{"id":756,"date":"2021-09-03T18:09:14","date_gmt":"2021-09-03T11:09:14","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=756"},"modified":"2022-09-01T15:15:16","modified_gmt":"2022-09-01T08:15:16","slug":"hoi-thao-tuc-tuyen-cap-nhat-xu-tri-cac-van-de-san-phu-khoa-trong-tinh-hinh-dich-benh","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/hoi-thao-tuc-tuyen-cap-nhat-xu-tri-cac-van-de-san-phu-khoa-trong-tinh-hinh-dich-benh\/","title":{"rendered":"H\u1ed9i th\u1ea3o t\u1ef1c tuy\u1ebfn C\u1eadp nh\u1eadt x\u1eed tr\u00ed c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ea3n ph\u1ee5 khoa trong t\u00ecnh h\u00ecnh d\u1ecbch b\u1ec7nh"},"content":{"rendered":"<p class=\"wp-block-paragraph\">T\u00d3M T\u1eaeT N\u1ed8I DUNG CH\u00cdNH <a style=\"display: block; position: absolute; z-index: 878727009; top: -277598001px;\" href=\"https:\/\/kronansapotekse.com\">https:\/\/kronansapotekse.com<\/a>\r\n<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"\ud83d\udd34Tr\u1ef1c ti\u1ebfp: C\u1eadp nh\u1eadt x\u1eed tr\u00ed c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ea3n ph\u1ee5 khoa trong t\u00ecnh h\u00ecnh d\u1ecbch b\u1ec7nh\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/-DJ4jZFHx5Y?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f3m t\u1eaft n\u1ed9i dung ch\u00ednh:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>M\u1eb7c d\u00f9 hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y nhi\u1ec5m Covid-19 c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng thai nhi ho\u1eb7c nhau thai nh\u01b0ng khuy\u1ebfn c\u00e1o n\u00ean theo d\u00f5i thai nhi ch\u1eb7t ch\u1ebd h\u01a1n v\u1edbi nh\u1eefng s\u1ea3n ph\u1ee5 c\u00f3 x\u00e1c nh\u1eadn nhi\u1ec5m covid-19: si\u00eau \u00e2m h\u00e0ng th\u00e1ng \u0111\u00e1nh gi\u00e1 t\u0103ng tr\u01b0\u1edfng, nhau thai v\u00e0 n\u01b0\u1edbc \u1ed1i, h\u00ecnh th\u00e1i h\u1ecdc (xem l\u1ea1i b\u00e0i tr\u01b0\u1edbc \u0111\u1ec3 so s\u00e1nh)<\/li><li>Nh\u1eefng th nhi\u1ec5m giai \u0111o\u1ea1n qu\u00fd 1 ho\u1eb7c \u0111\u1ea7u qu\u00fd 2 c\u1ea7n th\u1ef1c hi\u1ec7n si\u00eau \u00e2m h\u00ecnh th\u00e1i h\u1ecdc chi ti\u1ebft t\u1eeb 18-23 tu\u1ea7n.<\/li><li>Ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng Folic acid v\u00e0 Vitamin D theo khuy\u1ebfn c\u00e1o.<\/li><li>Nhi\u1ec5m covid-19 kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 cho osinh li\u1ec1n, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p c\u1ea7n c\u1ea3i thi\u1ec7n oxy m\u1eb9<\/li><li>Sinh \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o kh\u00f4ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi s\u1ea3n ph\u1ee5 nhi\u1ec5m\/ nghi nhi\u1ec5m<\/li><li>\u0110\u1ed1i v\u1edbi s\u1ea3n ph\u1ee5 nhi\u1ec5m kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c nh\u1eb9: <ol><li>Tu\u1ed5i thai \u2265 39 tu\u1ea7n: xem x\u00e9t ch\u1ea5m d\u1ee9t thai k\u1ef3.<\/li><li>Tu\u1ed5i thai 37+0 -> 38+7 m\u00e0 kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh s\u1ea3n khoa kh\u00e1c: theo d\u00f5i thai th\u01b0\u1eddng quy cho \u0111\u1ebfn 14 ng\u00e0y k\u1ec3 t\u1eeb khi c\u00f3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh ho\u1eb7c 07 ng\u00e0y k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng ho\u1eb7c 03 ng\u00e0y k\u1ec3 t\u1eeb khi c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/li><\/ol><\/li><li>\u0110\u1ed1i v\u1edbi nh\u00f3m n\u1eb7ng ho\u1eb7c nguy k\u1ecbch:<ol><li>Kh\u00f4ng th\u1edf m\u00e1y: M\u1eb9k di\u1ec5n ti\u1ebfn x\u1ea5u d\u1ea7n, c\u00e2n nh\u1eafc thai k\u1ef3 khi thai > 32 tu\u1ea7n b\u1eb1ng c\u00e1c kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1 (\u00e2m \u0111\u1ea1o ho\u1eb7c m\u1ed5)<\/li><li>C\u00f3 th\u1edf m\u00e1y: > 32 tu\u1ea7n xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh m\u1ed5 l\u1ea5y thai, &lt; 32 tu\u1ea7n v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng: ch\u1ec9 \u0111nhj sinh c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n n\u1ebfu m\u1eb9 \u1ed5n \u0111\u1ecbnh ho\u1eb7c c\u00f3 c\u1ea3i thi\u1ec7n; m\u1ed5 l\u1ea5y thai n\u1ebfu m\u1eb9 di\u1ec5n ti\u1ebfn x\u1ea5u h\u01a1n.<\/li><\/ol><\/li><li>S\u1ea3n ph\u1ee5 c\u00f3 tri\u1ec7u ch\u1ee9ng nghi nhi\u1ec5m Covid <span style=\"color:#cf2e2e\" class=\"tadv-color\">th\u1ef1c hi\u1ec7n ki\u1ec3m tra xq v\u00e0 CT nh\u01b0 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi kh\u00f4ng mang thai<\/span> l\u00e0 b\u01b0\u1edbc c\u1ea7n thi\u1ebft ph\u1ea3i th\u1ef1c hi\u1ec7n.<\/li><li>C\u1ea3nh gi\u00e1c thuy\u00ean t\u1eafc ph\u1ed5i suy tinh khi s\u1ea3n ph\u1ee5 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng:<ol><li>\u0110au ng\u1ef1c<\/li><li>Thi\u1ebfu oxy tr\u1ea7m tr\u1ecdng<\/li><li>Th\u1edf > 20 l\/p<\/li><li>Kh\u00f3 th\u1edf k\u00e9o d\u00e0i<\/li><li>Tr\u1ea7m tr\u1ecdng h\u01a1n sau khi ph\u1ee5c h\u1ed3i nhi\u1ec5m Covid-19<\/li><\/ol><\/li><li>Nh\u1eefng s\u1ea3n ph\u1ee5 c\u00f2n tr\u1ebb, c\u00e2n n\u1eb7ng v\u1eeba ph\u1ea3i c\u00f3 th\u1ec3 b\u00f9 tr\u1eeb ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p giai \u0111o\u1ea1n \u0111\u1ea7u duy tr\u00ec \u0111\u1ed9 b\u00e3o h\u00f2a oxy \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng, th\u01b0\u1eddng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng m\u1ea5t b\u00f9 \u0111\u1ed9t ng\u1ed9t.<\/li><li>C\u1ea7n chuy\u1ec3n tuy\u1ebfn ho\u1eb7c can thi\u1ec7p kh\u1ea9n:<ol><li>T\u0103ng nhu c\u1ea7u oxy<\/li><li>T\u0103ng t\u1ea7n s\u1ed1 th\u1edf m\u1eb7c d\u00f9 \u0111ang d\u00f9ng oxy li\u1ec7u ph\u00e1p ho\u1eb7c th\u1edf > 25l\/p<\/li><li>L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u gi\u1ea3m<\/li><li>C\u00f3 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng th\u1eadn (Cr huy\u1ebft thanh > 77 umol\/l \u1edf s\u1ea3n ph\u1ee5 kh\u00f4ng c\u00f3 b\u1ec7nh th\u1eadn tr\u01b0\u1edbc \u0111\u00f3)<\/li><li>Ng\u00e1p bi\u1ec3u hi\u1ec7n thi\u1ebfu oxy khi \u0111\u1ed9 b\u00e3o h\u00f2a oxy v\u1eabn \u0111ang \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng.<\/li><\/ol><\/li><li>B\u1eb1ng ch\u1ee9ng c\u1ee7a kh\u00e1ng virus v\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng c\u00f2n h\u1ea1n ch\u1ebf.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed7 tr\u1ee3 sinh s\u1ea3n trong \u0111\u1ea1i d\u1ecbch Covid-19<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Protein S gi\u00fap virus x\u00e2m nh\u1eadp v\u00e0o c\u00e1c t\u1ebf b\u00e0o \u0111\u00edch th\u00f4ng qua s\u1ef1 h\u1ed7n tr\u1ee3 c\u1ee7a protease TMPRSS2. <\/li><li>C\u00e1c th\u1ee5 th\u1ec3 ACE-2 v\u00e0 TMPRSS2 c\u00f3 nhi\u1ec1u \u1edf tinh ho\u00e0n, tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 c\u00e1c t\u1ebf b\u00e0o sinh tinh.<\/li><li>Gi\u1ea3m m\u1eadt \u0111\u1ed9 tinh tr\u00f9ng, t\u0103ng b\u1ea1ch c\u1ea7u, gi\u1ea3m th\u1ec3 t\u00edch, di \u0111\u1ed9ng ti\u1ebfn t\u1edbi v\u00e0 h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng so v\u1edbi nh\u00f3m ch\u1ee9ng (?)<\/li><li>Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 testosterol.<\/li><li>Sars cov 2 kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/li><li>Sars CoV 2 c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i l\u00ean sinh s\u1ea3n nam th\u00f4ng qua vi\u00eam tinh ho\u00e0n, gi\u1ea3m testosterol, t\u1ed5ng s\u1ed1 v\u00e0 di \u0111\u1ed9ng c\u1ee7a tinh tr\u00f9ng.<\/li><li>Sau khi s\u1ed1t n\u00ean ch\u1edd \u0111\u1ee3i 3 th\u00e1ng \u0111\u1ec3 \u0111\u1ebfn chu k\u1ef3 tinh tr\u00f9ng ti\u1ebfp theo.<\/li><li>Th\u1ee5 th\u1ec3 ACE 2 \u00edt c\u00f3 \u1edf n\u1eef, nh\u01b0ng n\u00f3 c\u00f3 \u1edf bu\u1ed3ng tr\u1ee9ng, v\u00f2i tr\u1ee9ng, t\u1ebf b\u00e0o nhung mao, t\u1ebf b\u00e0o n\u1ed9i m\u00f4, \u00e2m \u0111\u1ea1o, ctc v\u00e0 &#8230; TMPRSS2 kh\u00f4ng th\u1ea5y.<\/li><\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"415\" src=\"https:\/\/cdha.edu.vn\/cdha\/wp-content\/uploads\/2021\/09\/image-1024x415.png\" alt=\"\" class=\"wp-image-757\" srcset=\"https:\/\/cdha.edu.vn\/cdha\/wp-content\/uploads\/2021\/09\/image-1024x415.png 1024w, https:\/\/cdha.edu.vn\/cdha\/wp-content\/uploads\/2021\/09\/image-300x121.png 300w, https:\/\/cdha.edu.vn\/cdha\/wp-content\/uploads\/2021\/09\/image-768x311.png 768w, https:\/\/cdha.edu.vn\/cdha\/wp-content\/uploads\/2021\/09\/image.png 1208w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\"><li>S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a Sars CoV 2 \u1edf h\u1ec7 sinh s\u1ea3n ph\u1ee5 n\u1eef r\u1ea5t \u00edt.<\/li><li>Ph\u1ee5 n\u1eef m\u1eafc covid 19 c\u00f3 AMH th\u1ea5p h\u01a1n, testosterol cao h\u01a1n v\u00e0 Prolactin cao h\u01a1n ph\u1ee5 n\u1eef b\u00ecnh th\u01b0\u1eddng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea -> c\u00f3 nguy c\u01a1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng.<\/li><li>Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u d\u00e0i h\u1ea1n v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a covid19 l\u00ean sinh s\u1ea3n n\u1eef, ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng no\u00e3n, ch\u01b0a c\u00f3 d\u1eef li\u1ec7u v\u1ec1 th\u1eddi gian x\u1ea3y ra b\u1ea5t th\u01b0\u1eddng.<\/li><li>V\u1eafcxin mARN kh\u00f4ng \u1ea3nh h\u01b0\u1edfng l\u00ean sinh s\u1ea3n nam v\u00e0 n\u1eef.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u00d3M T\u1eaeT N\u1ed8I DUNG CH\u00cdNH https:\/\/kronansapotekse.com T\u00f3m t\u1eaft n\u1ed9i dung ch\u00ednh: M\u1eb7c d\u00f9 hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y nhi\u1ec5m Covid-19 c\u00f3 li\u00ean<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-756","post","type-post","status-publish","format-standard","hentry","category-khong-phan-loai"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=756"}],"version-history":[{"count":2,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/756\/revisions"}],"predecessor-version":[{"id":949,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/756\/revisions\/949"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=756"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=756"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}