{"id":32458,"date":"2022-05-07T16:15:47","date_gmt":"2022-05-07T09:15:47","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=32458"},"modified":"2022-05-07T16:17:19","modified_gmt":"2022-05-07T09:17:19","slug":"mien-dich-nhom-mau","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/mien-dich-nhom-mau\/","title":{"rendered":"Mi\u1ec5n d\u1ecbch nh\u00f3m m\u00e1u l\u00e0 g\u00ec? B\u00e1c S\u0129 Tr\u00fac Phan chia s\u1ebb"},"content":{"rendered":"<p style=\"text-align: right;\"><strong><a href=\"https:\/\/www.vnras.com\/drug\/\">Nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng<\/a> \u2013 Ch\u1ee7 \u0111\u1ec1:<a href=\"https:\/\/www.vnras.com\/drug\/2022\/05\/mien-dich-nhom-mau.html\"> Mi\u1ec5n d\u1ecbch nh\u00f3m m\u00e1u<\/a><\/strong><\/p>\n<p style=\"text-align: right;\"><strong>Ngu\u1ed3n B\u00e1c S\u0129: Tr\u00fac Phan<\/strong><\/p>\n<h2>T\u00ecnh hu\u1ed1ng c\u00e2u h\u1ecfi<\/h2>\n<p>Nh\u00e2n c\u00e2u h\u1ecfi m\u1ed9t b\u1ea1n \u0111\u0103ng l\u00ean Di\u1ec5n \u0111\u00e0n v\u1ec1 mi\u1ec5n d\u1ecbch truy\u1ec1n m\u00e1u, m\u00ecnh xin tr\u00ecnh b\u00e0y m\u1ed9t ca m\u00ecnh c\u00f3 c\u01a1 h\u1ed9i tham gia th\u1ea3o lu\u1eadn v\u1edbi c\u00e1c b\u1ea1n \u0111\u1ed3ng nghi\u1ec7p ngo\u1ea1i qu\u1ed1c. Cho qu\u00fd anh\/ch\u1ecb em hi\u1ec3u h\u01a1n v\u1ec1 c\u00e1ch x\u1eed l\u00fd khi \u0111\u1ed1i di\u1ec7n v\u1edbi mi\u1ec5n d\u1ecbch huy\u1ebft h\u1ecdc.<\/p>\n<p>\u0110\u1eb7c bi\u1ec7t l\u00e0 khi, b\u1ec7nh nh\u00e2n thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft t\u1ef1 mi\u1ec5n, \u0111\u1ecbnh nh\u00f3m m\u00e1u th\u00f4ng th\u01b0\u1eddng s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c, Bs l\u00e2m s\u00e0ng ph\u1ea3i x\u1eed l\u00fd nh\u01b0 th\u1ebf n\u00e0o?<\/p>\n<h3>Khi c\u00f3 nh\u00f3m m\u00e1u, m\u00e0 kh\u00f4ng ch\u1ecdn \u0111\u01b0\u1ee3c t\u00fai m\u00e1u n\u00e0o ph\u00f9 h\u1ee3p v\u00ec t\u00fai n\u00e0o c\u0169ng d\u01b0\u01a1ng th\u00ec ph\u1ea3i hi\u1ec3u v\u00e0 x\u1eed l\u00fd nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, ng\u01b0\u1eddi T\u00e2y Ban Nha, nh\u00f3m m\u00e1u B+, 32 tu\u1ed5i<\/p>\n<ul>\n<li>T\u1ef1 ch\u1ee9ng (autocontrol): m t\u00ednh<\/li>\n<li>Coombs tr\u1ef1c ti\u1ebfp (DAT): \u00e2m t\u00ednh<\/li>\n<\/ul>\n<p>S\u00e0ng l\u1ecdc kh\u00e1ng th\u1ec3 (Screening test, l\u00e0 t\u00ean g\u1ecdi m\u1edbi c\u1ee7a <a href=\"https:\/\/www.vnras.com\/drug\/2019\/06\/benh-mau-kho-dong-nguy-hiem-hay-vo-hai.html\">Coombs<\/a> gi\u00e1n ti\u1ebfp) v\u1edbi 3 h\u1ed3ng c\u1ea7u m\u1eabu: pha IS (Intermediate spin) 2+\/ pha AHG: 3-4+<\/p>\n<ul>\n<li>H\u1ecd ti\u1ebfn h\u00e0nh x\u1eed tr\u00ed h\u1ed3ng c\u1ea7u m\u1eabu v\u1edbi DDT =&gt; v\u1eabn d\u01b0\u01a1ng nh\u01b0 c\u0169<\/li>\n<li>X\u1eed tr\u00ed h\u1ed3ng c\u1ea7u m\u1eabu v\u1edbi enzyme (Papain) =&gt; d\u01b0\u01a1ng m\u1ea1nh h\u01a1n<\/li>\n<\/ul>\n<p>H\u1ecd ti\u1ebfn h\u00e0nh th\u1eed huy\u1ebft t\u01b0\u01a1ng b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c kh\u00e1ng nguy\u00ean Lub-, I-, Vel-, Jk(a-b-), P-, \u0111\u1ec1u d\u01b0\u01a1ng 2+ \u1edf pha IS v\u00e0 3+ \u1edf pha AHG.<\/p>\n<p>H\u1ecd th\u1eed h\u1ed3ng c\u1ea7u b\u1ec7nh nh\u00e2n v\u1edbi huy\u1ebft thanh m\u1eabu anti-Ge2, -Ge3, -Dib, -Wrb \u0111\u1ec1u d\u01b0\u01a1ng.<\/p>\n<h3>\u0110\u1ebfn \u0111\u00e2y h\u1ecd kh\u00f4ng bi\u1ebft \u0111\u01b0\u1ee3c, li\u1ec7u d\u1ecb kh\u00e1ng th\u1ec3 b\u1ea5t th\u01b0\u1eddng \u1edf b\u1ec7nh nh\u00e2n n\u00e0y l\u00e0 kh\u00e1ng th\u1ec3 g\u00ec?<\/h3>\n<p>Khi \u0111i\u1ec1u tra ti\u1ec1n s\u1eed, b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 ti\u1ec1n c\u0103n s\u1ea3y thai nhi\u1ec1u l\u1ea7n =&gt; g\u1ee3i \u00fd \u0111\u1ebfn m\u1ed9t ki\u1ec3u h\u00ecnh hi\u1ebfm g\u1eb7p c\u1ee7a h\u1ec7 nh\u00f3m m\u00e1u P l\u00e0 p (v\u1eafng m\u1eb7t kh\u00e1ng nguy\u00ean P) =&gt; hi\u1ec7n di\u1ec7n kh\u00e1ng th\u1ec3 anti-PP1Pk, th\u01b0\u1eddng xuy\u00ean g\u00e2y t\u00e1n huy\u1ebft d\u1ecb mi\u1ec5n d\u1ecbch m\u1eb9 con, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y s\u1ea3y thai v\u00e0o 3 th\u00e1ng \u0111\u1ea7u. May m\u1eafn, h\u1ecd t\u00ecm \u0111\u01b0\u1ee3c h\u1ed3ng c\u1eabu m\u1eabu \u00e2m t\u00ednh kh\u00e1ng nguy\u00ean P, h\u1ecd \u0111em th\u1eed v\u1edbi huy\u1ebft t\u01b0\u01a1ng b\u1ec7nh nh\u00e2n, k\u1ebft qu\u1ea3 ra \u00e2m t\u00ednh =&gt; kh\u00e1ng th\u1ec3 n\u00e0y l\u00e0 kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i kh\u00e1ng nguy\u00ean P (anti-PP1Pk).<\/p>\n<p>M\u1ed9t t\u00ecnh hu\u1ed1ng cho th\u1ea5y, n\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i d\u1ecb kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i kh\u00e1ng nguy\u00ean c\u00f3 t\u1ea7n s\u1ed1 cao (&gt;90% d\u00e2n s\u1ed1 c\u00f3 mang kh\u00e1ng nguy\u00ean \u0111\u00f3) th\u00ec r\u1ea5t kh\u00f3 kh\u0103n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh, c\u0169ng nh\u01b0 ch\u1ecd t\u00fai m\u00e1u th\u00edch h\u1ee3p \u0111\u1ec3 truy\u1ec1n cho b\u1ec7nh nh\u00e2n (trung b\u00ecnh t\u1ef7 l\u1ec7 ch\u1ecdn \u0111\u01b0\u1ee3c 1 t\u00fai ph\u00f9 h\u1ee3p l\u00e0 1000 t\u00fai).<\/p>\n<p>C\u00e1c b\u1ea1n ch\u01b0a hi\u1ec3u v\u1ec1 <strong>coombs<\/strong> c\u00f3 th\u1ec3 xem th\u00eam t\u1ea1i b\u00e0i gi\u1ea3ng:<\/p>\n<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/FUxKJOTDYNA\" width=\"768\" height=\"480\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Ngu\u1ed3n video: B\u00e1c s\u0129 Tr\u00fac Phan<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u00e0 thu\u1ed1c L\u01b0u V\u0103n Ho\u00e0ng \u2013 Ch\u1ee7 \u0111\u1ec1: Mi\u1ec5n d\u1ecbch nh\u00f3m m\u00e1u Ngu\u1ed3n B\u00e1c S\u0129: Tr\u00fac Phan T\u00ecnh hu\u1ed1ng c\u00e2u h\u1ecfi Nh\u00e2n c\u00e2u h\u1ecfi m\u1ed9t b\u1ea1n \u0111\u0103ng l\u00ean Di\u1ec5n \u0111\u00e0n v\u1ec1 mi\u1ec5n d\u1ecbch truy\u1ec1n m\u00e1u, m\u00ecnh xin tr\u00ecnh b\u00e0y m\u1ed9t ca m\u00ecnh c\u00f3 c\u01a1 h\u1ed9i tham gia th\u1ea3o lu\u1eadn v\u1edbi c\u00e1c b\u1ea1n \u0111\u1ed3ng nghi\u1ec7p ngo\u1ea1i [&#8230;]\n","protected":false},"author":1,"featured_media":32459,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-32458","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32458","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=32458"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32458\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/32459"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=32458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=32458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=32458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}