{"id":277992,"date":"2023-10-11T15:51:27","date_gmt":"2023-10-11T08:51:27","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/chan-thuong-than-kinh-ngoai-bien-o-san-phu-sau-sinh\/"},"modified":"2025-11-10T11:54:44","modified_gmt":"2025-11-10T04:54:44","slug":"chan-thuong-than-kinh-ngoai-bien-o-san-phu-sau-sinh","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/chan-thuong-than-kinh-ngoai-bien-o-san-phu-sau-sinh\/","title":{"rendered":"Ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean \u1edf s\u1ea3n ph\u1ee5 sau sinh"},"content":{"rendered":"\n

C\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trong khi chuy\u1ec3n d\u1ea1 ph\u1ea7n l\u1edbn \u0111\u1ebfn t\u1eeb b\u1ec7nh l\u00fd s\u1ea3n khoa, ho\u1eb7c do d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u00e8 \u00e9p, b\u1ecb k\u00e9o c\u0103ng trong qu\u00e1 tr\u00ecnh n\u00e0y. C\u00e1c th\u1ee7 thu\u1eadt g\u00e2y t\u00ea tr\u1ee5c th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o m\u1ed9t t\u1ef7 l\u1ec7 r\u1ea5t nh\u1ecf cho c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u00e0y. Hi\u1ec7n ch\u01b0a c\u00f3 khuy\u1ebfn c\u00e1o d\u1ef1 \u0111o\u00e1n nguy c\u01a1 ch\u00ednh x\u00e1c cho nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng n\u00e0y. V\u00ec v\u1eady, B\u00e1c s\u0129 n\u00ean ph\u1ed1i h\u1ee3p x\u00e1c \u0111\u1ecbnh ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh chi d\u01b0\u1edbi sau sinh nh\u1eb1m gi\u00fap s\u1ea3n ph\u1ee5 bi\u1ebft \u0111\u1ec3 h\u1ee3p t\u00e1c tr\u1ecb li\u1ec7u v\u00e0 v\u1eadn \u0111\u1ed9ng an to\u00e0n.<\/em><\/p>\n\n\n\n

\"Ch\u1ea5n<\/figure>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i vi th\u01b0\u1eddng g\u1eb7p<\/strong><\/h2>\n\n\n\n

T\u1ef7 l\u1ec7 ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/a> sau sinh thay \u0111\u1ed5i trong y v\u0103n t\u1eeb 0,3 \u0111\u1ebfn 2% trong t\u1ea5t c\u1ea3 c\u00e1c ca sinh. C\u00e1c ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean ph\u1ed5 bi\u1ebfn nh\u1ea5t sau khi sinh l\u00e0 d\u00e2y th\u1ea7n kinh b\u00ec \u0111\u00f9i ngo\u00e0i v\u00e0 d\u00e2y th\u1ea7n kinh \u0111\u00f9i. C\u00e1c d\u00e2y th\u1ea7n kinh \u00edt ph\u1ed5 bi\u1ebfn b\u1ecb \u1ea3nh h\u01b0\u1edfng h\u01a1n bao g\u1ed3m c\u00e1c d\u00e2y th\u1ea7n kinh m\u00e1c chung, \u0111\u00e1m r\u1ed1i c\u00f9ng l\u01b0ng, th\u1ea7n kinh h\u00f4ng, d\u00e2y th\u1ea7n kinh b\u1ecbt v\u00e0 r\u1ec5 th\u1ea7n kinh.<\/p>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh b\u00ec \u0111\u00f9i ngo\u00e0i x\u1ea3y ra \u1edf kho\u1ea3ng 0,4%. D\u00e2y th\u1ea7n kinh n\u00e0y cung c\u1ea5p c\u1ea3m gi\u00e1c cho \u0111\u00f9i tr\u01b0\u1edbc ngo\u00e0i, n\u1eb1m d\u01b0\u1edbi d\u00e2y ch\u1eb1ng b\u1eb9n, khi\u1ebfn n\u00f3 d\u1ec5 b\u1ecb ch\u00e8n \u00e9p khi \u1edf t\u01b0 th\u1ebf n\u1eb1m co v\u00e0 d\u1ea1ng ch\u00e2n tr\u00ean b\u00e0n \u0111\u1ebb (t\u01b0 th\u1ebf s\u1ea3n khoa). R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ea3m gi\u00e1c \u0111\u01a1n thu\u1ea7n n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee9ng \u0111au \u0111\u00f9i d\u1ecb c\u1ea3m, th\u01b0\u1eddng c\u00f3 th\u1eddi gian h\u1ed3i ph\u1ee5c ng\u1eafn. V\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid ho\u1eb7c mi\u1ebfng d\u00e1n lidocain.<\/p>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh \u0111\u00f9i \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n, nh\u01b0ng li\u00ean quan \u0111\u1ebfn vi\u1ec7c g\u00e2y y\u1ebfu c\u01a1 g\u1ea5p \u0111\u00f9i, du\u1ed7i g\u1ed1i, m\u1ea5t ph\u1ea3n x\u1ea1 x\u01b0\u01a1ng b\u00e1nh ch\u00e8 v\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c \u1edf gi\u1eefa \u0111\u00f9i v\u00e0 b\u1eafp ch\u00e2n. D\u00e2y th\u1ea7n kinh \u0111\u00f9i c\u0169ng n\u1eb1m d\u01b0\u1edbi d\u00e2y ch\u1eb1ng b\u1eb9n v\u00e0 s\u1ef1 ch\u00e8n \u00e9p v\u00e0o \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 c\u01a1 ch\u1ebf c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n\n\n\n

Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/h2>\n\n\n\n

C\u00f3 nhi\u1ec1u c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh g\u00f3p ph\u1ea7n v\u00e0o c\u00e1c ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i vi g\u1ed3m:<\/p>\n\n\n\n

    \n
  • Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh d\u1ec5 g\u1eb7p \u1edf ng\u01b0\u1eddi sinh l\u1ea7n \u0111\u1ea7u<\/strong>, v\u00e0 tr\u1ea3i qua giai \u0111o\u1ea1n hai chuy\u1ec3n d\u1ea1 d\u00e0i h\u01a1n khi \u1edf t\u01b0 th\u1ebf s\u1ea3n khoa so v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng. Nh\u1eefng s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 sinh qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o b\u1eb1ng forces ho\u1eb7c gi\u00e1c h\u00fat c\u0169ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean sau sinh. S\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng th\u01b0\u1eddng \u00edt c\u1eed \u0111\u1ed9ng v\u00e0 gi\u1eef nguy\u00ean t\u01b0 th\u1ebf trong th\u1eddi gian d\u00e0i, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m cho ch\u1ea5n th\u01b0\u01a1ng ch\u00e8n \u00e9p d\u1ec5 x\u1ea3y ra h\u01a1n.<\/li>\n<\/ul>\n\n\n\n
      \n
    • C\u00e1c thay \u0111\u1ed5i v\u1ec1 gi\u1ea3i ph\u1eabu trong khoang ngo\u00e0i m\u00e0ng c\u1ee9ng<\/strong> c\u00f3 th\u1ec3 g\u00e2y ra n\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u00ea cao xung quanh c\u00e1c r\u1ec5 th\u1ea7n kinh ri\u00eang l\u1ebb, do s\u1ef1 ph\u00e2n b\u1ed1 kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u c\u1ee7a thu\u1ed1c t\u00ea c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c th\u1ea7n kinh \u1edf li\u1ec1u \u0111\u1ee7 cao. C\u1ea7n c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng n\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u00ea th\u1ea5p cho g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng. Nh\u1eefng s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u00ea cao, gi\u1ea3m \u0111au s\u00e2u c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh do ch\u00e8n \u00e9p (thu\u1ed1c t\u00ea c\u00f3 th\u1ec3 l\u00e0m m\u1ea5t c\u1ea3nh b\u00e1o c\u1ea3m gi\u00e1c \u0111au th\u1ea7n kinh).<\/li>\n<\/ul>\n\n\n\n
        \n
      • C\u00e2n n\u1eb7ng tr\u1ebb s\u01a1 sinh l\u1edbn h\u01a1n 3,5 kg<\/strong>, tu\u1ed5i thai mu\u1ed9n h\u01a1n 41 tu\u1ea7n c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1.<\/li>\n<\/ul>\n\n\n\n
          \n
        • G\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng, g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng<\/strong> trong giai \u0111o\u1ea1n s\u1ea3n ph\u1ee5 \u0111au nhi\u1ec1u c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00ec s\u1ea3n ph\u1ee5 kh\u00f3 h\u1ee3p t\u00e1c v\u00e0 t\u01b0 th\u1ebf n\u1eb1m cong l\u01b0ng \u0111\u1ec3 g\u00e2y t\u00ea kh\u00f4ng thu\u1eadn l\u1ee3i.<\/li>\n<\/ul>\n\n\n\n

          Vai tr\u00f2 c\u1ee7a B\u00e1c s\u0129<\/strong><\/h2>\n\n\n\n

          C\u00e1c B\u00e1c s\u0129 g\u00e2y m\u00ea ph\u1ed1i h\u1ee3p v\u1edbi B\u00e1c s\u0129 s\u1ea3n khoa \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00e0 h\u1ed9i ch\u1ea9n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u00e0y.<\/p>\n\n\n\n

          M\u1ed9t l\u01b0u \u00fd quan tr\u1ecdng l\u00e0<\/strong> sau ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh, s\u1ea3n ph\u1ee5 s\u1ebd c\u00f3 nguy c\u01a1 t\u00e9 ng\u00e3. N\u1ebfu c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 nh\u01b0 v\u1edbi b\u1ec7nh l\u00fd th\u1ea7n kinh \u0111\u00f9i v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m r\u1ed1i th\u1ea7n kinh trung \u01b0\u01a1ng, s\u1ea3n ph\u1ee5 n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u00e0 t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n.<\/p>\n\n\n\n

          R\u1ea5t may, ti\u00ean l\u01b0\u1ee3ng v\u1ec1 ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 l\u00e0 thu\u1eadn l\u1ee3i v\u00ec s\u1ef1 h\u1ed3i ph\u1ee5c th\u01b0\u1eddng ch\u1ec9 x\u1ea3y ra trong v\u00e0i tu\u1ea7n. Theo m\u1ed9t nghi\u00ean c\u1ee9u, th\u1eddi gian trung b\u00ecnh c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0 hai th\u00e1ng. Trong m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c, th\u1eddi gian trung b\u00ecnh \u0111\u1ec3 h\u1ed3i ph\u1ee5c sau ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh l\u00e0 18 ng\u00e0y, nh\u01b0ng s\u1ea3n ph\u1ee5 ti\u1ebfp t\u1ee5c b\u1ecb suy gi\u1ea3m th\u1ea7n kinh sau m\u1ed9t n\u0103m.<\/p>\n\n\n\n

          C\u00e1c B\u00e1c s\u0129 g\u00e2y m\u00ea n\u00ean k\u1ebft h\u1ee3p v\u1edbi c\u00e1c B\u00e1c s\u0129 s\u1ea3n khoa \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng t\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 sau khi sinh v\u00e0 \u0111\u01b0\u1ee3c h\u1ecfi v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh chi d\u01b0\u1edbi sau sinh. N\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng x\u1ea3y ra ngay sau khi sinh, c\u1ea7n xem x\u00e9t t\u00e1c d\u1ee5ng t\u1ed3n d\u01b0 c\u1ee7a t\u00ea tr\u1ee5c th\u1ea7n kinh c\u00f3 th\u1ec3 che l\u1ea5p b\u1ea5t k\u1ef3 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh chi d\u01b0\u1edbi n\u00e0o m\u1edbi kh\u1edfi ph\u00e1t. T\u1ed1t nh\u1ea5t, v\u00e0o ng\u00e0y \u0111\u1ea7u ti\u00ean sau khi sinh, c\u00e1c B\u00e1c s\u0129 g\u00e2y m\u00ea, B\u00e1c s\u0129 s\u1ea3n khoa n\u00ean th\u0103m v\u00e0 h\u1ecfi s\u1ea3n ph\u1ee5 c\u00f3 g\u1eb7p kh\u00f3 kh\u0103n g\u00ec trong vi\u1ec7c \u0111i l\u1ea1i hay b\u1ecb t\u00ea ho\u1eb7c y\u1ebfu ch\u00e2n kh\u00f4ng? N\u1ebfu s\u1ea3n ph\u1ee5 x\u00e1c nh\u1eadn c\u00f3 s\u1ef1 m\u1ea5t c\u1ea3m gi\u00e1c ho\u1eb7c y\u1ebfu, nh\u1eefng s\u1ea3n ph\u1ee5 n\u00e0y n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng h\u01a1n b\u1edfi B\u00e1c s\u0129 g\u00e2y m\u00ea (n\u1ebfu s\u1ea3n ph\u1ee5 \u0111\u01b0\u1ee3c g\u00e2y t\u00ea th\u1ea7n kinh), ho\u1eb7c b\u1edfi B\u00e1c s\u0129 th\u1ea7n kinh n\u1ebfu s\u1ea3n ph\u1ee5 kh\u00f4ng c\u00f3 g\u00e2y t\u00ea gi\u1ea3m \u0111au trong sinh. N\u1ebfu ki\u1ec3u t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng r\u00f5 r\u00e0ng, s\u1ea3n ph\u1ee5 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111o \u0111i\u1ec7n c\u01a1 \u0111\u1ec3 h\u1ed7 tr\u1ee3 ph\u00e1t hi\u1ec7n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh v\u00e0 c\u01a1. Kh\u00e1m chuy\u00ean khoa Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem c\u00f3 c\u1ea7n thi\u1ebft b\u1ecb tr\u1ee3 gi\u00fap n\u00e0o nh\u01b0 n\u1eb9p \u0111\u1ea7u g\u1ed1i, gi\u00e0y ch\u1ec9nh h\u00ecnh ho\u1eb7c khung t\u1eadp \u0111i tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n hay kh\u00f4ng. M\u1eb7c d\u00f9 th\u01b0\u1eddng kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb thu\u1ed1c \u0111\u1ed1i v\u1edbi ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh chi d\u01b0\u1edbi m\u1edbi kh\u1edfi ph\u00e1t, gabapentin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t n\u1ebfu s\u1ea3n ph\u1ee5 ph\u00e0n n\u00e0n v\u1ec1 c\u01a1n \u0111au th\u1ea7n kinh. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean s\u1ed1 s\u1ea3n ph\u1ee5 n\u00e0y c\u00f2n \u00edt, nh\u01b0ng gabapentin \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb s\u01a1 sinh.<\/p>\n\n\n\n

          Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh chi d\u01b0\u1edbi \u0111\u1ec1u c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 nh\u01b0: N\u1eb9p ch\u00e2n, gh\u1ebf t\u1eafm … kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean m\u00e0 c\u00f2n c\u00f3 th\u1ec3 ch\u1ee9ng t\u1ecf \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi s\u1ea3n ph\u1ee5 ph\u1ea3i ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh. C\u00e1c khuy\u1ebfn ngh\u1ecb kh\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh cho s\u1ea3n ph\u1ee5 c\u00f3 th\u1ec3 gi\u00fap h\u1ecd t\u1ef1 v\u1eadn \u0111\u1ed9ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh chi d\u01b0\u1edbi.<\/p>\n\n\n\n

            \n
          • Thay \u0111\u1ed5i v\u1ecb tr\u00ed ch\u00e2n<\/strong> c\u1ee7a s\u1ea3n ph\u1ee5 c\u1ee9 sau 10 \u0111\u1ebfn 15 ph\u00fat trong giai \u0111o\u1ea1n hai c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1.<\/li>\n<\/ul>\n\n\n\n
              \n
            • Ch\u1ec9 s\u1eed d\u1ee5ng b\u00e0n \u0111\u1ea1p cho vi\u1ec7c r\u1eb7n \u0111\u1ebb<\/strong>. Tr\u00e1nh \u0111\u1eb7t ch\u00e2n s\u1ea3n ph\u1ee5 v\u00e0o b\u00e0n \u0111\u1ea1p \u0111\u1ec3 \u0111\u1ea9y. N\u1ebfu ph\u1ea3i s\u1eed d\u1ee5ng b\u00e0n \u0111\u1ea1p trong qu\u00e1 tr\u00ecnh r\u1eb7n \u0111\u1ebb, h\u00e3y b\u1ecf ch\u00e2n s\u1ea3n ph\u1ee5 ra kh\u1ecfi b\u00e0n \u0111\u1ea1p gi\u1eefa c\u00e1c l\u1ea7n r\u1eb7n \u0111\u1ebb.<\/li>\n<\/ul>\n\n\n\n
                \n
              • Th\u01b0\u1eddng xuy\u00ean thay \u0111\u1ed5i v\u1ecb tr\u00ed \u0111\u1eb7t tay <\/strong>trong giai \u0111o\u1ea1n hai c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1.<\/li>\n<\/ul>\n\n\n\n
                  \n
                • B\u00e1c s\u0129 g\u00e2y m\u00ea n\u00ean th\u1ef1c hi\u1ec7n g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng<\/strong> ngo\u00e0i c\u01a1n \u0111au c\u1ee7a s\u1ea3n ph\u1ee5.<\/li>\n<\/ul>\n\n\n\n

                  T\u00f3m l\u1ea1i, ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh sau sinh r\u1ea5t hi\u1ebfm, nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u00e1ng lo ng\u1ea1i \u0111\u1ed1i v\u1edbi c\u1ea3 s\u1ea3n ph\u1ee5. Ph\u1ea7n l\u1edbn c\u00e1c ch\u1ea5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh \u0111\u01b0\u1ee3c cho l\u00e0 do nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd t\u1eeb s\u1ea3n khoa th\u1ee9 ph\u00e1t do ch\u00e8n \u00e9p ho\u1eb7c k\u00e9o c\u0103ng d\u00e2y th\u1ea7n kinh trong khi sinh. Tuy nhi\u00ean, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c vai tr\u00f2 c\u1ee7a ch\u00fang ta v\u00ec li\u00ean quan \u0111\u1ebfn gi\u1ea3m t\u01b0\u1edbi m\u00e1u d\u00e2y th\u1ea7n kinh, ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh do ch\u1ecdc kim v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1. Nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u00fap hi\u1ec3u nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0o khi\u1ebfn s\u1ea3n ph\u1ee5 t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u00e0y. N\u1ebfu m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, c\u00e1c d\u00e2y th\u1ea7n kinh b\u1ecb \u1ea3nh h\u01b0\u1edfng ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong b\u1ec7nh \u00e1n (v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c ho\u1eb7c h\u1ed7n h\u1ee3p). S\u1ea3n ph\u1ee5 c\u0169ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n khi ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n.<\/p>\n\n\n\n

                  T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n

                    \n
                  1. Emery H. McCrory, MD; Jennifer M. Banayan, MD; and Paloma Toledo, MD, MPH. Postpartum Peripheral Nerve Injuries\u2014What is Anesthesia\u2019s Role? APSF NEWSLETTER June 2021. P 54<\/li>\n\n\n\n
                  2. Hans Sviggum, MD, Felicity Reynolds, MD, MBBS, FRCA, FRCOG ad eundem. Neurologic Complications of Pregnancy and Neuraxial Anesthesia. CHESTNUT\u2019S OBSTETRIC ANESTHESIA: PRINCIPLES AND PRACTICE, SIXTH EDITION<\/li>\n\n\n\n
                  3. Ohman I, Vitols S, Tomson T. Pharmacokinetics of gabapentin during delivery, in the neonatal period, and lactation: does a fetal accumulation occur during pregnancy? Epilepsia. 2005;46:1621\u20131624.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                    C\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trong khi chuy\u1ec3n d\u1ea1 ph\u1ea7n l\u1edbn \u0111\u1ebfn t\u1eeb b\u1ec7nh l\u00fd s\u1ea3n khoa, ho\u1eb7c do d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u00e8 \u00e9p, b\u1ecb k\u00e9o c\u0103ng trong qu\u00e1 tr\u00ecnh n\u00e0y. C\u00e1c th\u1ee7 thu\u1eadt g\u00e2y t\u00ea tr\u1ee5c th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o m\u1ed9t t\u1ef7 l\u1ec7 r\u1ea5t nh\u1ecf cho c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u00e0y. […]<\/p>\n","protected":false},"author":15,"featured_media":277993,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-277992","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-vinh___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277992","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=277992"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277992\/revisions"}],"predecessor-version":[{"id":303523,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277992\/revisions\/303523"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/277993"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=277992"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=277992"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=277992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}