{"id":14700,"date":"2024-08-21T11:07:37","date_gmt":"2024-08-21T04:07:37","guid":{"rendered":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/?p=14700"},"modified":"2024-08-21T11:22:53","modified_gmt":"2024-08-21T04:22:53","slug":"benh-ly-gay-mu-o-tre-em","status":"publish","type":"post","link":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/benh-ly-gay-mu-o-tre-em\/","title":{"rendered":"B\u1ec7nh l\u00fd g\u00e2y m\u00f9 \u1edf tr\u1ebb em"},"content":{"rendered":"<p><strong>B\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em<\/strong><\/p>\n<p>B\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00e0nh ph\u1ea7n trong su\u1ed1t c\u1ee7a m\u1eaft (th\u00e0nh ph\u1ea7n d\u1eabn truy\u1ec1n \u00e1nh s\u00e1ng) v\u00e0 b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ea7n d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u th\u1ecb gi\u00e1c.<\/p>\n<p>\u0110\u1ec3 ch\u00fang ta th\u1ea5y \u0111\u01b0\u1ee3c m\u1ed9t v\u1eadt, \u00e1nh s\u00e1ng t\u1eeb v\u1eadt c\u1ea7n truy\u1ec1n \u0111\u1ebfn v\u00f5ng m\u1ea1c m\u1eaft, \u0111i qua l\u1ea7n l\u01b0\u1ee3t c\u00e1c th\u00e0nh ph\u1ea7n trong su\u1ed1t c\u1ee7a m\u1eaft. \u00c1nh s\u00e1ng \u0111i v\u00e0o m\u1eaft th\u00f4ng qua gi\u00e1c m\u1ea1c \u1edf ngo\u00e0i c\u00f9ng c\u1ee7a tr\u00f2ng \u0111en, xuy\u00ean qua l\u1ed7 \u0111\u1ed3ng t\u1eed \u0111\u1ebfn th\u1ee7y tinh th\u1ec3. Gi\u1eefa gi\u00e1c m\u1ea1c v\u00e0 th\u1ee7y tinh th\u1ec3 l\u00e0 m\u00f4i tr\u01b0\u1eddng ch\u1ea5t l\u1ecfng trong su\u1ed1t g\u1ecdi l\u00e0 th\u1ee7y d\u1ecbch, c\u00f3 vai tr\u00f2 nu\u00f4i d\u01b0\u1ee1ng gi\u00e1c m\u1ea1c v\u00e0 \u0111\u1ea3m b\u1ea3o m\u00f4i tr\u01b0\u1eddng trong su\u1ed1t cho \u00e1nh s\u00e1ng \u0111i qua. \u00c1nh s\u00e1ng s\u1ebd truy\u1ec1n qua th\u1ee7y tinh th\u1ec3 \u0111\u01b0\u1ee3c treo l\u01a1 l\u1eedng gi\u1eefa nh\u00e3n c\u1ea7u n\u1eb1m b\u1eb1ng c\u00e1c d\u00e2y ch\u1eb1ng Zinn ngay sau l\u1ed7 \u0111\u1ed3ng t\u1eed. Khi qua \u0111\u01b0\u1ee3c gi\u00e1c m\u1ea1c v\u00e0 th\u1ee7y tinh th\u1ec3, \u00e1nh s\u00e1ng s\u1ebd \u0111\u01b0\u1ee3c h\u1ed9i t\u1ee5 v\u00e0 truy\u1ec1n ti\u1ebfp qua m\u00f4i tr\u01b0\u1eddng trong su\u1ed1t kh\u00e1c l\u00e0 d\u1ecbch k\u00ednh \u0111\u1ec3 cho \u1ea3nh tr\u00ean v\u00f5ng m\u1ea1c. \u00c1nh s\u00e1ng c\u1ee7a v\u1eadt sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh c\u00e1c t\u00edn hi\u1ec7u \u0111i\u1ec7n \u1edf v\u00f5ng m\u1ea1c nh\u1edd v\u00e0o c\u00e1c t\u1ebf b\u00e0o th\u1ecb gi\u00e1c c\u1ee7a v\u00f5ng m\u1ea1c v\u00e0 theo th\u1ea7n kinh th\u1ecb gi\u00e1c (gai th\u1ecb) truy\u1ec1n \u0111\u1ebfn n\u00e3o.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" width=\"757\" height=\"473\" class=\"wp-image-14701\" src=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-1.png\" srcset=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-1.png 757w, https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-1-300x187.png 300w\" sizes=\"(max-width: 706px) 89vw, (max-width: 767px) 82vw, 740px\" \/><\/p>\n<p>H\u00ecnh: Gi\u1ea3i ph\u1eabu nh\u00e3n c\u1ea7u c\u1eaft d\u1ecdc<\/p>\n<p>B\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em c\u00f3 th\u1ec3 do t\u00e1c \u0111\u1ed9ng l\u00ean b\u1ea5t c\u1ee9 th\u00e0nh ph\u1ea7n n\u00e0o tr\u00ean \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n trong su\u1ed1t c\u1ee7a \u00e1nh s\u00e1ng (gi\u00e1c m\u1ea1c, th\u1ee7y d\u1ecbch, \u0111\u1ed3ng t\u1eed, th\u1ee7y tinh th\u1ec3, th\u1ee7y d\u1ecbch v\u00e0 v\u00f5ng m\u1ea1c) ho\u1eb7c \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u \u1edf n\u00e3o b\u1ed9.<\/p>\n<p>B\u1ec7nh l\u00fd \u1edf gi\u00e1c m\u1ea1c g\u00e2y m\u00f9 \u1edf tr\u1ebb em bao g\u1ed3m vi\u00eam lo\u00e9t gi\u00e1c m\u1ea1c, s\u1eb9o gi\u00e1c m\u1ea1c v\u00e0 lo\u1ea1n d\u01b0\u1ee1ng gi\u00e1c m\u1ea1c. C\u00e1c b\u1ec7nh n\u00e0y g\u00e2y s\u1eb9o ho\u1eb7c l\u00e0m m\u1ea5t \u0111i t\u00ednh trong su\u1ed1t c\u1ee7a gi\u00e1c m\u1ea1c, khi\u1ebfn \u00e1nh s\u00e1ng kh\u00f4ng th\u1ec3 \u0111i qua. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do tr\u1ea7y x\u01b0\u1edbc ho\u1eb7c do vi khu\u1ea9n, virus, ho\u1eb7c do thu\u1ed1c g\u00e2y n\u00ean.<\/p>\n<p>B\u1ec7nh l\u00fd g\u00e2y m\u00f9 \u1edf tr\u1ebb em ti\u1ebfp theo l\u00e0 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o, d\u1eabn \u0111\u1ebfn d\u1ecb d\u1ea1ng \u1edf ph\u1ea7n tr\u00f2ng \u0111en, \u0111\u1ed3ng t\u1eed, c\u00f3 th\u1ec3 g\u00e2y b\u00edt \u0111\u1ed3ng t\u1eed kh\u00f4ng cho \u00e1nh s\u00e1ng l\u1ecdt qua v\u00e0 l\u00e0m m\u00f9 m\u1eaft.<\/p>\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em c\u00f3 c\u00f9ng tri\u1ec7u ch\u1ee9ng \u201c\u0111\u1ed3ng t\u1eed tr\u1eafng\u201d nh\u01b0 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u1ed3n l\u01b0u d\u1ecbch k\u00ednh nguy\u00ean ph\u00e1t, v\u00e0 b\u1ec7nh l\u00fd v\u00f5ng m\u1ea1c nh\u01b0 ung th\u01b0 nguy\u00ean b\u00e0o v\u00f5ng m\u1ea1c, khuy\u1ebft v\u00f5ng m\u1ea1c, b\u1ec7nh v\u00f5ng m\u1ea1c tr\u1ebb sinh non, bong v\u00f5ng m\u1ea1c. C\u00e1c b\u1ec7nh l\u00fd m\u1eaft n\u00e0y l\u00e0m m\u1ea5t \u0111i m\u00f4i tr\u01b0\u1eddng trong su\u1ed1t c\u1ee7a m\u1eaft, khi\u1ebfn cho kh\u00f4ng th\u1ec3 ti\u1ebfp nh\u1eadn \u00e1nh s\u00e1ng, ho\u1eb7c \u00e1nh s\u00e1ng kh\u00f4ng \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh t\u00edn hi\u1ec7u \u0111i\u1ec7n. B\u1ec7nh l\u00fd nh\u00f3m n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n do b\u1ea9m sinh, sau ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c sau vi\u00eam nhi\u1ec5m k\u00fd sinh tr\u00f9ng. \u0110\u1eb7c bi\u1ec7t, b\u1ec7nh v\u00f5ng m\u1ea1c tr\u1ebb sinh non (ROP) l\u00e0 b\u1ec7nh ph\u1ed5 bi\u1ebfn khi ng\u00e0y c\u00e0ng nhi\u1ec1u tr\u1ebb sinh non. Theo nghi\u00ean c\u1ee9u, tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng l\u00fac sinh t\u1eeb 1.000 &#8211; 1.251 gram c\u00f3 47% m\u1eafc ROP.<\/p>\n<p><img decoding=\"async\" width=\"353\" height=\"190\" class=\"wp-image-14702\" src=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-2.png\" srcset=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-2.png 353w, https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/word-image-14700-2-300x161.png 300w\" sizes=\"(max-width: 353px) 100vw, 353px\" \/><\/p>\n<p>H\u00ecnh: \u0110\u1ee5c thu\u1ef7 tinh th\u1ec3 b\u1ea9m sinh<\/p>\n<p>B\u1ec7nh l\u00fd g\u00e2y m\u00f9 do t\u00e1c \u0111\u1ed9ng l\u00ean th\u1ea7n kinh th\u1ecb gi\u00e1c c\u00f3 glaucoma, t\u0103ng nh\u00e3n \u00e1p, b\u1ec7nh di truy\u1ec1n (Leber), ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u, u ch\u00e8n \u00e9p, \u0111\u1ed9c th\u1ea7n kinh do thu\u1ed1c.<\/p>\n<p><img decoding=\"async\" width=\"240\" height=\"210\" class=\"wp-image-14704\" src=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/kaot-quaopound-hanh-aopoundnh-cho-congenital-glaucoma.jpeg\" alt=\"K\u00e1\u00ba\u00bft qu\u00e1\u00ba\u00a3 h\u00c3\u00acnh \u00e1\u00ba\u00a3nh cho congenital glaucoma\" \/><\/p>\n<p>H\u00ecnh: Glaucoma b\u1ea9m sinh<\/p>\n<p>Khi \u00e1nh s\u00e1ng kh\u00f4ng \u0111\u1ebfn \u0111\u01b0\u1ee3c v\u00f5ng m\u1ea1c, v\u00f5ng m\u1ea1c kh\u00f4ng \u0111\u01b0\u1ee3c k\u00edch th\u00edch, m\u1eaft s\u1ebd c\u00f3 th\u1ec3 b\u1ecb nh\u01b0\u1ee3c th\u1ecb, suy gi\u1ea3m th\u1ecb l\u1ef1c. Nh\u01b0\u1ee3c th\u1ecb n\u1eb7ng c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ee5c h\u1ed3i, th\u01b0\u1eddng do nguy\u00ean nh\u00e2n l\u00e9, b\u1ea5t \u0111\u1ed3ng kh\u00fac x\u1ea1, t\u1eadt kh\u00fac x\u1ea1 \u0111\u1ed9 cao, b\u1ec7nh l\u00fd b\u1ea9m sinh g\u00e2y ng\u0103n c\u1ea3n \u0111\u01b0\u1eddng truy\u1ec1n s\u00e1ng (s\u1ee5p mi b\u1ea9m sinh, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 b\u1ea9m sinh, s\u1eb9o gi\u00e1c m\u1ea1c).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"258\" height=\"196\" class=\"wp-image-14706\" src=\"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-content\/uploads\/2024\/08\/close-up-of-a-childs-face-description-automatica.png\" alt=\"Close-up of a child's face\n\nDescription automatically generated\" \/><\/p>\n<p>H\u00ecnh: M\u1eaft tr\u00e1i l\u00e9<\/p>\n<p><strong>Khi n\u00e0o c\u1ea7n cho tr\u1ebb kh\u00e1m m\u1eaft<\/strong><\/p>\n<p>D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o b\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm bao g\u1ed3m \u0111\u1ed3ng t\u1eed tr\u1eafng, rung gi\u1eadt nh\u00e3n c\u1ea7u, s\u1ee5p mi, gi\u00e1c m\u1ea1c (tr\u00f2ng \u0111en) m\u1edd, to ho\u1eb7c nh\u1ecf, l\u00e9.<\/p>\n<p>D\u1ea5u hi\u1ec7u gi\u00e1n ti\u1ebfp c\u1ea3nh b\u00e1o b\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em d\u1ec5 nh\u1eadn bi\u1ebft nh\u01b0 tr\u1ebb kh\u00f3 \u0111\u1ecdc, kh\u00f4ng sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c, nh\u00ecn g\u1ea7n, s\u1ee3 \u00e1nh s\u00e1ng, hay t\u01b0 th\u1ebf \u0111\u1ea7u b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>Ngo\u00e0i ra c\u00f2n b\u1ec7nh l\u00fd to\u00e0n th\u00e2n c\u00f3 \u1ea3nh h\u01b0\u1edfng \u1edf m\u1eaft nh\u01b0 H\u1ed9i ch\u1ee9ng Down, b\u1ea5t th\u01b0\u1eddng s\u1ecd b\u1ea9m sinh, H\u1ed9i ch\u1ee9ng Marfan. \u0110\u1eb7c bi\u1ec7t khi trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi th\u00e2n m\u1eafc b\u1ec7nh \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 b\u1ea9m sinh, ung th\u01b0 nguy\u00ean b\u00e0o v\u00f5ng m\u1ea1c, glaucoma b\u1ea9m sinh, b\u1ec7nh Leber, vi\u00eam v\u00f5ng m\u1ea1c s\u1eafc t\u1ed1, c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111\u1ebfn kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t.<\/p>\n<p>Khuy\u1ebfn ngh\u1ecb l\u1ecbch kh\u00e1m s\u00e0ng l\u1ecdc th\u1ecb gi\u00e1c \u1edf tr\u1ebb:<\/p>\n<ul>\n<li>L\u1ecbch khuy\u1ebfn ngh\u1ecb\n<ul>\n<li>L\u1ea7n 1: 6 th\u00e1ng-1 tu\u1ed5i<\/li>\n<li>L\u1ea7n 2: 3-5 tu\u1ed5i<\/li>\n<li>\u2265 6 tu\u1ed5i: h\u1eb1ng n\u0103m<\/li>\n<\/ul>\n<\/li>\n<li>Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o<\/li>\n<li>Tr\u1ebb sinh non:\n<ul>\n<li>Tu\u1ed5i thai \u2264 34 tu\u1ea7n<\/li>\n<li>C\u00e2n n\u1eb7ng khi sinh \u2264 2kg<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>ThS.BS V\u00f5 Th\u1ecb B\u1ea3o Ch\u00e2u<\/strong><\/p>\n<p><strong>Ph\u00f3 Tr\u01b0\u1edfng B\u1ed9 m\u00f4n Kh\u00fac x\u1ea1 Nh\u00e3n khoa<\/strong><\/p>\n<p><strong>Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Nh\u1ecdc Th\u1ea1ch<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em B\u1ec7nh l\u00fd m\u1eaft g\u00e2y m\u00f9 \u1edf tr\u1ebb em c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00e0nh ph\u1ea7n trong su\u1ed1t c\u1ee7a m\u1eaft (th\u00e0nh ph\u1ea7n d\u1eabn truy\u1ec1n \u00e1nh s\u00e1ng) v\u00e0 b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ea7n d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u th\u1ecb gi\u00e1c. \u0110\u1ec3 [&hellip;]<\/p>\n","protected":false},"author":75,"featured_media":14632,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-14700","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/14700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/users\/75"}],"replies":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/comments?post=14700"}],"version-history":[{"count":1,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/14700\/revisions"}],"predecessor-version":[{"id":14723,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/posts\/14700\/revisions\/14723"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/media\/14632"}],"wp:attachment":[{"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/media?parent=14700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/categories?post=14700"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/phongkhamdaihocypnt.edu.vn\/wp\/wp-json\/wp\/v2\/tags?post=14700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}