh huy\u1ebft \u00e1p, \u0111i\u1ec7n gi\u1ea3i.<\/p>\n<\/li>\n<li data-start=\"979\" data-end=\"1337\">\n<p data-start=\"981\" data-end=\"1337\"><strong data-start=\"981\" data-end=\"1019\">Can thi\u1ec7p ngo\u1ea1i khoa khi c\u1ea7n thi\u1ebft<\/strong>: V\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt \u0111i\u1ec1u ch\u1ec9nh c\u1ea5u tr\u00fac c\u01a1 quan sinh d\u1ee5c ngo\u00e0i \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng v\u00e0 h\u00ecnh th\u00e1i ph\u00f9 h\u1ee3p, \u0111\u1ed3ng th\u1eddi gi\u1ea3m \u00e1p l\u1ef1c t\u00e2m l\u00fd cho tr\u1ebb trong t\u01b0\u01a1ng lai. Quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi \u0111\u00e3 h\u1ed9i ch\u1ea9n chuy\u00ean khoa v\u00e0 \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe.<\/p>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify\" data-start=\"1339\" data-end=\"1701\">\u0110i\u1ec1u tr\u1ecb CAH \u1edf tr\u1ebb s\u01a1 sinh \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa gia \u0111\u00ecnh v\u00e0 \u0111\u1ed9i ng\u0169 y t\u1ebf. Cha m\u1eb9 c\u1ea7n \u0111\u01b0a tr\u1ebb t\u00e1i kh\u00e1m \u0111\u00fang l\u1ecbch, tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn d\u00f9ng thu\u1ed1c, \u0111\u1ed3ng th\u1eddi theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u0111\u1ec3 x\u1eed l\u00fd k\u1ecbp th\u1eddi. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 \u0111\u00fang c\u00e1ch kh\u00f4ng ch\u1ec9 gi\u00fap tr\u1ebb ph\u00e1t tri\u1ec3n kh\u1ecfe m\u1ea1nh m\u00e0 c\u00f2n gi\u1ea3m thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng trong su\u1ed1t cu\u1ed9c \u0111\u1eddi.<\/p>\n<h2 style=\"text-align: justify\" data-start=\"5005\" data-end=\"5019\"><span class=\"ez-toc-section\" id=\"8_Ket_luan\"><\/span>8. K\u1ebft lu\u1eadn<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\" data-start=\"5020\" data-end=\"5291\">T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 b\u1ec7nh l\u00fd di truy\u1ec1n nguy hi\u1ec3m nh\u01b0ng ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm qua <strong data-start=\"5161\" data-end=\"5181\">s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong>. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb s\u1edbm kh\u00f4ng ch\u1ec9 c\u1ee9u s\u1ed1ng tr\u1ebb m\u00e0 c\u00f2n gi\u00fap b\u00e9 c\u00f3 cu\u1ed9c s\u1ed1ng v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p data-start=\"189\" data-end=\"613\">Cha m\u1eb9 n\u00ean ch\u1ee7 \u0111\u1ed9ng \u0111\u01b0a tr\u1ebb \u0111i <strong data-start=\"220\" data-end=\"251\">x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong> t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o <strong data-start=\"289\" data-end=\"316\">\u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 an to\u00e0n<\/strong>. T\u1ea1i <strong data-start=\"322\" data-end=\"406\">Trung t\u00e2m X\u00e9t nghi\u1ec7m \u2013 Gi\u1ea3i ph\u1eabu b\u1ec7nh \u2013 T\u1ebf b\u00e0o h\u1ecdc H\u00f2a \u0110\u1ee9c (Quy Nh\u01a1n, B\u00ecnh \u0110\u1ecbnh)<\/strong>, d\u1ecbch v\u1ee5 s\u00e0ng l\u1ecdc s\u01a1 sinh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo <strong data-start=\"453\" data-end=\"479\">quy tr\u00ecnh chu\u1ea9n y khoa<\/strong>, gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm <strong data-start=\"500\" data-end=\"545\">t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH)<\/strong> c\u0169ng nh\u01b0 nhi\u1ec1u r\u1ed1i lo\u1ea1n <strong data-start=\"570\" data-end=\"610\">n\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a \u1edf tr\u1ebb s\u01a1 sinh<\/strong>.<\/p>\n<p data-start=\"615\" data-end=\"893\">Vi\u1ec7c x\u00e9t nghi\u1ec7m s\u1edbm kh\u00f4ng ch\u1ec9 gi\u00fap b\u00e1c s\u0129 <strong data-start=\"657\" data-end=\"679\">can thi\u1ec7p k\u1ecbp th\u1eddi<\/strong>, m\u00e0 c\u00f2n mang l\u1ea1i c\u01a1 h\u1ed9i cho tr\u1ebb ph\u00e1t tri\u1ec3n kh\u1ecfe m\u1ea1nh ngay t\u1eeb nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111\u1eddi. Qu\u00fd ph\u1ee5 huynh t\u1ea1i <strong data-start=\"779\" data-end=\"791\">Quy Nh\u01a1n<\/strong> c\u00f3 th\u1ec3 y\u00ean t\u00e2m l\u1ef1a ch\u1ecdn H\u00f2a \u0110\u1ee9c l\u00e0 \u0111\u1ecba ch\u1ec9 \u0111\u1ed3ng h\u00e0nh trong h\u00e0nh tr\u00ecnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho b\u00e9 y\u00eau.<\/p>\n<h2 style=\"text-align: justify\"><span class=\"ez-toc-section\" id=\"GOI_XET_NGHIEM_SANG_LOC_SO_SINH_TAI_TRUNG_TAM_XET_NGHIEM_%E2%80%93_GIAI_PHAU_BENH_%E2%80%93_TE_BAO_HOC_HOA_DUC\"><\/span><strong>G\u00d3I X\u00c9T NGHI\u1ec6M S\u00c0NG L\u1eccC S\u01a0 SINH T\u1ea0I TRUNG T\u00c2M X\u00c9T NGHI\u1ec6M &#8211; GI\u1ea2I PH\u1eaaU B\u1ec6NH &#8211; T\u1ebe B\u00c0O H\u1eccC H\u00d2A \u0110\u1ee8C<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p style=\"text-align: justify\">G\u00f3i x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh 5 b\u1ec7nh bao g\u1ed3m: b\u1ec7nh thi\u1ebfu men G6PD, b\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (17OHP), b\u1ec7nh suy gi\u00e1p b\u1ea9m sinh (TSH), b\u1ec7nh Galactose m\u00e1u b\u1ea9m sinh (GALT) v\u00e0 b\u1ec7nh Phenylketon ni\u1ec7u (PKU). Chi ph\u00ed x\u00e9t nghi\u1ec7m t\u1eeb <strong data-start=\"382\" data-end=\"407\">500.000 &#8211; 600.000 VN\u0110<\/strong> t\u1ea1i <strong data-start=\"412\" data-end=\"457\">Trung t\u00e2m x\u00e9t nghi\u1ec7m k\u1ef9 thu\u1eadt cao H\u00f2a \u0110\u1ee9c<\/strong>. Vi\u1ec7c s\u00e0ng l\u1ecdc s\u1edbm gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh, b\u1ea3o v\u1ec7 s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e0n t\u1eadt cho tr\u1ebb.<\/p>\n<p style=\"text-align: justify\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 HOTLINE b\u00ean d\u01b0\u1edbi ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp <a href=\"https:\/\/ytehoaduc.com.vn\/en\/dich-vu\/goi-xet-nghiem-sang-loc-so-sinh\/\">T\u1ea0I \u0110\u00c2Y<\/a>.<\/p>\n<p style=\"text-align: justify\">\t\t<div data-elementor-type=\"page\" data-elementor-id=\"8232\" class=\"elementor elementor-8232\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-07bdf34 e-flex e-con-boxed e-con e-parent\" data-id=\"07bdf34\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46c2fe3 elementor-widget elementor-widget-text-editor\" data-id=\"46c2fe3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #008000;\"><strong>TRUNG T\u00c2M X\u00c9T NGHI\u1ec6M &#8211; GI\u1ea2I PH\u1eaaU B\u1ec6NH &#8211; T\u1ebe B\u00c0O H\u1eccC HO\u00c0 \u0110\u1ee8C<\/strong><\/span><\/p><p><span style=\"color: #008000;\">\ud83c\udfe5 <strong>\u0110\u1ecba ch\u1ec9:<\/strong> 04 &#8211; 06 &#8211; 08 \u0110inh C\u00f4ng Tr\u00e1ng, Ph\u01b0\u1eddng Quy Nh\u01a1n Nam, t\u1ec9nh Gia Lai<\/span><\/p><p><span style=\"color: #008000;\">\u260e\ufe0f <strong>Hotline:<\/strong>\u00a0<strong><a style=\"color: #008000;\" href=\"tel:0935096468\">0935 096 468<\/a><\/strong><\/span><\/p><p><span style=\"color: #008000;\"><strong>\u24d5 Fanpage:<\/strong> <a style=\"color: 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class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Hotline: 0935 096 468<\/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<\/p>\n<p style=\"text-align: justify\">\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb, <strong data-start=\"3570\" data-end=\"3601\">x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong> l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n <strong data-start=\"459\" data-end=\"504\">t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (CAH)<\/strong> \u00a0v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. \u0110\u1ecdc th\u00eam v\u1ec1 <strong data-start=\"3688\" data-end=\"3740\">l\u1ee3i \u00edch v\u00e0 quy tr\u00ecnh x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc s\u01a1 sinh<\/strong> trong b\u00e0i vi\u1ebft li\u00ean quan<a href=\"https:\/\/ytehoaduc.com.vn\/en\/xet-nghiem-lay-mau-got-chan\/\"> T\u1ea0I \u0110\u00c2Y.<\/a><\/p>\n<p style=\"text-align: right\"><strong>Bi\u00ean t\u1eadp: L\u00ea \u0110\u1eb7ng H\u01b0\u01a1ng Giang<\/strong><\/p>\n<p>\u00a0<\/body><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh \u1edf tr\u1ebb s\u01a1 sinh \u2013 S\u00e0ng l\u1ecdc v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm t\u1ea1i Quy [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":6179,"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 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