{"id":7972,"date":"2019-04-19T18:42:14","date_gmt":"2019-04-19T11:42:14","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=7972"},"modified":"2019-04-22T18:46:07","modified_gmt":"2019-04-22T11:46:07","slug":"nhung-dieu-can-biet-ve-nguoi-nhom-mau-rh","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/nhung-dieu-can-biet-ve-nguoi-nhom-mau-rh\/","title":{"rendered":"NH\u1eeeNG \u0110I\u1ec0U C\u1ea6N BI\u1ebeT V\u1ec0 NG\u01af\u1edcI NH\u00d3M M\u00c1U RH-"},"content":{"rendered":"<h2>Nh\u00f3m m\u00e1u<\/h2>\n<p>M\u1ed7i ng\u01b0\u1eddi ch\u00fang ta sinh ra \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng s\u1ef1 di truy\u1ec1n t\u1eeb b\u1ed1 m\u1eb9 n\u00ean c\u00f3 m\u1ed9t nh\u00f3m m\u00e1u c\u1ed1 \u0111\u1ecbnh v\u00e0 kh\u00f4ng thay \u0111\u1ed5i su\u1ed1t cu\u1ed9c \u0111\u1eddi.<\/p>\n<p>Theo c\u00e1c nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u1ec1 m\u00e1u t\u1eeb tr\u01b0\u1edbc \u0111\u1ebfn nay th\u00ec \u0111\u00e3 t\u00ecm ra 30 h\u1ec7 nh\u00f3m m\u00e1u kh\u00e1c nhau \u1edf ng\u01b0\u1eddi. Nh\u00f3m m\u00e1u ABO v\u00e0 h\u1ec7 Rh ch\u00ednh l\u00e0 hai nh\u00f3m m\u00e1u \u0111\u1ea7u ti\u00ean, quan tr\u1ecdng nh\u1ea5t trong truy\u1ec1n m\u00e1u. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nh\u00f3m m\u00e1u h\u1ec7 Rh, m\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u00f3m m\u00e1u hi\u1ebfm Rh-, \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 c\u00e1i nh\u00ecn t\u1ed5ng quan v\u00e0 n\u1eafm r\u00f5 nh\u1eefng l\u01b0u \u00fd \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a ch\u00ednh m\u00ecnh.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-7973 aligncenter\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/mau_rh.jpg\" alt=\"m\u00e1u rh \" width=\"450\" height=\"381\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/mau_rh.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/mau_rh-350x296.jpg 350w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<h2>T\u1ed5ng quan v\u1ec1 nh\u00f3m m\u00e1u Rh<\/h2>\n<p>Rh, vi\u1ebft t\u1eaft c\u1ee7a ch\u1eef Rhesus, ngh\u0129a l\u00e0 ph\u00e2n lo\u1ea1i m\u00e1u theo y\u1ebfu t\u1ed1 Rhesus. C\u1ee5 th\u1ec3 l\u00e0 c\u0103n c\u1ee9 v\u00e0o s\u1ef1 kh\u00e1c bi\u1ec7t trong s\u1ef1 v\u1eadn chuy\u1ec3n oxy c\u1ee7a h\u1ed3ng c\u1ea7u, th\u00ec c\u00e1c h\u1ed3ng c\u1ea7u c\u00f3 th\u1ec3 mang \u1edf m\u1eb7t ngo\u00e0i m\u1ed9t protein g\u1ecdi l\u00e0 Rhesus (k\u00ed hi\u1ec7u: Rh).<\/p>\n<p>Rh bao g\u1ed3m Rh+ v\u00e0 Rh-. S\u1ef1 ph\u00e2n lo\u1ea1i n\u00e0y d\u1ef1a v\u00e0o tr\u1ea1ng th\u00e1i Rh \u00e2m t\u00ednh hay d\u01b0\u01a1ng t\u00ednh v\u1edbi kh\u00e1ng nguy\u00ean D, m\u1ed9t lo\u1ea1i kh\u00e1ng nguy\u00ean quan tr\u1ecdng c\u00f3 t\u00ednh sinh mi\u1ec5n d\u1ecbch cao v\u00e0 t\u00ednh kh\u00e1ng nguy\u00ean m\u1ea1nh. N\u1ebfu c\u00f3 kh\u00e1ng nguy\u00ean D th\u00ec l\u00e0 nh\u00f3m Rh+( d\u01b0\u01a1ng t\u00ednh), c\u00f2n kh\u00f4ng th\u00ec l\u00e0 Rh- (\u00e2m t\u00ednh).<\/p>\n<p>\u1ede Vi\u1ec7t Nam, theo k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u1ec1 m\u00e1u th\u00ec c\u00f3 \u0111\u1ebfn 99.96% thu\u1ed9c nh\u00f3m m\u00e1u Rh+ ( A+, B+, AB+, O+) v\u00e0 ch\u1ec9 c\u00f3 0,04-0,07% thu\u1ed9c Rh- (A-, B-, AB-, O-), t\u1ee9c l\u00e0 trong 10.000 ng\u01b0\u1eddi m\u1edbi c\u00f3 4-7 ng\u01b0\u1eddi mang nh\u00f3m m\u00e1u Rh-.<\/p>\n<h2>Rh- v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd<\/h2>\n<p>R\u00f5 r\u00e0ng ta th\u1ea5y nh\u1eefng ng\u01b0\u1eddi mang nh\u00f3m m\u00e1u Rh- l\u00e0 nh\u1eefn ng\u01b0\u1eddi r\u1ea5t quan tr\u1ecdng. H\u1ecd c\u00f3 th\u1ec3 truy\u1ec1n m\u00e1u cho ng\u01b0\u1eddi c\u00f3 nh\u00f3m m\u00e1u Rh+, nh\u01b0ng ch\u1ec9 nh\u1eadn m\u00e1u t\u1eeb ng\u01b0\u1eddi c\u00f3 c\u00f9ng nh\u00f3m m\u00e1u v\u00e0 c\u00f3 Rh-. \u0110\u00f3 c\u0169ng ch\u00ednh l\u00e0 l\u00ed do ng\u01b0\u1eddi mang nh\u00f3m m\u00e1u Rh- s\u1ebd g\u1eb7p m\u1ed9t v\u00e0i r\u1eafc r\u1ed1i trong cu\u1ed9c s\u1ed1ng so v\u1edbi nh\u1eefng ng\u01b0\u1eddi mang nh\u00f3m m\u00e1u Rh+.<\/p>\n<p>+ H\u1ecd c\u1ea7n ph\u1ea3i lu\u00f4n b\u1ea3o v\u1ec7 v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh \u0111\u1ec3 tr\u00e1nh tr\u01b0\u1eddng h\u1ee3p c\u1ea7n truy\u1ec1n m\u00e1u nh\u01b0ng khang hi\u1ebfm nh\u00f3m m\u00e1u Rh- trong ng\u00e2n h\u00e0ng m\u00e1u t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf.<\/p>\n<p>+Trong qu\u00e1 tr\u00ecnh truy\u1ec1n m\u00e1u, sinh \u0111\u1ebb,\u2026\u1edf l\u1ea7n \u0111\u1ea7u ti\u00ean th\u00ec trong c\u01a1 th\u1ec3 ng\u01b0\u1eddi mang nh\u00f3m m\u00e1u Rh- s\u1ebd sinh ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i Rh+. T\u1eeb l\u1ea7n th\u1ee9 hai tr\u1edf \u0111i, khi s\u1ef1 ti\u1ebfp x\u00fac n\u00e0y l\u1ea1i x\u1ea3y ra th\u00ec ph\u1ea3n \u1ee9ng gi\u1eefa kh\u00e1ng th\u1ec3 v\u00e0 kh\u00e1ng nguy\u00ean Rh s\u1ebd di\u1ec5n ra ph\u1ea3n \u1ee9ng g\u00e2y ra t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch, l\u00e0m tan m\u00e1u, g\u00e2y ra nhi\u1ec1u tai bi\u1ebfn trong truy\u1ec1n m\u00e1u.<\/p>\n<p>+ H\u00e3y v\u1eadn \u0111\u1ed9ng m\u1ecdi ng\u01b0\u1eddi trong gia \u0111\u00ecnh, ng\u01b0\u1eddi th\u00e2n x\u00e9t nghi\u1ec7m \u0111\u1ec3 bi\u1ebft nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh. N\u1ebfu thu\u1ed9c nh\u00f3m m\u00e1u hi\u1ebfm Rh- h\u00e3y \u0111\u0103ng k\u00ed ngay \u1edf c\u00e1c CLB v\u1ec1 m\u00e1u t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 thu\u1eadn ti\u1ec7n trong vi\u1ec7c hi\u1ebfn m\u00e1u c\u1ee9u ng\u01b0\u1eddi ho\u1eb7c khi c\u1ea7n truy\u1ec1n m\u00e1u.<\/p>\n<p>+ \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai c\u00f3 nh\u00f3m m\u00e1u Rh- .<\/p>\n<p>\u1ede ng\u01b0\u1eddi ch\u1ed3ng c\u00f3 Rh+ th\u00ec \u0111\u1ee9a b\u00e9 sinh ra c\u00f3 th\u1ec3 l\u00e0 Rh+ ho\u1eb7c Rh-. T\u1eeb \u0111\u1ee9a th\u1ee9 hai tr\u1edf \u0111i, n\u1ebfu b\u00e9 sinh ra l\u00e0 Rh+ th\u00ec khi sinh s\u1ebd r\u1ea5t nguy hi\u1ec3m v\u00ec l\u00fac n\u00e0y m\u00e1u c\u1ee7a b\u00e9 v\u00e0 m\u1eb9 trong qu\u00e1 tr\u00ecnh sinh s\u1ebd ti\u1ebfp x\u00fac v\u1edbi nhau. C\u01a1 ch\u1ebf ch\u1ed1ng kh\u00e1ng th\u1ec3 Rh c\u1ee7a Rh- trong c\u01a1 th\u1ec3 m\u1eb9 s\u1ebd l\u00e0m nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng con. Tuy nhi\u00ean, hi\u1ec7n nay \u0111\u00e3 c\u00f3 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u01a1n gi\u1ea3n l\u00e0 ngay khi sinh con l\u1ea7n \u0111\u1ea7u, m\u1eb9 s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam huy\u1ebft thanh kh\u00e1ng Rh trong v\u00f2ng 72 gi\u1edd c\u1ee7a l\u1ea7n sinh \u0111\u1ea7u ti\u00ean. Trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng th\u00ec s\u1ebd c\u00f3 ch\u1ebf \u0111\u1ed9 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t d\u00e0nh cho thai nhi khi c\u00f2n trong b\u1ee5ng m\u1eb9 b\u1eb1ng c\u00e1ch thay m\u00e1u.<\/p>\n<p>X\u00e9t nghi\u1ec7m \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c nh\u00f3m m\u00e1u c\u1ee7a m\u00ecnh c\u0169ng ch\u00ednh l\u00e0 c\u00e1ch t\u1ef1 b\u1ea3o v\u1ec7 b\u1ea3n th\u00e2n v\u00e0 c\u1ee9u l\u1ea5y nh\u1eefng ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>T\u00e1c gi\u1ea3: B\u00edch Nguy\u1ec5n<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nh\u00f3m m\u00e1u M\u1ed7i ng\u01b0\u1eddi ch\u00fang ta sinh ra \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng s\u1ef1 di truy\u1ec1n t\u1eeb b\u1ed1 m\u1eb9 n\u00ean c\u00f3 m\u1ed9t nh\u00f3m m\u00e1u c\u1ed1 \u0111\u1ecbnh v\u00e0 kh\u00f4ng thay \u0111\u1ed5i su\u1ed1t cu\u1ed9c \u0111\u1eddi. Theo c\u00e1c nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u1ec1 m\u00e1u t\u1eeb tr\u01b0\u1edbc \u0111\u1ebfn nay th\u00ec \u0111\u00e3 t\u00ecm ra 30 h\u1ec7 nh\u00f3m m\u00e1u kh\u00e1c nhau \u1edf ng\u01b0\u1eddi. [&#8230;]\n","protected":false},"author":1,"featured_media":7974,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7972","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\/7972","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=7972"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/7972\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/7974"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=7972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=7972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=7972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}