{"id":280809,"date":"2024-04-17T11:53:17","date_gmt":"2024-04-17T04:53:17","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhiem-khuan-tiet-nieu-o-phu-nu-mang-thai-va-nhung-dieu-can-luu-y\/"},"modified":"2025-11-10T11:54:15","modified_gmt":"2025-11-10T04:54:15","slug":"nhiem-khuan-tiet-nieu-o-phu-nu-mang-thai-va-nhung-dieu-can-luu-y","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhiem-khuan-tiet-nieu-o-phu-nu-mang-thai-va-nhung-dieu-can-luu-y\/","title":{"rendered":"Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Banner-nhiem-khuan-tiet-nieu-1024x768-1.jpg\" alt=\"Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd\" class=\"wp-image-167389\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong>Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u<\/strong> l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef mang thai v\u1edbi t\u1ec9 l\u1ec7 m\u1eafc m\u1edbi kho\u1ea3ng 8%, trong \u0111\u00f3 c\u00f3 t\u1eeb 1 \u2013 2% ng\u01b0\u1eddi b\u1ec7nh xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 2 \u2013 13% kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng thay \u0111\u1ed5i sinh l\u00fd trong thai k\u1ef3 khi\u1ebfn ph\u1ee5 n\u1eef mang thai d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u. C\u1ee5 th\u1ec3, do t\u00e1c \u0111\u1ed9ng ch\u1ed1ng co th\u1eaft c\u1ee7a progesterone v\u00e0 s\u1ef1 ch\u00e8n \u00e9p c\u1ee7a t\u1eed cung l\u00ean b\u00e0ng quang, kh\u1ea3 n\u0103ng t\u1ed1ng tho\u00e1t c\u1ee7a b\u00e0ng quang suy gi\u1ea3m l\u00e0m t\u0103ng th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u t\u1ed3n l\u01b0u v\u00e0 t\u0103ng nguy c\u01a1 ng\u01b0\u1ee3c d\u00f2ng b\u00e0ng quang \u2013 ni\u1ec7u qu\u1ea3n. Ngo\u00e0i ra, s\u1ef1 thay \u0111\u1ed5i \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn trong qu\u00e1 tr\u00ecnh mang thai l\u00e0m t\u0103ng \u0111\u1ed9 c\u00f4 \u0111\u1eb7c glucose &#8211; ni\u1ec7u v\u00e0 t\u00ednh ch\u1ea5t ki\u1ec1m c\u1ee7a n\u01b0\u1edbc ti\u1ec3u c\u0169ng t\u1ea1o thu\u1eadn l\u1ee3i cho vi tr\u00f9ng ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u s\u1ebd \u0111\u01b0a \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng vi\u00eam th\u1eadn &#8211; b\u1ec3 th\u1eadn, tr\u1ebb sinh thi\u1ebfu c\u00e2n, sinh non v\u00e0 \u0111\u00f4i khi \u0111\u01b0a \u0111\u1ebfn thai ch\u1ebft l\u01b0u.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tri\u1ec7u-ch\u1ee9ng-lam-sang\"><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai chia l\u00e0m 3 lo\u1ea1i: Nhi\u1ec5m khu\u1ea9n kh\u00f4ng tri\u1ec7u ch\u1ee9ng, vi\u00eam b\u00e0ng quang c\u1ea5p, vi\u00eam th\u1eadn &#8211; b\u1ec3 th\u1eadn c\u1ea5p.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u kh\u00f4ng tri\u1ec7u ch\u1ee9ng: <\/strong>Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u. C\u1ea5y n\u01b0\u1edbc ti\u1ec3u c\u00f3 10<sup>5 <\/sup>cfu\/ml. \u1ede ph\u1ee5 n\u1eef c\u00f3 thai n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, 20 \u2013 40% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p khu\u1ea9n ni\u1ec7u kh\u00f4ng tri\u1ec7u ch\u1ee9ng s\u1ebd di\u1ec5n ti\u1ebfn \u0111\u1ebfn vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn c\u1ea5p.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vi\u00eam b\u00e0ng quang c\u1ea5p:<\/strong> Bi\u1ec3u hi\u1ec7n c\u1ee7a vi\u00eam b\u00e0ng quang c\u1ea5p g\u1ed3m ti\u1ec3u g\u1ea5p, ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u \u0111au, ti\u1ec3u m\u1ee7, ti\u1ec3u m\u00e1u v\u00e0 kh\u00f4ng k\u00e8m tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n. C\u1ea5y n\u01b0\u1edbc ti\u1ec3u c\u00f3 tr\u00ean 10<sup>5 <\/sup>cfu\/ml.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vi\u00eam th\u1eadn &#8211; b\u1ec3 th\u1eadn c\u1ea5p: <\/strong>\u0110\u00e2y l\u00e0 lo\u1ea1i nhi\u1ec5m tr\u00f9ng ni\u1ec7u nguy hi\u1ec3m trong thai k\u1ef3 v\u00ec c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng cho thai ph\u1ee5. Vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn d\u1ec5 x\u1ea3y ra \u1edf nh\u1eefng thai ph\u1ee5 c\u00f3 ti\u1ec1n s\u1eed vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn, c\u00f3 b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu h\u1ec7 ti\u1ebft ni\u1ec7u ho\u1eb7c c\u00f3 s\u1ecfi ni\u1ec7u, th\u01b0\u1eddng x\u1ea3y ra v\u00e0o 6 th\u00e1ng cu\u1ed1i thai k\u00ec. Do t\u01b0 th\u1ebf gi\u1ea3i ph\u1eabu c\u1ee7a t\u1eed cung khi mang thai c\u00f3 khuynh h\u01b0\u1edbng nghi\u00eang v\u00e0 ch\u00e8n \u00e9p sang ph\u1ea3i, n\u00ean \u0111a s\u1ed1 vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eadn ph\u1ea3i nhi\u1ec1u h\u01a1n th\u1eadn tr\u00e1i. C\u00e1c ch\u1ee7ng vi khu\u1ea9n g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p l\u00e0 E coli, Klebsiella pneumoniae. Vi\u00eam th\u1eadn \u2013 b\u1ec3 th\u1eadn c\u1ea5p l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y s\u1ed1c nhi\u1ec5m tr\u00f9ng \u1edf ph\u1ee5 n\u1eef c\u00f3 thai, t\u0103ng t\u1ec9 l\u1ec7 sinh non. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng bao g\u1ed3m: \u0110au v\u00f9ng h\u00f4ng l\u01b0ng, s\u1ed1t tr\u00ean 38 \u0111\u1ed9 C, th\u01b0\u1eddng s\u1ed1t r\u00e9t run, c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam b\u00e0ng quang ho\u1eb7c n\u00f4n, bu\u1ed3n n\u00f4n.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0 vi\u00eam b\u00e0ng quang:<\/strong> \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh theo k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y v\u00e0 kh\u00e1ng sinh \u0111\u1ed3, th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 5 &#8211; 7 ng\u00e0y. C\u00e1c l\u1ef1a ch\u1ecdn kh\u00e1ng sinh theo kinh nghi\u1ec7m \u0111\u01b0\u1eddng u\u1ed1ng bao g\u1ed3m: Amoxxicillin, amoxicillin &#8211; clavulanate, cephalexin,\u2026<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vi\u00eam th\u1eadn b\u1ec3 th\u1eadn c\u1ea5p:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t d\u1ef1a v\u00e0o k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y v\u00e0 kh\u00e1ng sinh \u0111\u1ed3.<\/li>\n\n\n\n<li>Ph\u00e1c \u0111\u1ed3 kh\u00e1ng sinh \u01b0u ti\u00ean l\u00e0 beta lactam ph\u1ed5 r\u1ed9ng: Ceftriaxone, cefepime.<\/li>\n\n\n\n<li>Tr\u01b0\u1eddng h\u1ee3p vi\u00eam th\u1eadn b\u1ec3 th\u1eadn n\u1eb7ng, c\u00f3 t\u1eafc ngh\u1ebdn: \u01afu ti\u00ean piperracillin &#8211; tazobactam, meropenem.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi d\u00f9ng kh\u00e1ng sinh th\u00edch h\u1ee3p, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd h\u1ebft tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ebft s\u1ed1t trong v\u00f2ng 48 gi\u1edd &#8211; 72 gi\u1edd. N\u1ebfu sau 72 gi\u1edd d\u00f9ng kh\u00e1ng sinh, ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng, ch\u1ee9ng t\u1ecf vi khu\u1ea9n kh\u00e1ng thu\u1ed1c ho\u1eb7c c\u00f3 s\u1ecfi ti\u1ebft ni\u1ec7u, hay c\u00f3 d\u1ecb d\u1ea1ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Trong t\u00ecnh hu\u1ed1ng n\u00e0y, n\u00ean th\u00eam v\u00e0o ho\u1eb7c thay th\u1ebf kh\u00e1ng sinh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u00f2ng b\u1ec7nh nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc m\u1ed7i ng\u00e0y theo c\u00e2n n\u1eb7ng.<strong><\/strong><\/li>\n\n\n\n<li>V\u1ec7 sinh b\u1ed9 ph\u1eadn sinh d\u1ee5c s\u1ea1ch s\u1ebd, kh\u00f4 tho\u00e1ng.<strong><\/strong><\/li>\n\n\n\n<li>Kh\u00f4ng nh\u1ecbn ti\u1ec3u l\u00e2u.<strong><\/strong><\/li>\n\n\n\n<li>Ph\u00f2ng tr\u00e1nh&nbsp;t\u00ecnh tr\u1ea1ng vi\u00eam \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u sau khi quan h\u1ec7&nbsp;b\u1eb1ng c\u00e1ch v\u1ec7 sinh v\u00f9ng ni\u1ec7u \u0111\u1ea1o s\u1ea1ch s\u1ebd tr\u01b0\u1edbc v\u00e0 sau quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u \u1edf ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho c\u1ea3 m\u1eb9 v\u00e0 thai nhi. Ch\u00ednh v\u00ec v\u1eady, khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nghi ng\u1edd, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 b\u00e1c s\u0129 chuy\u00ean khoa ki\u1ec3m tra, ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\"><em>B\u00e1c s\u0129 T\u1ea1 Th\u1ecb Xoan \u2013 Khoa N\u1ed9i t\u1ed5ng qu\u00e1t, 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: <a href=\"tel: 0901747173\">0901747173<\/a><\/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>Nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef mang thai v\u1edbi t\u1ec9 l\u1ec7 m\u1eafc m\u1edbi kho\u1ea3ng 8%, trong \u0111\u00f3 c\u00f3 t\u1eeb 1 \u2013 2% ng\u01b0\u1eddi b\u1ec7nh xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 2 \u2013 13% kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Nh\u1eefng thay \u0111\u1ed5i sinh l\u00fd trong thai k\u1ef3 khi\u1ebfn ph\u1ee5 n\u1eef mang thai [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":280810,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-280809","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\/280809","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=280809"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280809\/revisions"}],"predecessor-version":[{"id":298125,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280809\/revisions\/298125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280810"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}