{"id":18256,"date":"2016-05-13T11:15:58","date_gmt":"2016-05-13T04:15:58","guid":{"rendered":"http:\/\/www.kidsplaza.vn\/blog\/?p=18256"},"modified":"2025-06-05T14:58:19","modified_gmt":"2025-06-05T07:58:19","slug":"tam-quan-trong-va-loi-ich-cua-viec-lam-sang-loc-mat-thinh-luc-cho-tre-sinh","status":"publish","type":"post","link":"https:\/\/www.kidsplaza.vn\/blog\/tam-quan-trong-va-loi-ich-cua-viec-lam-sang-loc-mat-thinh-luc-cho-tre-sinh.html","title":{"rendered":"T\u1ea7m quan tr\u1ecdng v\u00e0 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c l\u00e0m s\u00e0ng l\u1ecdc m\u1ea5t th\u00ednh l\u1ef1c cho tr\u1ebb s\u01a1 sinh ?"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>Theo nghi\u00ean c\u1ee9u c\u1ee9 kho\u1ea3ng trung b\u00ecnh 1000 tr\u1ebb khi sinh ra th\u00ec c\u00f3 2-3 tr\u1ebb c\u00f3 kh\u1ea3 n\u0103ng nghe k\u00e9m. Vi\u1ec7c th\u00ednh l\u1ef1c kh\u00f4ng t\u1ed1t c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng nghe v\u00e0 n\u00f3i c\u1ee7a con. Ch\u00ednh v\u00ec th\u1ec3 m\u00e0 nhi\u1ec1u c\u00e1c chuy\u00ean gia khoa h\u1ecdc tr\u00ean th\u1ebf gi\u1edbi khuy\u1ebfn ngh\u1ecb r\u1eb1ng vi\u1ec7c x\u00e1c \u0111\u1ecbnh th\u00ednh l\u1ef1c c\u1ee7a tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi tr\u1ebb \u0111\u01b0\u1ee3c 6 th\u00e1ng tu\u1ed5i.<\/strong><\/p>\n<p style=\"text-align: justify;\">N\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00e1c b\u00e9 s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 n\u0103m g\u1ea7n t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi nh\u1eefng tr\u1ebb b\u00ecnh th\u01b0\u1eddng. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u00e9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qu\u00e1 mu\u1ed9n (nh\u01b0 2-3 tu\u1ed5i tr\u1edf l\u00ean) c\u00e1c b\u00e9 s\u1ebd c\u00f3 th\u1ec3 ph\u1ea3i g\u00e1nh ch\u1ecbu khuy\u1ebft t\u1eadt v\u0129nh vi\u1ec5n v\u00e0 kh\u00f4ng th\u1ec3 s\u1eeda ch\u1eefa \u0111\u01b0\u1ee3c nh\u1eefng kh\u1ea3 n\u0103ng nh\u01b0 ph\u00e1t tri\u1ec3n ng\u00f4n ng\u1eef, nh\u1eadn th\u1ee9c, ph\u00e1t \u00e2m nh\u01b0 c\u00e1c b\u00e9 b\u00ecnh th\u01b0\u1eddng kh\u00e1c.<\/p>\n<p style=\"text-align: justify;\">Ch\u00ednh \u0111i\u1ec1u tr\u00ean \u0111\u00e3 cho th\u1ea5y vi\u1ec7c l\u00e0m s\u00e0ng l\u1ecdc m\u1ea5t th\u00ednh l\u1ef1c cho tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c sau khi \u0111\u1ebb l\u00e0 \u0111i\u1ec1u v\u00f4 c\u00f9ng quan tr\u1ecdng v\u00e0 b\u1ed1 m\u1eb9 n\u00ean y\u00eau c\u1ea7u l\u00e0m cho b\u00e9. Hi\u1ec7n nay th\u01b0\u1eddng sau khi sinh c\u00e1c b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n y\u00eau c\u1ea7u c\u00f3 l\u00e0ng s\u00e0ng l\u1ecdc hay kh\u00f4ng. C\u00e1c b\u00e1c s\u0129 \u1edf b\u1ec7nh vi\u1ec7n s\u1ebd l\u00e0m c\u00e1c ki\u1ec3m tra n\u1ebfu b\u00e9 v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m ngay l\u1ea7n \u0111\u1ea7u th\u00ec kh\u1ea3 n\u0103ng th\u00ednh l\u1ef1c c\u1ee7a b\u00e9 l\u00e0 b\u00ecnh th\u01b0\u1eddng. C\u00f2n n\u1ebfu c\u00e1c b\u00e9 kh\u00f4ng v\u01b0\u1ee3t qua l\u1ea7n \u0111\u1ea7u, s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m th\u1eed nghi\u1ec7m l\u1ea1i v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o chuy\u1ec3n t\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa th\u00ednh l\u1ef1c cho c\u00e1c th\u0103m d\u00f2 s\u00e2u ti\u1ebfp theo.<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" class=\"aligncenter wp-image-18267\" src=\"http:\/\/www.kidsplaza.vn\/blog\/wp-content\/uploads\/2016\/05\/sang-loc-thinh-luc21.jpg\" alt=\"sang-loc-thinh-luc2\" width=\"428\" height=\"285\" \/><\/p>\n<div id=\"toc_container\" class=\"no_bullets\"><p class=\"toc_title\">N\u1ed9i dung ch&iacute;nh<\/p><ul class=\"toc_list\"><li><a href=\"#ICac_yeu_to_nguy_co_gay_mat_thinh_luc_o_tre\"><span class=\"toc_number toc_depth_1\">1<\/span> I.\u00a0C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y m\u1ea5t th\u00ednh l\u1ef1c \u1edf tr\u1ebb<\/a><ul><li><a href=\"#Mot_so_tre_co_nguy_co_mat_thinh_luc_cao_hon_bao_gom\"><span class=\"toc_number toc_depth_2\">1.1<\/span> M\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 nguy c\u01a1 m\u1ea5t th\u00ednh l\u1ef1c cao h\u01a1n bao g\u1ed3m:<\/a><\/li><\/ul><\/li><li><a href=\"#II_Hai_phuong_phap_sang_loc_mat_thinh_luc_o_tre_so_sinh\"><span class=\"toc_number toc_depth_1\">2<\/span> II. Hai ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc m\u1ea5t th\u00ednh l\u1ef1c \u1edf tr\u1ebb s\u01a1 sinh<\/a><ul><li><a href=\"#1_Phuong_phap_Do_luong_am_thanh_tu_oc_tai_OAE\"><span class=\"toc_number toc_depth_2\">2.1<\/span> 1. Ph\u01b0\u01a1ng ph\u00e1p Do l\u01b0\u1eddng \u00e2m thanh t\u1eeb \u1ed1c tai (OAE)<\/a><\/li><li><a href=\"#2_Danh_gia_dap_ung_am_thanh_cua_cuong_nao_ABR\"><span class=\"toc_number toc_depth_2\">2.2<\/span> 2. \u0110\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u00e2m thanh c\u1ee7a cu\u1ed1ng n\u00e3o (ABR)<\/a><\/li><li><a href=\"#Su_khac_nhau_cua_2_phuong_phap\"><span class=\"toc_number toc_depth_2\">2.3<\/span> S\u1ef1 kh\u00e1c nhau c\u1ee7a 2 ph\u01b0\u01a1ng ph\u00e1p<\/a><\/li><\/ul><\/li><li><a href=\"#III_Neu_tre_khong_vuot_qua_duoc_thu_nghiem_co_nghia_la_gi\"><span class=\"toc_number toc_depth_1\">3<\/span> III. N\u1ebfu tr\u1ebb kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m c\u00f3 ngh\u0129a l\u00e0 g\u00ec ?<\/a><\/li><\/ul><\/div>\n<h3 style=\"text-align: justify;\"><span id=\"ICac_yeu_to_nguy_co_gay_mat_thinh_luc_o_tre\"><span style=\"font-size: 14pt;\"><strong>I.\u00a0C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y m\u1ea5t th\u00ednh l\u1ef1c \u1edf tr\u1ebb<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\">&#8211; G\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u00ednh l\u1ef1c v\u0129nh vi\u1ec5n l\u00e0 do s\u1ef1 ph\u00e1 h\u1ee7y ho\u1eb7c m\u1ea5t ch\u1ee9c n\u0103ng c\u1ee7a th\u1ea7n kinh th\u00ednh gi\u00e1c d\u1eabn truy\u1ec1n t\u00edn hi\u1ec7u \u00e2m thanh t\u1eeb tai trong t\u1edbi n\u00e3o. Tuy nhi\u00ean, th\u00ec ch\u1ec9 kho\u1ea3ng 1 n\u1eeda c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t th\u00ednh l\u1ef1c l\u00e0 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. Trong s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c, th\u00ec kho\u1ea3ng m\u1ed9t n\u1eeda l\u00e0 do c\u00e1c b\u00e9 b\u1ecb m\u1eafc ph\u1ea3i ngay trong qu\u00e1 tr\u00ecnh mang thai v\u00e0 sinh \u0111\u1ebb v\u00e0 kho\u1ea3ng m\u1ed9t n\u1eeda c\u00f2n l\u1ea1i l\u00e0 do c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n.<\/p>\n<h4 style=\"text-align: justify;\"><span id=\"Mot_so_tre_co_nguy_co_mat_thinh_luc_cao_hon_bao_gom\"><strong>M\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 nguy c\u01a1 m\u1ea5t th\u00ednh l\u1ef1c cao h\u01a1n bao g\u1ed3m:<\/strong><\/span><\/h4>\n<ul style=\"list-style-type: square;\">\n<li style=\"text-align: justify;\">C\u00e1c b\u00e9 sinh ra t\u1eeb m\u1eb9 b\u1ecb m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh khi mang thai nh\u01b0: nhi\u1ec5m cytomegalovirus, rubella (s\u1edfi \u0110\u1ee9c), giang mai, herpes, toxoplasmosis (b\u1ec7nh m\u00e8o c\u00e0o)&#8230;<\/li>\n<li style=\"text-align: justify;\">Ti\u1ec1n s\u1eed trong gia \u0111\u00ecnh \u0111\u00e3 c\u00f3 ng\u01b0\u1eddi b\u1ecb m\u1ea5t th\u00ednh l\u1ef1c.<\/li>\n<li style=\"text-align: justify;\">C\u00e1c b\u00e0 m\u1eb9 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c nh\u01b0: kh\u00e1ng sinh m\u1ea1nh \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m khu\u1ea9n thu\u1ed9c nhoma aminoglycosides (gentamycin, kanamycin), h\u00f3a li\u1ec7u ph\u00e1p ch\u1ed1ng ung th\u01b0, ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00ednh l\u1ef1c.<\/li>\n<li style=\"text-align: justify;\">Nh\u1eefng b\u00e9 \u0111\u1ebb non, sinh nh\u1eb9 c\u00e2n hay c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ecb suy h\u00f4 h\u1ea5p sau \u0111\u1ebb v\u00e0 ph\u1ea3i th\u00f4ng kh\u00ed h\u1ed7 tr\u1ee3 k\u00e9o d\u00e0i<\/li>\n<li style=\"text-align: justify;\">Nh\u1eefng tr\u1ebb b\u1ecb b\u1ecb v\u00e0ng da do t\u0103ng bilirubin, vi\u00eam m\u00e0ng n\u00e3o.<\/li>\n<li style=\"text-align: justify;\">Nh\u1eefng tr\u1ebb c\u00f3 ch\u1ec9 s\u1ed1 Apgar sau \u0111\u1ebb th\u1ea5p<\/li>\n<li style=\"text-align: justify;\">Tr\u1ebb c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac \u1edf \u0111\u1ea7u, m\u1eb7t, c\u1ea5u tr\u00fac b\u1ea5t th\u01b0\u1eddng c\u1ee7a tai ngo\u00e0i v\u00e0 tai gi\u1eefa.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><em>Ngo\u00e0i c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u00ean ngay c\u1ea3 nh\u1eefng b\u00e9 kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean th\u00ec v\u1eabn c\u00f3 kh\u1ea3 b\u0103ng b\u1ecb m\u1ea5t th\u00ednh l\u1ef1c ch\u00ednh v\u00ec v\u1eady l\u00e0m ch\u01b0\u01a1ng tr\u00ecnh l\u00e0m s\u00e0ng\u00a0l\u1ecdc n\u00ean \u00e1p d\u1ee5ng cho m\u1ecdi tr\u1ebb s\u01a1 sinh tr\u01b0\u1edbc khi b\u00e9 xu\u1ea5t vi\u1ec7n tr\u1edf v\u1ec1 nh\u00e0.<\/em><\/p>\n<h3 style=\"text-align: justify;\"><span id=\"II_Hai_phuong_phap_sang_loc_mat_thinh_luc_o_tre_so_sinh\"><span style=\"font-size: 14pt;\"><strong>II. Hai ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc m\u1ea5t th\u00ednh l\u1ef1c \u1edf tr\u1ebb s\u01a1 sinh<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\">Tr\u00ean th\u1ebf gi\u1edbi hi\u1ec7n nay \u0111ang \u00e1p d\u1ee5ng 2 ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng ch\u00ednh \u0111\u1ec3 s\u00e0ng l\u1ecdc th\u00ednh l\u1ef1c l\u00e0:<\/p>\n<p style=\"text-align: justify;\">&#8211; \u0110o l\u01b0\u1eddng \u00e2m thanh t\u1eeb \u1ed1c tai (otoacoustic emission \u2013 OAE)<br \/>\n&#8211; \u0110\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u00e2m c\u1ee7a cu\u1ed1ng n\u00e3o (auditory brainstem response \u2013 ABR).<\/p>\n<p style=\"text-align: justify;\">\u01afu \u0111i\u1ec3m ch\u00ednh c\u1ee7a c\u00e1c hai ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao, kh\u00f4ng x\u00e2m nh\u1eadp hay l\u00e0m tr\u1ebb \u0111au \u0111\u01a1n, t\u1ea5t c\u1ea3 \u0111\u1ec1u t\u1ef1 \u0111\u1ed9ng v\u00e0 kh\u00f4ng y\u00eau c\u1ea7u s\u1ef1 quan s\u00e1t ch\u1ee7 quan n\u00e0o v\u1edbi \u0111\u00e1p \u1ee9ng c\u1ee7a tr\u1ebb.<\/p>\n<h4 style=\"text-align: justify;\"><span id=\"1_Phuong_phap_Do_luong_am_thanh_tu_oc_tai_OAE\"><strong>1. Ph\u01b0\u01a1ng ph\u00e1p Do l\u01b0\u1eddng \u00e2m thanh t\u1eeb \u1ed1c tai (OAE)<\/strong><\/span><\/h4>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" class=\"aligncenter size-full wp-image-18264\" src=\"http:\/\/www.kidsplaza.vn\/blog\/wp-content\/uploads\/2016\/05\/sang-loc-thinh-luc.jpg\" alt=\"sang-loc-thinh-luc\" width=\"400\" height=\"300\" \/><\/p>\n<p style=\"text-align: justify;\">Ph\u01b0\u01a1ng ph\u00e1p OAE \u0111o l\u01b0\u1eddng \u0111\u00e1p \u1ee9ng t\u1ea1i \u1ed1c tai khi c\u00f3 k\u00edch th\u00edch b\u1edfi \u00e2m thanh. Th\u01b0\u1eddng th\u1eed nghi\u1ec7m n\u00e0y k\u00e9o d\u00e0i kho\u1ea3ng\u00a05- 8 ph\u00fat v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 sau:<\/p>\n<p style=\"text-align: justify;\">&#8211; Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n s\u1ebd \u0111\u1eb7t 1 \u0111\u1ea7u d\u00f2 ch\u1ee9a \u0111\u1ef1ng 1 microphone v\u00e0 1 loa r\u1ea5t nh\u1ecf v\u00e0o tai trong c\u1ee7a tr\u1ebb. Khi tr\u1ebb s\u01a1 sinh n\u1eb1m y\u00ean l\u1eb7ng, \u00e2m thanh r\u1ea5t m\u1ec1m m\u1ea1i s\u1ebd \u0111\u01b0\u1ee3c ph\u00e1t ra t\u1eeb \u0111\u1ea7u d\u00f2.<br \/>\n&#8211; Khi \u1ed1c tai nh\u1eadn \u0111\u01b0\u1ee3c \u00e2m thanh, t\u00edn hi\u1ec7u s\u1ebd ph\u00e1t \u0111i t\u1edbi n\u00e3o. Th\u00eam v\u00e0o \u0111\u00f3, c\u00f3 1 \u00e2m thanh ri\u00eang bi\u1ec7t kh\u00e1c ph\u00e1t ra t\u1eeb \u1ed1c tai quay tr\u1edf l\u1ea1i \u1ed1ng tai. Ch\u00ednh \u00e2m thanh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u00e2m thanh ki\u1ec3u ti\u1ebfng v\u1ecdng \u201ctho\u00e1t ra\u201d t\u1eeb \u1ed1c tai.<br \/>\n&#8211; \u00c2m thanh \u201ctho\u00e1t ra\u201d n\u00e0y \u0111\u01b0\u1ee3c ghi l\u1ea1i qua microphone v\u00e0 tr\u1edf th\u00e0nh h\u00ecnh \u1ea3nh tr\u00ean m\u00e0n h\u00ecnh. Ng\u01b0\u1eddi \u0111o c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c \u00e2m thanh n\u00e0o t\u1ea1o ra \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng \u201ctho\u00e1t ra\u201d v\u00e0 \u0111\u1ed9 l\u1edbn c\u1ee7a \u0111\u00e1p \u1ee9ng.<br \/>\n&#8211; N\u1ebfu c\u00f3 s\u1ef1 xu\u1ea5t hi\u1ec7n \u0111\u00e1p \u1ee9ng \u201ctho\u00e1t ra\u201d cho nh\u1eefng \u00e2m thanh quan tr\u1ecdng nh\u1ea5t cho s\u1ef1 ph\u00e1t tri\u1ec3n kh\u1ea3 n\u0103ng nghe n\u00f3i sau n\u00e0y \u1edf m\u1ee9c \u0111\u1ed9 cho ph\u00e9p, \u0111\u1ee9a tr\u1ebb \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 \u0111\u00e3 v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m.<\/p>\n<h4 style=\"text-align: justify;\"><span id=\"2_Danh_gia_dap_ung_am_thanh_cua_cuong_nao_ABR\"><strong>2. \u0110\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng \u00e2m thanh c\u1ee7a cu\u1ed1ng n\u00e3o (ABR)<\/strong><\/span><\/h4>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" class=\"aligncenter wp-image-18266\" src=\"http:\/\/www.kidsplaza.vn\/blog\/wp-content\/uploads\/2016\/05\/sang-loc-thinh-luc3.jpg\" alt=\"sang-loc-thinh-luc3\" width=\"416\" height=\"294\" \/><\/p>\n<p style=\"text-align: justify;\">Ph\u01b0\u01a1ng ph\u00e1p ABR l\u00e0 m\u1ed9t \u0111o l\u01b0\u1eddng v\u1eadt l\u00fd, \u0111o l\u01b0\u1eddng c\u00e1c xung \u0111i\u1ec7n t\u1eeb tai t\u1edbi n\u00e3o khi \u0111\u00e1p \u1ee9ng v\u1edbi \u00e2m thanh. Ph\u01b0\u01a1ng ph\u00e1p s\u00e0ng l\u1ecdc n\u00e0y \u0111o \u0111\u1ed9 g\u1eafn b\u00f3 c\u1ee7a to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng nghe t\u1eeb tai \u0111\u1ebfn n\u00e3o.<\/p>\n<p style=\"text-align: justify;\">&#8211; Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n s\u1ebd \u0111\u1eb7t 4-5 \u0111i\u1ec7n c\u1ef1c tr\u00ean \u0111\u1ea7u tr\u1ebb, sau \u0111\u00f3 tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c nghe nhi\u1ec1u lo\u1ea1i \u00e2m thanh kh\u00e1c nhau qua 1 tai nghe nh\u1ecf. C\u00e1c k\u00edch th\u00edch \u00e2m thanh \u0111\u01b0\u1ee3c truy\u1ec1n t\u1edbi n\u00e3o v\u00e0 c\u00e1c \u0111i\u1ec7n c\u1ef1c s\u1ebd ghi l\u1ea1i th\u00e0nh c\u00e1c s\u00f3ng tr\u00ean m\u00e0n h\u00ecnh.<br \/>\n&#8211; Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 to nh\u1ecf kh\u00e1c nhau c\u1ee7a nhi\u1ec1u \u00e2m thanh v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nh\u1eb9 nh\u1ea5t m\u00e0 tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c.<br \/>\n&#8211; N\u1ebfu ch\u1ec9 v\u1edbi m\u1ee5c \u0111\u00edch s\u00e0ng l\u1ecdc, ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n c\u00f3 th\u1ec3 ch\u1ec9 d\u00f9ng 1 \u00e2m thanh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ti\u1ebfng click nh\u1ecf, v\u00e0 n\u1ebfu c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u00e1p \u1ee9ng, \u0111\u1ee9a tr\u1ebb \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 \u0111\u00e3 v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m.<br \/>\n&#8211; Th\u01b0\u1eddng t\u1eed nghi\u1ec7m th\u01b0\u1eddng k\u00e9o d\u00e0i kho\u1ea3ng 5-10 ph\u00fat.<\/p>\n<h4 style=\"text-align: justify;\"><span id=\"Su_khac_nhau_cua_2_phuong_phap\"><span style=\"font-size: 14pt;\"><strong>S\u1ef1 kh\u00e1c nhau c\u1ee7a 2 ph\u01b0\u01a1ng ph\u00e1p<\/strong><\/span><\/span><\/h4>\n<p style=\"text-align: justify;\">&#8211; Ph\u01b0\u01a1ng ph\u00e1p \u0111o l\u01b0\u1eddng l\u01b0\u1eddng theo OAE th\u01b0\u1eddng \u0111\u01a1n gi\u1ea3n h\u01a1n, \u00edt t\u1ed1n k\u00e9m h\u01a1n tuy nhi\u00ean t\u1ef7 l\u1ec7 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 (th\u00ednh l\u1ef1c b\u00ecnh th\u01b0\u1eddng nh\u01b0ng l\u1ea1i kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m) c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cao h\u01a1n so v\u1edbi t\u1ef7 l\u1ec7 d\u01b0\u01a1ng t\u00ednh gi\u1ea3 c\u1ee7a ABR khi \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong v\u00f2ng 3 ng\u00e0y \u0111\u1ea7u sau \u0111\u1ebb.<\/p>\n<p style=\"text-align: justify;\">&#8211; S\u1ef1 kh\u00e1c bi\u1ec7t n\u00e0y l\u00e0 do ph\u01b0\u01a1ng ph\u00e1p OAE nh\u1ea1y c\u1ea3m h\u01a1n v\u1edbi d\u1ecbch \u1ed1i hay ch\u1ea5t g\u00e2y \u0111\u1ecdng l\u1ea1i trong tai r\u1ea5t th\u01b0\u1eddng th\u1ea5y \u1edf tr\u1ebb. Nhi\u1ec1u ch\u01b0\u01a1ng tr\u00ecnh s\u00e0ng l\u1ecdc s\u1eed d\u1ee5ng OAE, sau \u0111\u00f3 l\u00e0 ABR tr\u00ean nh\u1eefng tr\u1ebb kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m OAE.<\/p>\n<p style=\"text-align: justify;\"><em>Hai ph\u01b0\u01a1ng ph\u00e1p th\u1eed nghi\u1ec7m n\u00e0y l\u00e0 kh\u00e1c nhau v\u1ec1 m\u1eb7t c\u01a1 ch\u1ebf, v\u00e0 v\u00ec th\u1ebf c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p c\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 c\u00f3 \u0111\u00e1nh gi\u00e1 t\u1ed1t h\u01a1n v\u1ec1 th\u00ednh l\u1ef1c c\u1ee7a tr\u1ebb.<\/em><\/p>\n<h3 style=\"text-align: justify;\"><span id=\"III_Neu_tre_khong_vuot_qua_duoc_thu_nghiem_co_nghia_la_gi\"><span style=\"font-size: 14pt;\"><strong>III. N\u1ebfu tr\u1ebb kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m c\u00f3 ngh\u0129a l\u00e0 g\u00ec ?<\/strong><\/span><\/span><\/h3>\n<p style=\"text-align: justify;\">&#8211; Kh\u00f4ng h\u1eb3n t\u1ea5t c\u1ea3 nh\u1eefng tr\u1ebb s\u01a1 sinh kh\u00f4ng v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m th\u00ednh l\u1ef1c c\u00f3 ngh\u0129a l\u00e0 m\u1ea5t th\u00ednh l\u1ef1c. Th\u1ed1ng k\u00ea cho th\u1ea5y kho\u1ea3ng 2-10% tr\u1ebb s\u01a1 sinh t\u1ea1i M\u1ef9 kh\u00f4ng v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m th\u00ednh l\u1ef1c l\u1ea7n \u0111\u1ea7u. C\u00f3 nhi\u1ec1u l\u00fd do c\u1ea7n ph\u1ea3i xem x\u00e9t. Tr\u01b0\u1edbc ti\u00ean, c\u00f3 th\u1ec3 l\u00e0 c\u00f3 nhi\u1ec1u d\u1ecbch \u1ed1i trong \u1ed1ng tai, v\u00e0 d\u1ecbch \u1ed1i n\u00e0y c\u1ea3n tr\u1edf c\u00e1c k\u00edch th\u00edch \u00e2m thanh t\u1edbi \u0111\u01b0\u1ee3c tai trong. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, d\u1ecbch \u1ed1i \u0111\u1ecdng trong khoang tai gi\u1eefa, sau m\u00e0ng nh\u0129, c\u0169ng g\u00e2y c\u1ea3n tr\u1edf c\u00e1c k\u00edch th\u00edch \u00e2m thanh d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 d\u01b0\u01a1ng t\u00ednh gi\u1ea3. V\u00ec th\u1ec3, n\u1ebfu m\u1ed9t tr\u1ebb kh\u00f4ng v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m, c\u1ea7n ph\u1ea3i ch\u1edd \u00edt nh\u1ea5t 1 tu\u1ea7n m\u1edbi th\u1eed nghi\u1ec7m l\u1ea1i \u0111\u1ec3 tai tr\u1ebb kh\u00f4 l\u1ea1i. M\u1ed9t l\u00fd do kh\u00e1c n\u1eefa c\u00f3 th\u1ec3 l\u00e0 do ti\u1ebfng \u0111\u1ed9ng b\u00ean ngo\u00e0i qu\u00e1 m\u1ea1nh, tr\u1ebb kh\u00f3c hay tr\u1ebb c\u1eed \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh th\u1eed nghi\u1ec7m. V\u00ec th\u1ebf, \u0111\u1ee9a tr\u1ebb c\u1ea7n y\u00ean l\u1eb7ng hay ng\u1ee7 trong qu\u00e1 tr\u00ecnh th\u1eed nghi\u1ec7m. Cho tr\u1ebb b\u00fa tr\u01b0\u1edbc khi l\u00e0m th\u1eed nghi\u1ec7m th\u01b0\u1eddng s\u1ebd l\u00e0m tr\u1ebb ng\u1ee7 d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n<p style=\"text-align: justify;\">&#8211; N\u1ebfu c\u00f3 nh\u1eefng b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 vi\u1ec7c m\u1ea5t th\u00ednh l\u1ef1c th\u00f4ng qua c\u00e1c th\u1eed nghi\u1ec7m n\u00e0y, tr\u1ebb c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn c\u00e1c chuy\u00ean gia th\u00ednh h\u1ecdc \u0111\u1ec3 c\u00f3 ch\u1ea9n \u0111o\u00e1n t\u1ed5ng th\u1ec3 v\u1ec1 d\u1ea1ng v\u00e0 m\u1ee9c \u0111\u1ed9 m\u1ea5t th\u00ednh l\u1ef1c. C\u00e1c chuy\u00ean gia s\u1ebd ti\u1ebfn h\u00e0nh c\u00e1c \u0111o l\u01b0\u1eddng c\u1ee5 th\u1ec3 v\u00e0 ch\u00ednh x\u00e1c h\u01a1n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u t\u1ed5n th\u01b0\u01a1ng l\u00e0 v\u0129nh vi\u1ec5n hay c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c. Th\u01b0\u1eddng l\u00e0 k\u1ef9 thu\u1eadt ABR v\u1edbi nhi\u1ec1u k\u00edch th\u00edch \u00e2m thanh kh\u00e1c nhau h\u01a1n s\u1ebd \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng.<\/p>\n<p style=\"text-align: justify;\">&#8211; T\u00f3m l\u1ea1i, khi m\u1ed9t tr\u1ebb s\u01a1 sinh kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m l\u1ea7n \u0111\u1ea7u t\u1ea1i b\u1ec7nh vi\u1ec7n sau khi sinh, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u t\u1edbi trung t\u00e2m tai m\u0169i h\u1ecdng \u0111\u1ec3 ti\u1ebfn h\u00e0nh l\u1ea1i th\u1eed nghi\u1ec7m sau 1 tu\u1ea7n. N\u1ebfu tr\u1ebb ti\u1ebfp t\u1ee5c kh\u00f4ng v\u01b0\u1ee3t qua th\u1eed nghi\u1ec7m l\u1ea7n 2 th\u00ec c\u00e1c th\u1eed nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n c\u1ea5p \u0111\u1ed9 cao s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh. N\u1ebfu \u0111\u1ee9a tr\u1ebb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 gi\u1ea3m ho\u1eb7c m\u1ea5t th\u00ednh l\u1ef1c, chuy\u00ean gia th\u00ednh h\u1ecdc s\u1ebd cho bi\u1ebft lo\u1ea1i v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh. V\u00ed d\u1ee5 nh\u01b0 m\u1ea5t th\u00edch l\u1ef1c do c\u00e1c nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3 nh\u01b0 vi\u00eam tai gi\u1eefa, \u0111\u1ecdng d\u1ecbch, th\u1ee7ng m\u00e0ng nh\u0129 hay b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac tai, c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c b\u1eb1ng thu\u1ed1c hay ph\u1eabu thu\u1eadt. M\u1ea5t th\u00ednh l\u1ef1c do l\u00fd do th\u1ea7n kinh th\u00ec ph\u1ee9c t\u1ea1p h\u01a1n, \u0111\u00f2i h\u1ecfi c\u00e1c thi\u1ebft b\u1ecb tr\u1ee3 th\u00ednh hay c\u1ea5y gh\u00e9p \u1ed1c tai.<\/p>\n<p style=\"text-align: justify;\"><strong><em>Vi\u1ec7c tr\u1ebb b\u1ecb m\u1ea5t th\u00ednh l\u1ef1c s\u1ebd c\u00f3 g\u1eb7p r\u1ea5t nhi\u1ec1u kh\u00f3 kh\u0103n kh\u00f4ng ch\u1ec9 trong giai ti\u1ebfp, l\u1eddi n\u00f3i, ng\u00f4n ng\u1eef m\u00e0 c\u00f2n gia t\u0103ng c\u00e1c r\u1ed1i lo\u1ea1n h\u00e0nh vi v\u00e0 g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n trong c\u1ea3 vi\u1ec7c gi\u00e1o d\u1ee5c. Ch\u00ednh v\u00ec th\u1ebf m\u00e0 b\u1ed1 m\u1eb9 n\u00ean ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm cho b\u00e9 m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi nh\u1ea5t \u0111\u1ea3m b\u1ea3o cho con \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n nh\u01b0 nh\u1eefng \u0111\u1ee9a tr\u1ebb b\u00ecnh th\u01b0\u1eddng.<\/em> <\/strong><\/p>\n<p style=\"text-align: right;\"><em>(T\u1ed5ng h\u1ee3p)<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Theo nghi\u00ean c\u1ee9u c\u1ee9 kho\u1ea3ng trung b\u00ecnh 1000 tr\u1ebb khi sinh ra th\u00ec c\u00f3 2-3 tr\u1ebb c\u00f3 kh\u1ea3 n\u0103ng nghe k\u00e9m. Vi\u1ec7c th\u00ednh l\u1ef1c kh\u00f4ng t\u1ed1t c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng nghe v\u00e0 n\u00f3i c\u1ee7a con. Ch\u00ednh v\u00ec th\u1ec3 m\u00e0 nhi\u1ec1u c\u00e1c chuy\u00ean gia khoa h\u1ecdc tr\u00ean th\u1ebf gi\u1edbi khuy\u1ebfn ngh\u1ecb r\u1eb1ng [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":18267,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[21],"tags":[],"_links":{"self":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/18256"}],"collection":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/comments?post=18256"}],"version-history":[{"count":8,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/18256\/revisions"}],"predecessor-version":[{"id":86345,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/18256\/revisions\/86345"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/media\/18267"}],"wp:attachment":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/media?parent=18256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/categories?post=18256"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/tags?post=18256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}