{"id":7912,"date":"2015-07-23T22:49:16","date_gmt":"2015-07-23T15:49:16","guid":{"rendered":"https:\/\/dochoitreem.com\/?p=7912"},"modified":"2019-07-13T02:10:37","modified_gmt":"2019-07-12T19:10:37","slug":"nhung-loai-vac-xin-can-tiem-phong-truoc-khi-mang-thai","status":"publish","type":"post","link":"https:\/\/dochoitreem.com\/nhung-loai-vac-xin-can-tiem-phong-truoc-khi-mang-thai\/","title":{"rendered":"Nh\u1eefng lo\u1ea1i v\u1eafc xin c\u1ea7n ti\u00eam ph\u00f2ng tr\u01b0\u1edbc khi mang thai"},"content":{"rendered":"

\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe<\/a> cho m\u1eb9 b\u1ea7u v\u00e0 thai nhi m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 tri\u1ec7t \u0111\u1ec3 trong qu\u00e1 tr\u00ecnh mang thai. Nh\u1eefng ph\u1ee5 n\u1eef khi b\u1eaft \u0111\u1ea7u chu\u1ea9n b\u1ecb mang thai<\/a>, c\u1ea7n l\u01b0u \u00fd ti\u00eam ph\u00f2ng c\u00e1c lo\u1ea1i v\u1eafc xin \u0111\u1ea7y \u0111\u1ee7, tr\u00e1nh mang l\u1ea1i nh\u1eefng d\u1ecb t\u1eadt kh\u00f4ng \u0111\u00e1ng c\u00f3 cho con. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng lo\u1ea1i v\u1eafc xin c\u1ea7n ti\u00eam ph\u00f2ng tr\u01b0\u1edbc khi mang thai. C\u00e1c m\u1eb9 h\u00e3y c\u00f9ng tham kh\u1ea3o nh\u00e9.<\/p>\n

1. V\u1eafc xin Rubella<\/h2>\n

Rubella l\u00e0 t\u00ean m\u1ed9t lo\u1ea1i vi r\u00fat c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y truy\u1ec1n m\u1ea1nh qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, b\u1ec7nh d\u1ec5 ph\u00e1t tri\u1ec3n v\u00e0 lan r\u1ed9ng v\u00e0o m\u00f9a \u0111\u00f4ng v\u00e0 m\u00f9a xu\u00e2n, vi r\u00fat n\u00e0y c\u00f3 th\u1ec3 hi\u1ec7n di\u1ec7n ph\u00e1t tri\u1ec3n \u1edf kh\u1eafp n\u01a1i tr\u00ean th\u1ebf gi\u1edbi\u00a0v\u1edbi th\u1eddi gian \u1ee7 b\u1ec7nh trong c\u01a1 th\u1ec3 t\u1eeb 12 \u0111\u1ebfn\u00a023 ng\u00e0y khi\u1ebfn ch\u00fang ta r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft ch\u00fang.<\/p>\n

\"nhung<\/p>\n

Trong kho\u1ea3ng 12 tu\u1ea7n \u0111\u1ea7u ti\u00ean c\u1ee7a thai k\u00ec l\u00e0 th\u1eddi \u0111i\u1ec3m nh\u1ea1y c\u1ea3m nguy hi\u1ec3m nh\u1ea5t n\u1ebfu ng\u01b0\u1eddi m\u1eb9 b\u1ecb nhi\u1ec5m virut Rubella, v\u00ec virut n\u00e0y c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111i qua m\u00e1u ng\u01b0\u1eddi m\u1eb9 \u0111\u1ec3 v\u00e0o thai nhi trong giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t v\u00e0 to\u00e0n ph\u00e1t c\u1ee7a b\u1ec7nh, r\u1ed3i ph\u00e1 h\u1ee7y ho\u1eb7c l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i thai, t\u1eeb \u0111\u00f3 g\u00e2y ra vi\u1ec7c thai ch\u1ebft l\u01b0u ho\u1eb7c h\u1ed9i ch\u1ee9ng Rubella b\u1ea9m sinh g\u00e2y ra c\u00e1c khuy\u1ebft t\u1eadt \u1edf n\u00e3o, tim, tai, m\u1eaft.<\/p>\n

C\u00e1c m\u1eb9 c\u1ea7n ti\u00eam v\u1eafc xin rubella tr\u01b0\u1edbc khi mang thai ba th\u00e1ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

2.\u00a0Ch\u1ee7ng ng\u1eeba c\u00fam<\/h2>\n

C\u1ea3m c\u00fam v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t, h\u1eaft h\u01a1i, s\u1ed5 m\u0169i l\u00e0 c\u0103n b\u1ec7nh ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng g\u1eb7p \u1edf m\u1ecdi \u0111\u1ed1i t\u01b0\u1ee3ng. B\u1ec7nh d\u1ec5 ch\u1eefa, d\u1ec5 kh\u1ecfi n\u1ebfu b\u1ea1n \u0111i\u1ec1u tr\u1ecb \u0111\u00fang thu\u1ed1c, gi\u1eef v\u1ec7 sinh trong th\u1eddi gian l\u00e2y b\u1ec7nh.\u00a0Tuy nhi\u00ean, v\u1edbi ph\u1ee5 n\u1eef mang thai b\u1ecb nhi\u1ec5m c\u00fam, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong th\u1eddi gian 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 c\u00f3 th\u1ec3 khi\u1ebfn thai nhi b\u1ecb d\u1ecb t\u1eadt b\u1ea9m sinh. \u0110\u1ec3 ph\u00f2ng tr\u00e1nh r\u1ee7i ro, ch\u1ecb em c\u1ea7n ti\u00eam ph\u00f2ng c\u00fam tr\u01b0\u1edbc khi mang thai.<\/p>\n

\"nhung<\/p>\n

M\u0169i ti\u00eam ph\u00f2ng c\u00fam c\u00f3 \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 thai ngay sau khi ti\u00eam v\u00e0 th\u1eadm ch\u00ed l\u00e0 ti\u00eam \u0111\u01b0\u1ee3c trong thai k\u1ef3 n\u1ebfu nh\u01b0 m\u1eb9 b\u1ea7u mang thai trong m\u00f9a c\u00fam di\u1ec5n ra cao \u0111i\u1ec3m.<\/p>\n

3. V\u1eafc xin ti\u00eam ng\u1eeba th\u1ee7y \u0111\u1eadu (tr\u00e1i r\u1ea1)<\/h2>\n

Th\u1ee7y \u0111\u1eadu hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh tr\u00e1i r\u1ea1, l\u00e0 b\u1ec7nh do vi r\u00fat VRV – Variceslla zoster vi r\u00fat g\u00e2y ra v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ng\u01b0\u1eddi m\u1ec7t m\u1ecfi, s\u1ed1t, kh\u1eafp ng\u01b0\u1eddi n\u1ed5i c\u00e1c b\u1ecdng n\u01b0\u1edbc. B\u1ec7nh khi ra gi\u00f3 s\u1ebd lan ra nhi\u1ec1u h\u01a1n. Trong qu\u00e1 tr\u00ecnh mang thai, n\u1ebfu m\u1eb9 b\u1ea7u m\u1eafc ph\u1ea3i b\u1ec7nh th\u1ee7y \u0111\u1eadu s\u1ebd r\u1ea5t nguy hi\u1ec3m cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9.<\/p>\n

Ph\u1ee5 n\u1eef mang thai m\u1eafc th\u1ee7y \u0111\u1eadu trong thai k\u1ef3 c\u00f3 th\u1ec3 \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u nguy c\u01a1:<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p thai d\u01b0\u1edbi 13 tu\u1ea7n tu\u1ed5i, kh\u1ea3 n\u0103ng s\u1ebd m\u1eafc H\u1ed9i ch\u1ee9ng th\u1ee7y \u0111\u1eadu b\u1ea9m sinh, d\u1ecb t\u1eadt b\u1ea9m sinh.<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p thai d\u01b0\u1edbi 20 tu\u1ea7n, h\u1ea7u nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi.<\/p>\n

\"nhung<\/p>\n

– N\u1ebfu g\u1ea7n ng\u00e0y sinh, thai ph\u1ee5 m\u1eafc ph\u1ea3i th\u1ee7y \u0111\u1eadu th\u00ec kh\u1ea3 n\u0103ng l\u00e2y b\u1ec7nh cho con l\u00e0 r\u1ea5t cao, do b\u00e9 m\u1eafc th\u1ee7y \u0111\u1eadu lan t\u1ecfa v\u00ec m\u1eb9 ch\u01b0a t\u1ea1o \u0111\u01b0\u1ee3c kh\u00e1ng th\u1ec3 truy\u1ec1n cho thai nhi tr\u01b0\u1edbc khi sinh. Tr\u1ebb sinh ra \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 vi\u00eam ph\u1ed5i, d\u1ecb t\u1eadt c\u00e1c chi, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3,…<\/p>\n

Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, ch\u1ecb em cho r\u1eb1ng m\u00ecnh \u0111\u00e3 t\u1eebng m\u1eafc th\u1ee7y \u0111\u1eadu l\u00fac b\u00e9 n\u00ean coi th\u01b0\u1eddng kh\u00f4ng ch\u1ee7ng ng\u1eeba. \u0110\u1ec3 ch\u1eafc ch\u1eafn, tr\u01b0\u1edbc khi mang thai, b\u1ea1n n\u00ean ki\u1ec3m tra xem c\u01a1 th\u1ec3 \u0111\u00e3 c\u00f3 kh\u00e1ng nguy\u00ean ch\u1ed1ng l\u1ea1i b\u1ec7nh th\u1ee7y \u0111\u1eadu hay ch\u01b0a v\u00e0 ti\u00eam ph\u00f2ng c\u1ea7n thi\u1ebft.<\/p>\n

Ch\u1ecb em ph\u1ee5 n\u1eef c\u1ea7n ti\u00eam v\u1eafc xin ph\u00f2ng th\u1ee7y \u0111\u1eadu tr\u01b0\u1edbc khi mang thai \u00edt nh\u1ea5t 1 th\u00e1ng \u0111\u1ec3 ph\u00f2ng b\u1ec7nh th\u1ee7y \u0111\u1eadu hi\u1ec7u qu\u1ea3 nh\u1ea5t, \u0111\u1ea3m b\u1ea3o an to\u00e0n cho m\u1eb9 v\u00e0 b\u00e9 trong su\u1ed1t th\u1eddi k\u00ec mang thai v\u00e0 khi con ch\u00e0o \u0111\u1eddi.<\/p>\n

4. Ch\u1ee7ng ng\u1eeba vi\u00eam gan B<\/h2>\n

Vi\u00eam gan si\u00eau vi B l\u00e0 do vi r\u00fat g\u00e2y ra, ch\u00fang d\u1ec5 d\u00e0ng l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u v\u00e0 d\u1ecbch c\u01a1 th\u1ec3, v\u00ec th\u1ebf khi mang thai b\u00e0 m\u1eb9 nhi\u1ec5m vi r\u00fat vi\u00eam gan B d\u1ec5 d\u00e0ng l\u00e2y vi r\u00fat sang cho thai nhi ho\u1eb7c l\u00e2y cho tr\u1ebb s\u01a1 sinh trong qu\u00e1 tr\u00ecnh sinh n\u1edf.<\/p>\n

\"nhung<\/p>\n

\u1ede n\u01b0\u1edbc ta c\u00f3 kho\u1ea3ng 10 \u0111\u1ebfn 20% d\u00e2n s\u1ed1 m\u1eafc c\u0103n b\u1ec7nh vi\u00eam gan B m\u00e3n t\u00ednh, l\u00e0 ti\u1ec1n \u0111\u1ec1 g\u00e2y ra c\u00e1c b\u1ec7nh v\u1ec1 gan nh\u01b0 suy gan, x\u01a1 gan, ung th\u01b0 gan.\u00a0B\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng m\u00e1u v\u00e0 d\u1ecbch c\u01a1 th\u1ec3 trong \u0111\u00f3 truy\u1ec1n t\u1eeb m\u1eb9 sang con. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe cho m\u1eb9 v\u00e0 thai nhi, ch\u1ecb em ph\u1ee5 n\u1eef c\u1ea7n ch\u1ee7 \u0111\u1ed9ng ch\u00edch ng\u1eeba vi\u00eam gan B c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/p>\n

Ng\u01b0\u1eddi l\u1edbn khi ti\u00eam ph\u00f2ng vi\u00eam gan B s\u1ebd ti\u00eam 3 m\u0169i theo tr\u00ecnh t\u1ef1 1 – 2 – 3, t\u1ee9c l\u00e0 sau khi ti\u00eam m\u0169i m\u1ed9t \u0111\u1ebfn hai th\u00e1ng sau b\u1ea1n \u0111i ti\u00eam m\u0169i th\u1ee9 hai. V\u00e0 1 th\u00e1ng ti\u1ebfp theo b\u1ea1n ti\u00eam m\u0169i 3 l\u00e0 m\u0169i cu\u1ed1i c\u00f9ng. Hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 khi ti\u00eam ph\u00f2ng vi\u00eam gan B c\u00f3 t\u00e1c d\u1ee5ng trong kho\u1ea3ng 12 n\u0103m.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe cho m\u1eb9 b\u1ea7u v\u00e0 thai nhi m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 tri\u1ec7t \u0111\u1ec3 trong qu\u00e1 tr\u00ecnh mang thai. Nh\u1eefng ph\u1ee5 n\u1eef khi b\u1eaft \u0111\u1ea7u chu\u1ea9n b\u1ecb mang thai, c\u1ea7n l\u01b0u \u00fd ti\u00eam ph\u00f2ng c\u00e1c lo\u1ea1i v\u1eafc xin \u0111\u1ea7y \u0111\u1ee7, tr\u00e1nh mang l\u1ea1i nh\u1eefng d\u1ecb t\u1eadt kh\u00f4ng \u0111\u00e1ng c\u00f3 cho con. 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