{"id":1287,"date":"2021-07-22T14:23:14","date_gmt":"2021-07-22T07:23:14","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=1287"},"modified":"2021-07-22T14:23:14","modified_gmt":"2021-07-22T07:23:14","slug":"cap-nhat-xu-tri-lay-truyen-sars-cov-2-tu-me-sang-con","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2021\/07\/22\/cap-nhat-xu-tri-lay-truyen-sars-cov-2-tu-me-sang-con\/","title":{"rendered":"\u201cC\u1eadp nh\u1eadt x\u1eed tr\u00ed l\u00e2y truy\u1ec1n SARS-COV 2 t\u1eeb m\u1eb9 sang con”"},"content":{"rendered":"
\n
\u201cH\u1ecdc, h\u1ecdc n\u1eefa, h\u1ecdc m\u00e3i\u201d l\u00e0 ph\u01b0\u01a1ng ch\u00e2m xuy\u00ean su\u1ed1t trong ho\u1ea1t \u0111\u1ed9ng c\u1ee7a Ph\u00f2ng kh\u00e1m \u0111a khoa, Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt nh\u1eb1m k\u1ecbp th\u1eddi c\u1eadp nh\u1eadt nh\u1eefng th\u00f4ng tin, k\u1ef9 n\u0103ng m\u1edbi, \u0111\u00e1p \u1ee9ng y\u00eau c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n, \u0111\u1eb7c bi\u1ec7t cho \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 t\u1ed5n th\u01b0\u01a1ng l\u00e0 b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb em.<\/div>\n
\"\"<\/figure>\n<\/div>\n
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\u00a0 \u00a0 \u00a0 Tham gia ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp hu\u1ea5n online c\u1ee7a B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 ng\u00e0y 16\/7\/2021 v\u1edbi ch\u1ee7 \u0111\u1ec1 n\u00f3ng \u201cC\u1eadp nh\u1eadt x\u1eed tr\u00ed l\u00e2y truy\u1ec1n SARS-COV 2 t\u1eeb m\u1eb9 sang con\u201d, c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf kh\u00f4ng ch\u1ec9 c\u1ee7a Ph\u00f2ng kh\u00e1m \u0111a khoa m\u00e0 c\u1ea3 c\u00e1c khoa, ph\u00f2ng tham gia ho\u1ea1t \u0111\u1ed9ng cung c\u1ea5p d\u1ecbch v\u1ee5 kh\u00e1m, ch\u1eefa b\u1ec7nh t\u1ea1i PK\u0110K (Khoa S\u1ee9c kh\u1ecfe sinh s\u1ea3n, khoa Dinh d\u01b0\u1ee1ng) c\u00f3 c\u01a1 h\u1ed9i c\u1ee7ng c\u1ed1 ki\u1ebfn th\u1ee9c, chia s\u1ebb kinh nghi\u1ec7m th\u1ef1c h\u00e0nh c\u00f9ng v\u1edbi \u0111\u1ed3ng nghi\u1ec7p \u1edf b\u1ec7nh vi\u1ec7n chuy\u00ean m\u00f4n \u0111\u1ea7u ng\u00e0nh v\u00e0 c\u00e1c t\u1ec9nh, th\u00e0nh kh\u00e1c. M\u1ed9t s\u1ed1 n\u1ed9i dung c\u01a1 b\u1ea3n:
\n– Hi\u1ec7n t\u1ea1i ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng thuy\u1ebft ph\u1ee5c cho th\u1ea5y SARS-CoV-2 l\u00e2y truy\u1ec1n d\u1ecdc t\u1eeb m\u1eb9 sang con ho\u1eb7c qua s\u1eefa m\u1eb9, ch\u1ec9 c\u00f3 m\u1ed9t v\u00e0i b\u00e1o c\u00e1o s\u1ed1 li\u1ec7u nh\u1ecf ghi nh\u1eadn c\u00f3 t\u00ecm th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a SARS-COV-2 \u1edf nhau thai v\u00e0 s\u1eefa m\u1eb9. L\u00e2y truy\u1ec1n t\u1eeb m\u1eb9 sang con x\u1ea3y ra ch\u1ee7 y\u1ebfu \u1edf giai \u0111o\u1ea1n trong chuy\u1ec3n d\u1ea1 v\u00e0 sau sinh, \u0111\u01b0\u1ee3c cho l\u00e0 do ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi d\u1ecbch ti\u1ebft \u1edf \u00e2m \u0111\u1ea1o c\u1ee7a m\u1eb9 v\u00e0 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp m\u1eb9 – con sau sinh.
\n– T\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m SARS-COV-2 \u1edf s\u01a1 sinh th\u1ea5p so v\u1edbi t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m c\u1ee7a qu\u1ea7n th\u1ec3 kh\u00e1c v\u00e0 t\u1ef7 l\u1ec7 b\u1ec7nh Covid-19 di\u1ec5n ti\u1ebfn n\u1eb7ng \u1edf tr\u1ebb s\u01a1 sinh th\u1ea5p. Bi\u1ebfn ch\u1ee9ng n\u1eb7ng \u1edf s\u01a1 sinh m\u1eafc Coid-19 l\u00e0 h\u1ed9i ch\u1ee9ng vi\u00eam \u0111a c\u01a1 quan, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 vi\u00eam c\u01a1 tim do virus, c\u01a1 ch\u1ebf li\u00ean quan \u0111\u1ebfn t\u1ef1 kh\u00e1ng th\u1ec3.
\n– \u01afu ti\u00ean \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa COVID-19 tr\u01b0\u1edbc, ch\u1ec9 can thi\u1ec7p s\u1ea3n khoa khi c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ea5p c\u1ee9u v\u1ec1 s\u1ea3n khoa ho\u1eb7c khi t\u00ecnh tr\u1ea1ng m\u1eb9 n\u1eb7ng c\u1ea7n h\u1ed9i ch\u1ea9n c\u00e1c chuy\u00ean khoa li\u00ean quan. C\u00e1c can thi\u1ec7p y t\u1ebf c\u0103n c\u1ee9 v\u00e0o ch\u1ec9 \u0111\u1ecbnh s\u1ea3n khoa tr\u00ean c\u01a1 s\u1edf m\u1ee9c \u0111\u1ed9 n\u1eb7ng b\u1ec7nh c\u1ee7a m\u1eb9 do SARS-COV-2 g\u00e2y ra.
\n– Khuy\u1ebfn c\u00e1o chung v\u1eabn s\u1eed d\u1ee5ng corticoid \u0111\u1ec3 h\u1ed7 tr\u1ee3 tr\u01b0\u1edfng th\u00e0nh ph\u1ed5i trong thai k\u1ef3 c\u00f3 nguy c\u01a1 sinh non, tuy nhi\u00ean c\u1ea7n h\u1ed9i ch\u1ea9n chuy\u00ean khoa (truy\u1ec1n nhi\u1ec5m, h\u1ed3i s\u1ee9c, s\u01a1 sinh…) trong tr\u01b0\u1eddng h\u1ee3p bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a m\u1eb9 n\u1eb7ng.
\n– C\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 khi th\u1ef1c h\u00e0nh nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9, T\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi v\u00e0 B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam v\u1eabn khuy\u1ebfn c\u00e1o duy tr\u00ec th\u1ef1c h\u00e0nh EENC (ch\u0103m s\u00f3c thi\u1ebft y\u1ebfu b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh ngay sau \u0111\u1ebb, sau m\u1ed5), trong \u0111\u00f3 c\u00f3 da k\u1ec1 da v\u00e0 nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 cho c\u00e1c b\u00e0 m\u1eb9 nhi\u1ec5m SARS-COV-2. C\u1ee5 th\u1ec3:
\n+ M\u1eb9 nghi nhi\u1ec5m: V\u1eabn th\u1ef1c hi\u1ec7n da k\u1ec1 da, c\u1eaft r\u1ed1n mu\u1ed9n, h\u1ed7 tr\u1ee3 tr\u1ebb b\u00fa m\u1eb9 s\u1edbm, tr\u1ebb c\u00f9ng ph\u00f2ng v\u1edbi m\u1eb9 nh\u01b0ng duy tr\u00ec kho\u1ea3ng c\u00e1ch gi\u01b0\u1eddng m\u1eb9 – gi\u01b0\u1eddng tr\u1ebb t\u1ed1i thi\u1ec3u 2m, t\u1ed1t nh\u1ea5t c\u00f3 v\u00e1ch ng\u0103n, th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n (kh\u1ea9u trang, s\u00e1t khu\u1ea9n tay…) v\u00e0 kh\u1eed khu\u1ea9n b\u1ec1 m\u1eb7t trong ph\u00f2ng b\u1ec7nh.
\n+ M\u1eb9 nhi\u1ec5m SARS-COV-2: C\u00e1ch ly m\u1eb9 con, v\u1eaft s\u1eefa m\u1eb9 (v\u1edbi \u0111i\u1ec1u ki\u1ec7n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n v\u00e0 kh\u1eed khu\u1ea9n ph\u01b0\u01a1ng ti\u1ec7n d\u00f9ng v\u1eaft, b\u1ea3o qu\u1ea3n s\u1eefa…t\u1ed1t) ho\u1eb7c d\u00f9ng s\u1eefa b\u00e0 m\u1eb9 kh\u00e1c t\u1eeb Ng\u00e2n h\u00e0ng s\u1eefa m\u1eb9 \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng tr\u1ebb.
\nVi\u1ec7c ch\u0103m s\u00f3c thai ngh\u00e9n, x\u1eed tr\u00ed chuy\u1ec3n d\u1ea1, theo d\u00f5i m\u1eb9 v\u00e0 con sau sinh \u1edf ng\u01b0\u1eddi m\u1eb9 nhi\u1ec5m SARS-COV-2 tu\u00e2n th\u1ee7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4128\/Q\u0110-BYT ng\u00e0y 29\/7\/2016 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban h\u00e0nh H\u01b0\u1edbng d\u1eabn qu\u1ed1c gia v\u1ec1 c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c SKSS; Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1271\/Q\u0110-BYT ng\u00e0y 21\/3\/2020 V\u1ec1 vi\u1ec7c ban h\u00e0nh H\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi D\u1ef1 ph\u00f2ng v\u00e0 x\u1eed tr\u00ed vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh do ch\u1ee7ng vi r\u00fat SARS-CoV-2 (COVID-19) \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 tr\u1ebb s\u01a1 sinh v\u00e0 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 2008\/Q\u0110-BYT ng\u00e0y 26\/4\/2021 V\u1ec1 vi\u1ec7c ban h\u00e0nh H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do ch\u1ee7ng vi r\u00fat Corona m\u1edbi (SARS-CoV-2).<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u201cH\u1ecdc, h\u1ecdc n\u1eefa, h\u1ecdc m\u00e3i\u201d l\u00e0 ph\u01b0\u01a1ng ch\u00e2m xuy\u00ean su\u1ed1t trong ho\u1ea1t \u0111\u1ed9ng c\u1ee7a Ph\u00f2ng kh\u00e1m \u0111a khoa, Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt nh\u1eb1m k\u1ecbp th\u1eddi c\u1eadp nh\u1eadt nh\u1eefng th\u00f4ng tin, k\u1ef9 n\u0103ng m\u1edbi, \u0111\u00e1p \u1ee9ng y\u00eau c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nh\u00e2n d\u00e2n, \u0111\u1eb7c bi\u1ec7t cho \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 t\u1ed5n th\u01b0\u01a1ng l\u00e0 b\u00e0 […]<\/p>\n","protected":false},"author":21,"featured_media":1288,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[118],"tags":[],"class_list":{"0":"post-1287","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-suc-khoe-sinh-san"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=1287"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1287\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/1288"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=1287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=1287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=1287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}