﻿{"id":6447,"date":"2019-04-03T23:02:15","date_gmt":"2019-04-03T16:02:15","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=6447"},"modified":"2019-04-06T23:06:12","modified_gmt":"2019-04-06T16:06:12","slug":"dien-nom-thong-nao-ve-thalassemia-tan-mau-bam-sinh","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/dien-nom-thong-nao-ve-thalassemia-tan-mau-bam-sinh\/","title":{"rendered":"DI\u1ec4N N\u00d4M TH\u00d4NG N\u00c3O V\u1ec0 THALASSEMIA (tan m\u00e1u b\u1ea9m sinh)"},"content":{"rendered":"<p>(B\u00e0i vi\u1ebft c\u00f3 m\u1ed9t s\u1ed1 ng\u00f4n t\u1eeb kh\u00f4ng chuy\u00ean khoa, ch\u1ec9 v\u1edbi m\u1ee5c \u0111\u00edch d\u1ec5 hi\u1ec3u cho \u0111\u1ea1i ch\u00fang, \u0111\u1ec1 ngh\u1ecb c\u00e1c nh\u00e0 chuy\u00ean m\u00f4n s\u00e2u kh\u00f4ng soi)<\/p>\n<h2>Th\u1ec3 theo \u0111\u1ec1 ngh\u1ecb c\u1ee7a nhi\u1ec1u ng\u01b0\u1eddi, t\u00f4i bi\u00ean b\u00e0i di\u1ec5n n\u00f4m th\u00f4ng n\u00e3o v\u1ec1 Thalassemia hay c\u00f2n g\u1ecdi l\u00e0 tan m\u00e1u b\u1ea9m sinh.<\/h2>\n<p>H\u1ed3ng c\u1ea7u trong m\u1ed7i \u00f4ng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng c\u1ea7n ph\u1ea3i c\u00f3 2 chu\u1ed7i alpha v\u00e0 2 chu\u1ed7i beta. \u0110\u1ec3 s\u1ea3n xu\u1ea5t ra c\u00e1c chu\u1ed7i n\u00e0y c\u1ea7n ph\u1ea3i c\u00f3 gen \u0111i\u1ec1u khi\u1ec3n, \u1edf \u0111\u00e2y t\u00f4i g\u1ecdi l\u00e0 robot \u0111i\u1ec1u khi\u1ec3n s\u1ea3n xu\u1ea5t h\u1ed3ng c\u1ea7u. Robot \u0111\u1ebb ra chu\u1ed7i beta n\u1eb1m tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 11, c\u00f3 2 gen n\u00ean t\u00f4i v\u00ed n\u00f4m l\u00e0 2 tay. Robot \u0111\u1ebb ra chu\u1ed7i alpha n\u1eb1m tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 16, c\u00f3 t\u1edbi 4 gen l\u1eadn n\u00ean coi n\u00f3 l\u00e0 c\u00f3 4 ch\u00e2n.<\/p>\n<p>V\u1eady \u1edf m\u1ed9t \u00f4ng ng\u01b0\u1eddi mu\u1ed1n c\u00f3 h\u1ed3ng c\u1ea7u b\u00ecnh th\u01b0\u1eddng th\u00ec robot c\u1ea7n c\u00f3 \u0111\u1ee7 2 tay v\u00e0 4 ch\u00e2n. Robot n\u00e0o kh\u00f4ng may qu\u00e8 tay \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 beta thalassemia, robot c\u1ee5t ch\u00e2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 alpha thalassemia. Do ch\u1ec9 c\u00f3 2 tay n\u00ean qu\u00e8 1 l\u00e0 c\u00f3 v\u1ea5n \u0111\u1ec1 ngay, th\u01b0\u1eddng g\u00e2y thi\u1ebfu m\u00e1u t\u1eeb nh\u1ecf, nh\u01b0ng t\u00f9y theo m\u1ee9c \u0111\u1ed9 qu\u00e8 \u0111\u1ebfn b\u00e0n, \u0111\u1ebfn khu\u1ef7u hay \u0111\u1ebfn n\u00e1ch m\u00e0 ph\u00e2n ra th\u1ec3 n\u1eb7ng nh\u1eb9, qu\u00e8 c\u1ea3 2 tay th\u00ec th\u01b0\u1eddng toi t\u1eeb trong b\u00e0o thai v\u00ec h\u1ed3ng c\u1ea7u kh\u00f4ng g\u1eafp \u0111\u01b0\u1ee3c oxy n\u1eefa.<\/p>\n<p>Robot c\u1ee5t ch\u00e2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 alpha thalassemia, do c\u00f3 4 ch\u00e2n n\u00ean n\u1ebfu ch\u1ec9 c\u1ee5t 1 v\u1eabn \u0111i ngon, c\u1ee5t 2: ch\u01b0a \u0111\u1ebfn n\u1ed7i, n\u00ean \u0111a ph\u1ea7n alpha thalassemia thi\u1ebfu m\u00e1u nh\u1eb9 th\u00f4i, c\u1ee5t 3 ch\u00e2n th\u00ec ph\u1ea3i nh\u1ea3y l\u00f2 c\u00f2 n\u00ean b\u1ec7nh nh\u00e2n c\u0169ng thi\u1ebfu m\u00e1u kh\u01a1 kh\u1edb \u0111\u1eb7c bi\u1ec7t n\u1ebfu r\u01a1i v\u00e0o ph\u00e1i n\u1eef ph\u1ea3i ch\u1eeda \u0111\u1ebb (c\u1ee5t 3 ch\u00e2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh huy\u1ebft s\u1eafc t\u1ed1 H). C\u00f2n n\u1ebfu c\u1ee5t c\u1ea3 4 ch\u00e2n th\u00ec c\u0169ng t\u00e8o ngay trong b\u00e0o thai (hi\u1ec7n t\u01b0\u1ee3ng ph\u00f9 thai).<\/p>\n<p>Do robot qu\u00e8 qu\u1eb7t n\u00ean kh\u00f4ng v\u01a1 \u0111\u1ee7 nguy\u00ean li\u1ec7u t\u1ea1o h\u1ed3ng c\u1ea7u, v\u1eady n\u00ean c\u00e1c h\u1ed3ng c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n th\u1ea5p c\u00f2i h\u01a1n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, g\u1ecdi l\u00e0 h\u1ed3ng c\u1ea7u nh\u1ecf. \u0110\u00e3 nh\u1ecf, y\u1ebfu th\u00ec kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c nhi\u1ec7m v\u1ee5 chuy\u00ean ch\u1edf oxy n\u00ean to\u00e0n c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng \u0111\u1ee7, v\u00ec v\u1eady b\u1ec7nh nh\u00e2n c\u0169ng th\u01b0\u1eddng th\u1ea5p c\u00f2i h\u01a1n b\u1ea1n b\u00e8 c\u00f9ng trang l\u1ee9a. Thi\u1ebfu m\u00e1u t\u1eeb nh\u1ecf n\u00ean c\u00e1c x\u01b0\u01a1ng c\u00f3 t\u1ee7y sinh m\u00e1u c\u1ed1 \u0111ua nhau ph\u00e1t tri\u1ec3n, d\u1eabn \u0111\u1ebfn lo\u00e3ng x\u01b0\u01a1ng v\u00e0 bi\u1ebfn d\u1ea1ng m\u1eb7t ( b\u1ed9 m\u1eb7t Thalassemia). H\u1ed3ng c\u1ea7u c\u00f2i nh\u1ecf y\u1ebfu n\u00ean ch\u1ebft s\u1edbm, ngh\u0129a \u0111\u1ecba l\u00e1ch qu\u00e1 t\u1ea3i n\u00ean ph\u00ecnh to ra d\u1eabn \u0111\u1ebfn l\u00e1ch r\u1ea5t to nh\u1ea5t l\u00e0 b\u1ec7nh nh\u00e2n beta thalassemia.<\/p>\n<p>H\u1ed3ng c\u1ea7u ch\u1ebft nhi\u1ec1u, c\u00e1c s\u1ea3n ph\u1ea9m ph\u00e2n r\u00e3 c\u1ee7a n\u00f3 quan tr\u1ecdng nh\u1ea5t l\u00e0 bilirubin t\u1ef1 do gi\u1ea3i ph\u00f3ng nhi\u1ec1u d\u1eabn \u0111\u1ebfn v\u00e0ng da, n\u1ebfu tan m\u00e1u c\u1ea5p th\u00ec th\u1ea3i \u1ed3 \u1ea1t nhi\u1ec1u th\u1ee9 qua th\u1eadn n\u00ean c\u00f3 b\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn c\u1ea5p khi tan m\u00e1u d\u1eef d\u1ed9i. \u1ede th\u1ec3 n\u1eb7ng, do robot t\u1ea1o h\u1ed3ng c\u1ea7u qu\u00e8 qu\u1eb7t n\u00ean c\u01a1 th\u1ec3 c\u00f3 t\u00ecnh tr\u1ea1ng t\u0103ng v\u01a1 s\u1eaft v\u00e0o (th\u1ef1c t\u1ebf l\u00e0 kh\u00f4ng d\u00f9ng t\u1ea1o h\u1ed3ng c\u1ea7u \u0111\u01b0\u1ee3c n\u00ean v\u1eabn thi\u1ebfu m\u00e1u), h\u1ed3ng c\u1ea7u l\u1ea1i y\u1ebfu v\u1ee1 nhi\u1ec1u n\u00ean gi\u1ea3i ph\u00f3ng nhi\u1ec1u s\u1eaft, b\u1ec7nh nh\u00e2n s\u1ebd b\u1ecb \u1ee9 s\u1eaft \u1edf m\u1ecdi c\u01a1 quan b\u1ed9 ph\u1eadn n\u00ean c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy tim, gan, ti\u1ec3u \u0111\u01b0\u1eddng&#8230;.<\/p>\n<p>V\u1eady t\u00f3m l\u1ea1i b\u1ec7nh nh\u00e2n tan m\u00e1u b\u1ea9m sinh c\u00f3 th\u1ec3 c\u00f3: thi\u1ebfu m\u00e1u, v\u00e0ng da, l\u00e1ch to, b\u1ed9 m\u1eb7t Thalas, \u1ee9 s\u1eaft, suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan (k\u00e9m tr\u00ed nh\u1edb, y\u1ebfu sinh l\u00fd&#8230;.) Ch\u01b0a k\u1ec3 truy\u1ec1n m\u00e1u nhi\u1ec1u l\u1ea7n, c\u00e0ng th\u00eam \u1ee9 s\u1eaft (\u0111\u01b0\u01a1ng nhi\u00ean k\u00e8m theo m\u1ed9t lo\u1ea1t nguy c\u01a1 ph\u1ea3n \u1ee9ng truy\u1ec1n m\u00e1u). T\u00f9y m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 m\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean n\u1eb7ng hay nh\u1eb9. N\u1ebfu n\u1eb7ng, n\u00f3i chung l\u00e0 c\u1ea3 \u0111\u1eddi g\u1eafn v\u1edbi b\u1ec7nh vi\u1ec7n v\u00e0 r\u1ea5t c\u1ea7n ngu\u1ed3n m\u00e1u t\u1eeb ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>V\u00ec l\u00fd do tr\u00ean m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e9p u\u1ed1ng s\u1eaft, tr\u1eeb khi th\u1ec3 nh\u1eb9 m\u00e0 l\u1ea1i b\u1ecb th\u00eam con giun m\u00f3c hay rong kinh&#8230;. l\u00e0m thi\u1ebfu s\u1eaft. B\u1ec7nh nh\u00e2n n\u1eb7ng, d\u1ec5 ph\u00e1t hi\u1ec7n, v\u00e0o vi\u1ec7n su\u1ed1t, \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111\u1ec1u, hi\u1ec3u r\u00f5 b\u1ec7nh. Th\u1ec3 nh\u1eb9, c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng (c\u00f3 ng\u01b0\u1eddi t\u1ee7y x\u01b0\u01a1ng c\u00f2n s\u1ea3n sinh b\u00f9 tr\u1eeb r\u1ea5t m\u1ea1nh), c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n thi\u1ebfu m\u00e1u nh\u1eb9, h\u01a1i c\u00f2i&#8230;.n\u00ean d\u1ec5 ch\u1ee7 quan ngh\u0129 m\u00ecnh ch\u1ea3 sao, sinh ho\u1ea1t y\u00eau y\u1ebfu ch\u00fat nh\u01b0ng v\u1eabn l\u1eadp gia \u0111\u00ecnh b\u00ecnh th\u01b0\u1eddng, \u0111\u1ea5y l\u00e0 l\u00fd do c\u1ea7n t\u01b0 v\u1ea5n di truy\u1ec1n. V\u00ec b\u1ea3n th\u00e2n c\u00f3 qu\u1ea3 robot qu\u00e8 hay c\u1ee5t r\u1ed3i m\u00e0 tr\u00f3t y\u00eau n\u00e0ng\/ch\u00e0ng c\u0169ng c\u00f3 robot qu\u00e8 c\u1ee5t th\u00ec t\u1ef7 l\u1ec7 nguy c\u01a1 con b\u1ecb thalas cao h\u01a1n b\u00ecnh th\u01b0\u1eddng ng\u01b0\u1eddi kh\u00e1c. Khuy\u1ebfn c\u00e1c c\u00e1c \u00f4ng ng\u01b0\u1eddi c\u00f3 thi\u1ebfu m\u00e1u h\u1ed3ng c\u1ea7u nh\u1ecf ho\u1eb7c ch\u1ec9 c\u00f3 h\u1ed3ng c\u1ea7u nh\u1ecf \u0111\u01a1n thu\u1ea7n (ch\u1ec9 s\u1ed1 MCV trong x\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u &lt;80fl) th\u00ec c\u1ea7n l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u00ecnh c\u00f3 b\u1ecb kh\u00f4ng v\u00e0 thu\u1ed9c lo\u1ea1i qu\u00e8 hay c\u1ee5t. C\u00f3 th\u1ec3 l\u00e0m ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh. V\u00ec \u0111\u00e2y l\u00e0 di truy\u1ec1n n\u00ean con \u00f4ng robot qu\u00e8 c\u00f3 th\u1ec3 v\u1eabn l\u00e0nh n\u1ebfu robot c\u1ee7a v\u1ee3 ngon ngh\u1ebb.<\/p>\n<p>N\u1ebfu c\u1ea7n t\u01b0 v\u1ea5n di truy\u1ec1n th\u00ec c\u00f3 th\u1ec3 \u0111\u1ebfn nh\u1eefng n\u01a1i nh\u01b0 Vi\u1ec7n Nhi, trung t\u00e2m Thalassemia c\u1ee7a Vi\u1ec7n Huy\u1ebft h\u1ecdc truy\u1ec1n m\u00e1u trung \u01b0\u01a1ng ho\u1eb7c \u0111\u1ebfn kh\u00e1m chuy\u00ean khoa Huy\u1ebft h\u1ecdc \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn. H\u00ecnh minh h\u1ecda b\u1ed9 m\u1eb7t Thalassemia \u0111i\u1ec3n h\u00ecnh, T\u00e2y hay ta \u0111\u1ec1u na n\u00e1 nhau.<\/p>\n<p>B\u00e0i vi\u1ebft c\u1ee7a ti\u1ebfn s\u0129 huy\u1ebft h\u1ecdc Kieumy Tran<\/p>\n<p>PS: b\u1ee9c \u1ea3nh minh h\u1ecda \u0111\u1ed1c t\u1edd Hung Ngo l\u1ea5y t\u1eeb nh\u1eefng b\u00e0i b\u00e1o \u1ea7m \u0129 v\u1ec1 \u0111\u1ea1i gia Tr\u1ea7n S\u01a1n m\u1ea5y n\u0103m tr\u01b0\u1edbc. C\u1eadu n\u00e0y c\u00f3 khu\u00f4n m\u1eb7t \u0111i\u1ec3n h\u00ecnh c\u1ee7a ng\u01b0\u1eddi tan m\u00e1u b\u1ea9m sinh Thalassemia, anh \u1ea5y \u0111\u00e3 \u0111\u0103ng b\u00e0i b\u00f3c ph\u1ed1t tr\u00ean trang Fb c\u0169 trong m\u1ee5c TIN \u0110\u1ed8NG KINH (ch\u1ea5n \u0111\u1ed9ng-kinh ho\u00e0ng). V\u00e0 i nh\u01b0 r\u1eb1ng, n\u0103m 2018 c\u00e1c b\u00e1o t\u1ebdn t\u00f2 \u0111\u0103ng h\u00ecnh \u1ea3nh c\u1eadu b\u00e9 n\u00e0y \u0111ang n\u1eb1m truy\u1ec1n m\u00e1u trong b\u1ec7nh vi\u1ec7n.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>(B\u00e0i vi\u1ebft c\u00f3 m\u1ed9t s\u1ed1 ng\u00f4n t\u1eeb kh\u00f4ng chuy\u00ean khoa, ch\u1ec9 v\u1edbi m\u1ee5c \u0111\u00edch d\u1ec5 hi\u1ec3u cho \u0111\u1ea1i ch\u00fang, \u0111\u1ec1 ngh\u1ecb c\u00e1c nh\u00e0 chuy\u00ean m\u00f4n s\u00e2u kh\u00f4ng soi) Th\u1ec3 theo \u0111\u1ec1 ngh\u1ecb c\u1ee7a nhi\u1ec1u ng\u01b0\u1eddi, t\u00f4i bi\u00ean b\u00e0i di\u1ec5n n\u00f4m th\u00f4ng n\u00e3o v\u1ec1 Thalassemia hay c\u00f2n g\u1ecdi l\u00e0 tan m\u00e1u b\u1ea9m sinh. H\u1ed3ng c\u1ea7u trong [&#8230;]\n","protected":false},"author":1,"featured_media":6448,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6447","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\/6447","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=6447"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/6447\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/6448"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=6447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=6447"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=6447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}