{"id":693,"date":"2013-08-23T16:05:24","date_gmt":"2013-08-23T09:05:24","guid":{"rendered":"http:\/\/kidsplaza.local\/blog\/cham-soc-tre-so-sinh-de-non-thang.html"},"modified":"2014-10-27T08:21:54","modified_gmt":"2014-10-27T01:21:54","slug":"cham-soc-tre-so-sinh-de-non-thang","status":"publish","type":"post","link":"https:\/\/www.kidsplaza.vn\/blog\/cham-soc-tre-so-sinh-de-non-thang.html","title":{"rendered":"Ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh \u0111\u1ebb non th\u00e1ng"},"content":{"rendered":"

\u0110<\/strong>\u1eb7<\/strong>c \u0111i<\/strong>\u1ec3<\/strong>m c<\/strong>\u01a1<\/strong> th<\/strong>\u1ec3<\/strong><\/p>\n

Tr\u1ebb sinh non\u00a0 th\u00e1ng khi c\u00e1c b\u1ed9 ph\u1eadn v\u1eabn \u0111ang ph\u00e1t tri\u1ec3n v\u00e0 ch\u01b0a ho\u00e0n ch\u1ec9nh, da c\u00f2n non, m\u1ecfng, c\u00f3 nhi\u1ec1u l\u00f4ng t\u01a1, ch\u1ea5t g\u00e2y, m\u00f3ng ch\u00e2n m\u00f3ng tay m\u1ec1m, ch\u01b0a m\u1ecdc h\u1ebft, s\u1ee5n \u1edf v\u00e0nh tai ch\u01b0a c\u00f3, l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n ch\u01b0a c\u00f3 ch\u1ec9 tay r\u00f5 rang, h\u1ed9p s\u1ecd c\u00f2n non, m\u1ec1m, h\u1ec7 sinh d\u1ee5c ch\u01b0a ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n, v\u1edbi b\u00e9 g\u00e1i m\u00f4i l\u1edbn ch\u01b0a che ph\u1ee7 m\u00f4i nh\u1ecf, v\u1edbi b\u00e9 trai c\u00f3 th\u1ec3 tinh ho\u00e0n ch\u01b0a xu\u1ed1ng b\u00ecu n\u1ebfu sinh tr\u01b0\u1edbc 33 tu\u1ea7n.<\/p>\n

\u00a0\u0110<\/strong>\u1eb7c \u0111i<\/strong>\u1ec3m sinh l\u00fd<\/strong><\/p>\n

Ch\u1ee9c n\u0103ng \u0111i\u1ec1u h\u00f2a th\u00e2n nhi\u1ec7t: Th\u00e2n nhi\u1ec7t c\u1ee7a tr\u1ebb s\u01a1 sinh r\u1ea5t d\u1ec5 b\u1ecb h\u1ea1 xu\u1ed1ng ngay c\u1ea3 trong ti\u1ebft tr\u1eddi oi b\u1ee9c v\u00ec tr\u1ebb ch\u01b0a c\u00f3 l\u1edbp m\u1ee1 d\u01b0\u1edbi da ho\u1eb7c l\u1edbp m\u1ee1 d\u01b0\u1edbi da qu\u00e1 m\u1ecfng, kh\u1ea3 n\u0103ng sinh nhi\u1ec7t k\u00e9m, d\u1ec5 m\u1ea5t nhi\u1ec7t n\u00ean tr\u1ebb d\u1ec5 b\u1ecb l\u1ea1nh v\u00e0 ph\u00f9 c\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c th\u01b0\u1eddng xuy\u00ean \u1ee7 \u1ea5m. M\u1ea5t nhi\u1ec7t khi\u1ebfn tr\u1ebb d\u1ec5 m\u1eafc c\u00e1c b\u1ec7nh nh\u01b0 suy h\u00f4 h\u1ea5p, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, n\u1eb7ng h\u01a1n l\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o.<\/p>\n

\"\"<\/p>\n

Ch<\/em>\u1ee9c n\u0103ng h\u00f4 h<\/em>\u1ea5p:<\/em>\u00a0Suy h\u00f4 h\u1ea5p th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb sinh non thi\u1ebfu th\u00e1ng v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong cao \u1edf tr\u1ebb do l\u1ed3ng ng\u1ef1c tr\u1ebb ch\u01b0a ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n, d\u1ec5 bi\u1ebfn d\u1ea1ng, ph\u1ed5i k\u00e9m gi\u00e3n n\u1edf, c\u00e1c ph\u1ebf nang ch\u01b0a tr\u01b0\u1edfng th\u00e0nh, thi\u1ebfu ch\u1ea5t tr\u00e1ng b\u1ec1 m\u1eb7t. C\u1ea5u tr\u00fac ch\u01b0a ho\u00e0n ch\u1ec9nh g\u00e2y kh\u00f3 kh\u0103n cho vi\u1ec7c trao \u0111\u1ed5i kh\u00ed.<\/p>\n

Ch<\/em>\u1ee9c n\u0103ng h<\/em>\u1ec7 th<\/em>\u1ea7n kinh:<\/em>\u00a0H\u1ed9p s\u1ecd m\u1ec1m, n\u00e3o ch\u01b0a ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n n\u00ean d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng do c\u00e1c t\u00e1c \u0111\u1ed9ng x\u1ea5u v\u00e0 thi\u1ebfu d\u01b0\u1ee1ng kh\u00ed.<\/p>\n

Ch<\/em>\u1ee9c n\u0103ng tu<\/em>\u1ea7n ho\u00e0n:<\/em>\u00a0Tr\u1ebb s\u01a1 sinh<\/strong><\/a> thi\u1ebfu th\u00e1ng d\u1ec5 b\u1ecb xu\u1ea5t huy\u1ebft v\u00ec c\u00e1c m\u1ea1ch m\u00e1u m\u1ecfng, y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u thi\u1ebfu h\u1ee5t v\u00e0 gi\u1ea3m, Vitamin K v\u00e0 Prothrombin th\u1ea5p.<\/p>\n

Ch<\/em>\u1ee9c n\u0103ng ti\u00eau h\u00f3a:<\/em>\u00a0 Tr\u1ebb sinh non d\u1ec5 b\u1ecb v\u00e0ng da, v\u00e0ng da n\u1eb7ng v\u00e0 k\u00e9o d\u00e0i do thi\u1ebfu c\u00e1c enzyme chuy\u1ec3n h\u00f3a c\u00e1c bilirubin. Ngo\u00e0i ra d\u1ea1 d\u00e0y tr\u1ebb c\u00f2n nh\u1ecf, n\u1eb1m ngang, men ti\u00eau h\u00f3a thi\u1ebfu v\u00e0 h\u1ea5p thu k\u00e9m khi\u1ebfn cho tr\u1ebb d\u1ec5 r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a v\u00e0 k\u00e9m h\u1ea5p thu, d\u1ec5 n\u00f4n tr\u1edb.<\/p>\n

\u00a0C\u00e1ch ch\u0103m s\u00f3c<\/strong><\/p>\n

Ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh thi\u1ebfu th\u00e1ng ph\u1ea3i h\u1ebft s\u1ee9c c\u1ea9n th\u1eadn, ng\u00e0y \u0111\u1ea7u m\u1edbi sinh ph\u1ea3i \u1ee7 \u1ea5m cho b\u00e9 v\u00e0 cho b\u00e9 th\u1edf oxy, khi ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 ph\u1ea3i t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho b\u00e9 s\u1ed1ng trong m\u1ed9t m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd, th\u00f4ng tho\u00e1ng, \u1ea5m \u00e1p. Khi ch\u0103m s\u00f3c b\u00e9 ph\u1ea3i r\u1eeda tay th\u1eadt k\u1ef9. H\u1ea1n ch\u1ebf ng\u01b0\u1eddi t\u1edbi th\u0103m b\u00e9 v\u00ec b\u00e9 c\u00f3 th\u1ec3 l\u00e2y m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, c\u1ea3m c\u00fam. Tr\u00e1nh \u0111\u1ec3 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a b\u00e9 gi\u1ea3m v\u00ec s\u1ebd d\u1eabn \u0111\u1ebfn nhi\u1ec1u h\u1ec7 l\u1ee5y, lu\u00f4n ch\u00fa \u00fd \u0111\u1ebfn nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00e9, nhi\u1ec7t \u0111\u1ed9 trong kho\u1ea3ng 37 \u0111\u1ed9 l\u00e0 th\u00edch h\u1ee3p nh\u1ea5t.<\/p>\n

V\u1ec7 sinh r\u1ed1n v\u00e0 t\u1eafm cho b\u00e9 b\u1eb1ng n\u01b0\u1edbc \u1ea5m, t\u1eafm nhanh v\u00e0 t\u1eafm n\u01a1i k\u00edn gi\u00f3, sau khi t\u1eafm c\u1ea7n \u1ee7 \u1ea5m b\u00e9 v\u00e0 cho b\u00e9 ti m\u1eb9.<\/p>\n

\"\"<\/p>\n

M\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u1ee7 \u1ea5m cho b\u00e9 s\u01a1 sinh hi\u1ec7u qu\u1ea3 l\u00e0 \u1ee7 \u1ea9m ki\u1ec3u \u201cChu\u1ed9t t\u00fai\u201d. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y r\u1ea5t hi\u1ec7u qu\u1ea3 m\u00e0 l\u1ea1i \u00edt t\u1ed1n k\u00e9m, b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c \u1ee7 \u1ea5m d\u1ef1a v\u00e0o th\u00e2n nhi\u1ec7t c\u1ee7a ng\u01b0\u1eddi l\u1edbn. Vi\u1ec7c n\u00e0y gi\u00fap cho b\u00e9 ph\u00f2ng \u0111\u01b0\u1ee3c c\u00e1c c\u01a1n ng\u01b0ng th\u1edf, tr\u00e1nh tr\u00e0o ng\u01b0\u1ee3c v\u00e0 \u1ecdc s\u1eefa. N\u00ean theo d\u00f5i th\u00e2n nhi\u1ec7t c\u1ee7a b\u00e9 th\u01b0\u1eddng xuy\u00ean, li\u00ean t\u1ee5c \u0111\u1ec3 x\u1eed l\u00fd k\u1ecbp th\u1eddi.<\/p>\n

Nu\u00f4i d<\/strong>\u01b0\u1ee1ng<\/strong><\/p>\n

Cho b\u00e9 b\u00fa s\u1eefa m\u1eb9 \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1eefa non ngay sau khi sinh, v\u00ec s\u1eefa non ch\u1ee9a nhi\u1ec1u kh\u00e1ng th\u1ec3, c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng r\u1ea5t t\u1ed1t cho h\u1ec7 ti\u00eau h\u00f3a v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e9. T\u00f9y theo s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u ki\u1ec7n c\u1ee7a t\u1eebng b\u00e9 \u0111\u1ec3 theo d\u00f5i v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t \u1ed5n x\u1ea3y ra.<\/p>\n

C\u1ea7n cho b\u00e9 \u0103n s\u1edbm nh\u1eefng gi\u1edd \u0111\u1ea7u sau sinh. C\u1ea7n ph\u1ea3i ch\u00fa \u00fd \u0111\u1ebfn nhu c\u1ea7u sinh l\u00fd c\u1ee7a tr\u1ebb non th\u00e1ng. T\u00f9y theo t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng tr\u1ebb, t\u00f9y theo c\u00e2n n\u1eb7ng v\u00e0 tu\u1ed5i thai m\u00e0 c\u00f3 c\u00e1ch x\u1eed l\u00fd th\u00edch h\u1ee3p.<\/p>\n

Tr\u1ebb sinh non \u00a0tr\u00ean 34 tu\u1ea7n, c\u00e2n n\u1eb7ng tr\u00ean 2.300g th\u00ec cho b\u00e9 b\u00fa m\u1eb9 v\u00ec tr\u1ebb \u0111\u00e3 c\u00f3 ph\u1ea3n x\u1ea1 b\u00fa, n\u1ebfu tr\u1ebb \u00a0d\u01b0\u1edbi 32 tu\u1ea7n, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng m\u00fat b\u00fa, ph\u1ea3i n\u1eb7n s\u1eefa m\u1eb9 cho b\u00fa b\u1eb1ng \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y t\u1eeb 8 – 10 l\u1ea7n\/ng\u00e0y, \u1ed1ng th\u00f4ng t\u00e1 tr\u00e0ng v\u00e0 c\u00f3 th\u1ec3 v\u1eaft s\u1eefa m\u1eb9 t\u1eebng gi\u1ecdt v\u00e0o mi\u1ec7ng tr\u1ebb. Theo d\u00f5i l\u01b0\u1ee3ng s\u1eefa kh\u00f4ng b\u00fa h\u1ebft m\u1ed7i b\u1eefa \u0103n. \u0110\u1ed1i v\u1edbi tr\u1ebb qu\u00e1 non th\u00e1ng, c\u00e2n n\u1eb7ng d\u01b0\u1edbi 1.500g, c\u1ea7n \u0111\u01b0\u1ee3c truy\u1ec1n d\u1ecbch glucoza 5 – 10% b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, c\u00f3 th\u00eam ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i v\u00e0 gi\u1ea3m d\u1ea7n c\u00e0ng nhanh c\u00e0ng t\u1ed1t, thay th\u1ebf b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n

Theo d\u00f5i c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c, \u0111\u1ec3 k\u1ecbp th\u1eddi c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed: r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, th\u1edf nhanh, th\u1edf co k\u00e9o, cho tr\u1ebb th\u1edf oxy c\u00f3 th\u1ec3 qua m\u1eb7t n\u1ea1 hay qua \u1ed1ng th\u00f4ng m\u0169i. N\u00f4n \u00f3i, s\u1eb7c. Ph\u1ea3i k\u1ecbp th\u1eddi h\u00fat th\u00f4ng \u0111\u01b0\u1eddng th\u1edf. Theo d\u00f5i m\u00e0u da, m\u00f4i tr\u1ebb, c\u00e1c chi ng\u00f3n. R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, ph\u00e2n, n\u01b0\u1edbc ti\u1ec3u. M\u1ecdi hi\u1ec7n t\u01b0\u1ee3ng b\u1ea5t th\u01b0\u1eddng, d\u00f9 nh\u1ecf, \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, ghi ch\u00e9p \u0111\u1ec3 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1eb7c \u0111i\u1ec3m c\u01a1 th\u1ec3 Tr\u1ebb sinh non\u00a0 th\u00e1ng khi c\u00e1c b\u1ed9 ph\u1eadn v\u1eabn \u0111ang ph\u00e1t tri\u1ec3n v\u00e0 ch\u01b0a ho\u00e0n ch\u1ec9nh, da c\u00f2n non, m\u1ecfng, c\u00f3 nhi\u1ec1u l\u00f4ng t\u01a1, ch\u1ea5t g\u00e2y, m\u00f3ng ch\u00e2n m\u00f3ng tay m\u1ec1m, ch\u01b0a m\u1ecdc h\u1ebft, s\u1ee5n \u1edf v\u00e0nh tai ch\u01b0a c\u00f3, l\u00f2ng b\u00e0n tay, b\u00e0n ch\u00e2n ch\u01b0a c\u00f3 ch\u1ec9 tay r\u00f5 rang, […]<\/p>\n","protected":false},"author":1,"featured_media":694,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-693","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cham-soc-tre-so-sinh"],"_links":{"self":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/693","targetHints":{"allow":["GET"]}}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/comments?post=693"}],"version-history":[{"count":2,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/693\/revisions"}],"predecessor-version":[{"id":3699,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/posts\/693\/revisions\/3699"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/media\/694"}],"wp:attachment":[{"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/media?parent=693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/categories?post=693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kidsplaza.vn\/blog\/wp-json\/wp\/v2\/tags?post=693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}