{"id":280670,"date":"2024-03-08T05:27:37","date_gmt":"2024-03-07T22:27:37","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thai-to-fetal-macrosomia-nguy-co-gi-cho-me-va-be\/"},"modified":"2025-11-10T11:54:19","modified_gmt":"2025-11-10T04:54:19","slug":"thai-to-fetal-macrosomia-nguy-co-gi-cho-me-va-be","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thai-to-fetal-macrosomia-nguy-co-gi-cho-me-va-be\/","title":{"rendered":"Thai to (Fetal Macrosomia) nguy c\u01a1 g\u00ec cho m\u1eb9 v\u00e0 b\u00e9?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><em>Thai to <\/em><\/strong><em>(Macrosomia)<\/em> l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef y khoa \u0111\u1ec3 ch\u1ec9 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u1ebb s\u01a1 sinh c\u00f3 c\u00e2n n\u1eb7ng l\u1edbn h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e2n n\u1eb7ng trung b\u00ecnh theo tu\u1ed5i thai. Theo Hi\u1ec7p h\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3, tr\u1ebb sinh ra c\u00f3 c\u00e2n n\u1eb7ng tr\u00ean 4.000 gram (b\u1ea5t k\u1ec3 tu\u1ed5i thai) \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thai to.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Thai-to-nguy-co-gi-cho-me-va-be-1024x768-1.jpg\" alt=\"Thai to (Fetal Macrosomia) nguy c\u01a1 g\u00ec cho m\u1eb9 v\u00e0 b\u00e9?\" class=\"wp-image-166601\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng n\u00e0y, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 do m\u1eb9 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t khi mang thai ho\u1eb7c m\u1eb9 b\u1ecb b\u00e9o ph\u00ec. Do v\u1eady, vi\u1ec7c duy tr\u00ec m\u1ed9t c\u00e2n n\u1eb7ng ph\u00f9 h\u1ee3p, ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 v\u1eadn \u0111\u1ed9ng h\u1ee3p l\u00fd s\u1ebd gi\u00fap ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-y\u1ebfu-t\u1ed1-nguy-c\u01a1\"><strong>Y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 trong thai k\u1ef3 c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 thai to g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nghi\u00ean c\u1ee9u cho th\u1ea5y, tr\u1ebb s\u01a1 sinh t\u1eeb m\u1eb9 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u1edbi \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd c\u00f3 nhi\u1ec1u nguy c\u01a1 h\u01a1n so v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p con to do y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c. So v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, con to do m\u1eb9 b\u1ecb r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng huy\u1ebft c\u00f3 t\u1ed5ng l\u01b0\u1ee3ng m\u1ee1 to\u00e0n th\u00e2n, v\u00f2ng vai v\u00e0 v\u00f2ng b\u1ee5ng l\u1edbn h\u01a1n, s\u1ed1 ng\u1ea5n \u1edf da nhi\u1ec1u h\u01a1n v\u00e0 t\u1ec9 l\u1ec7 v\u00f2ng \u0111\u1ea7u tr\u00ean v\u00f2ng b\u1ee5ng nh\u1ecf h\u01a1n. Tr\u1ebb t\u0103ng nguy c\u01a1 b\u1ecb k\u1eb9t vai l\u00fac sinh, g\u00e3y x\u01b0\u01a1ng \u0111\u00f2n, t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay. Ngo\u00e0i ra thai nhi c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng nguy c\u01a1 chung kh\u00e1c c\u1ee7a m\u1eb9 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1eb9 b\u00e9o ph\u00ec, r\u1ed1i lo\u1ea1n lipid m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u1ec1n c\u0103n sinh con tr\u00ean 4.000 gram tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Em b\u00e9 ra \u0111\u1eddi ch\u1eadm h\u01a1n so v\u1edbi ng\u00e0y d\u1ef1 sinh.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u01af\u1edbc t\u00ednh c\u00e2n n\u1eb7ng<\/strong> <strong>b\u1eb1ng c\u00e1ch n\u00e0o?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede nh\u1eefng th\u00e1ng cu\u1ed1i thai k\u1ef3, b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng si\u00eau \u00e2m \u0111\u1ec3 theo d\u00f5i s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u1ec1 k\u00edch th\u01b0\u1edbc, \u01b0\u1edbc t\u00ednh c\u00e2n n\u1eb7ng v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u00e1nh nhau v\u00e0 l\u01b0\u1ee3ng n\u01b0\u1edbc \u1ed1i. M\u1eb7c d\u00f9 si\u00eau \u00e2m kh\u00f4ng th\u1ec3 t\u00ednh ch\u00ednh x\u00e1c ho\u00e0n to\u00e0n c\u00e2n n\u1eb7ng thai nhi, nh\u01b0ng c\u00e2n n\u1eb7ng \u01b0\u1edbc t\u00ednh v\u1eabn c\u00f3 gi\u00e1 tr\u1ecb tin c\u1eady v\u1edbi kho\u1ea3ng ch\u00eanh l\u1ec7ch 10%. Ngh\u0129a l\u00e0 khi si\u00eau \u00e2m \u01b0\u1edbc t\u00ednh thai nhi n\u1eb7ng 3.000 gram, t\u1ee9c l\u00e0 c\u00e2n n\u1eb7ng thai c\u00f3 th\u1ec3 n\u1eb1m trong kho\u1ea3ng 3000 \u00b1 300 gram.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e2n n\u1eb7ng c\u1ee7a em b\u00e9 tr\u01b0\u1edbc sinh \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh d\u1ef1a tr\u00ean c\u00e1c s\u1ed1 \u0111o (v\u00f2ng \u0111\u1ea7u, v\u00f2ng b\u1ee5ng, x\u01b0\u01a1ng \u0111\u00f9i) c\u1ee7a qua si\u00eau \u00e2m v\u00e0 \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi tu\u1ed5i thai theo b\u00e1ch ph\u00e2n v\u1ecb (t\u1eeb 0 \u0111\u1ebfn 100). Khi c\u00e2n n\u1eb7ng c\u1ee7a thai nhi tr\u00ean b\u00e1ch ph\u00e2n v\u1ecb th\u1ee9 90 \u1ee9ng v\u1edbi tu\u1ed5i thai t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00f3 th\u00ec ngh\u0129a l\u00e0 con b\u1ea1n n\u1eb1m \u1edf nh\u00f3m thai l\u1edbn so v\u1edbi tu\u1ed5i (large for gestational age). Nh\u00f3m tr\u1ebb n\u00e0y c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh thai to. Do \u0111\u00f3 b\u00ean c\u1ea1nh m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 gi\u00fap ti\u00ean \u0111o\u00e1n nguy c\u01a1, si\u00eau \u00e2m c\u00f3 kh\u1ea3 n\u0103ng \u01b0\u1edbc l\u01b0\u1ee3ng c\u00e2n n\u1eb7ng tr\u01b0\u1edbc sinh v\u00e0 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p thai to, t\u1eeb \u0111\u00f3 gi\u00fap qu\u1ea3n l\u00fd thai k\u1ef3 t\u1ed1t h\u01a1n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Thai to g\u00e2y cho m\u1eb9 nguy c\u01a1 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 m\u1ed9t em b\u00e9 qu\u00e1 l\u1edbn c\u00f3 th\u1ec3 l\u00e0m t\u0103ng c\u00e1c nguy c\u01a1 cho m\u1eb9 trong v\u00e0 sau sinh. Bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng sinh d\u1ee5c m\u1eb9. \u0110\u00f4i khi c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y r\u1ea5t nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n.<\/li>\n\n\n\n<li>V\u1ee1 t\u1eed cung.<\/li>\n\n\n\n<li>B\u0103ng huy\u1ebft sau sinh.<\/li>\n\n\n\n<li>Chuy\u1ec3n d\u1ea1 k\u00e9o d\u00e0i ho\u1eb7c m\u1ed5 l\u1ea5y thai.<\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng sau sinh.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tai bi\u1ebfn c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>K\u1eb9t vai trong l\u00fac sinh.<\/li>\n\n\n\n<li>G\u00e3y x\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m r\u1ed1i th\u1ea7n kinh c\u00e1nh tay.<\/li>\n\n\n\n<li>Thai to c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 tr\u1ebb h\u00edt ph\u00e2n su, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, \u0111a h\u1ed3ng c\u1ea7u, v\u00e0ng da, suy h\u00f4 h\u1ea5p c\u1ea5p sau sinh, v.v. T\u0103ng t\u1ec9 l\u1ec7 tr\u1ebb ph\u1ea3i n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i ho\u1eb7c nh\u1eadp \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c t\u00edch c\u1ef1c s\u01a1 sinh (NICU).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra, tr\u1ebb c\u0169ng t\u0103ng nguy c\u01a1 th\u1eeba c\u00e2n, b\u00e9o ph\u00ec ho\u1eb7c m\u1eafc ph\u1ea3i \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a trong t\u01b0\u01a1ng lai.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Qu\u1ea3n l\u00fd m\u1ed9t thai k\u1ef3 c\u00f3 nguy c\u01a1 thai to ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch theo d\u00f5i, ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng v\u00e0 can thi\u1ec7p nh\u1eb1m gi\u1ea3m t\u1ec9 l\u1ec7 bi\u1ebfn ch\u1ee9ng trong kho\u1ea3ng th\u1eddi gian n\u00e0y, trong l\u00fac sinh v\u00e0 sau sinh. M\u1eb9 b\u1ea7u n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i thai k\u1ef3 t\u1ea1i m\u1ed9t c\u01a1 s\u1edf y t\u1ebf chuy\u00ean khoa ph\u1ee5 s\u1ea3n.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: B\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng v\u1edbi m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh, t\u1eadp luy\u1ec7n ph\u00f9 h\u1ee3p v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ed1t nh\u1ea5t, ph\u1ee5 n\u1eef th\u1eeba c\u00e2n, b\u00e9o ph\u00ec n\u00ean gi\u1ea3m v\u1ec1 m\u1ee9c c\u00e2n n\u1eb7ng chu\u1ea9n tr\u01b0\u1edbc khi mang thai. N\u1ebfu kh\u00f4ng, m\u1eb9 b\u1ea7u th\u1eeba c\u00e2n, b\u00e9o ph\u00ec n\u00ean \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 t\u1eadp luy\u1ec7n v\u1edbi m\u1ee5c ti\u00eau t\u0103ng c\u00e2n theo khuy\u1ebfn ngh\u1ecb.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u1ef1a ch\u1ecdn bi\u1ec7n ph\u00e1p sinh m\u1ed5 n\u1ebfu c\u00e2n n\u1eb7ng thai nhi \u01b0\u1edbc t\u00ednh tr\u00ean 4.000 gram.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u1ebb s\u01a1 sinh tr\u00ean 4.000 gram n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 sau sinh nh\u01b0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, v\u00e0ng da, suy h\u00f4 h\u1ea5p, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, g\u00e3y x\u01b0\u01a1ng\u2026<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>*B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi s\u1ef1 t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n c\u1ee7a BS.CKI. Nguy\u1ec5n V\u0103n Nam \u2013 Khoa S\u1ea3n, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chi ti\u1ebft, vui l\u00f2ng li\u00ean h\u1ec7 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ph\u00f2ng Ch\u0103m s\u00f3c kh\u00e1ch h\u00e0ng: 0901747173<\/li>\n\n\n\n<li>\u0110\u1ecba ch\u1ec9: S\u1ed1 99, \u0111\u01b0\u1eddng Ph\u1ea1m \u0110\u00ecnh To\u00e1i, x\u00e3 Nghi Ph\u00fa, TP. Vinh, t\u1ec9nh Ngh\u1ec7 An<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Thai to (Macrosomia) l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef y khoa \u0111\u1ec3 ch\u1ec9 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u1ebb s\u01a1 sinh c\u00f3 c\u00e2n n\u1eb7ng l\u1edbn h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e2n n\u1eb7ng trung b\u00ecnh theo tu\u1ed5i thai. Theo Hi\u1ec7p h\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3, tr\u1ebb sinh ra c\u00f3 c\u00e2n n\u1eb7ng tr\u00ean 4.000 gram (b\u1ea5t k\u1ec3 tu\u1ed5i thai) \u0111\u01b0\u1ee3c g\u1ecdi [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":280671,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-280670","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\/280670","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=280670"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280670\/revisions"}],"predecessor-version":[{"id":298415,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280670\/revisions\/298415"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280671"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280670"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280670"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280670"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}