{"id":2079,"date":"2023-07-12T12:00:11","date_gmt":"2023-07-12T05:00:11","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=2079"},"modified":"2023-07-31T18:34:40","modified_gmt":"2023-07-31T11:34:40","slug":"tat-thua-ngon","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/tat-thua-ngon\/","title":{"rendered":"T\u1eadt th\u1eeba ng\u00f3n"},"content":{"rendered":"<h2><strong>OUTLINE<\/strong><\/h2>\n<p>T\u1eadt th\u1eeba ng\u00f3n l\u00e0 d\u1ecb t\u1eadt b\u1ea9m sinh th\u01b0\u1eddng g\u1eb7p. N\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u1ed9c l\u1eadp ho\u1eb7c \u0111i k\u00e8m v\u1edbi nh\u1eefng d\u1ecb t\u1eadt kh\u00e1c. Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y, t\u1eadt th\u1eeba ng\u00f3n c\u00f3 th\u1ec3 di truy\u1ec1n qua gen tr\u1ed9i tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng. T\u1eadt th\u1eeba ng\u00f3n c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c \u1edf tr\u1ebb em nh\u01b0 thi\u1ebfu m\u00e1u Diamond-Blackfan, thi\u1ebfu m\u00e1u Fanconi, h\u1ed9i ch\u1ee9ng Ellis-van Creveld, d\u1ecb t\u1eadt \u0111\u1ed1t s\u1ed1ng, teo h\u1eadu m\u00f4n, tim b\u1ea9m sinh, r\u00f2 kh\u00ed qu\u1ea3n, b\u1ea5t th\u01b0\u1eddng \u1edf th\u1eadn, chi, nhi\u1ec5m s\u1eafc th\u1ec3 13, 21 tam b\u1ed9i.<\/p>\n<p>Theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u v\u1ec1 d\u1ecbch t\u1ec5 h\u1ecdc. \u1ede Hoa K\u1ef3, t\u1ec9 l\u1ec7 m\u1eafc t\u1eadt th\u1eeba ng\u00f3n \u1edf \u0111\u00e0n \u00f4ng da \u0111en cao h\u01a1n 10 l\u1ea7n so v\u1edbi da tr\u1eafng. T\u1ec9 l\u1ec7 n\u00e0y \u1edf ph\u1ee5 n\u1eef da \u0111en cao h\u01a1n 22 l\u1ea7n so v\u1edbi da tr\u1eafng. T\u1ec9 l\u1ec7 m\u1eafc t\u1eadt th\u1eeba ng\u00f3n l\u00e0 2,3\/1.000 \u1edf nam da tr\u1eafng, 13,5\/1.000 \u1edf nam da \u0111en v\u00e0 0,6\/1.000 \u1edf n\u1eef da tr\u1eafng v\u00e0 11,1\/1.000 \u1edf n\u1eef da \u0111en.<\/p>\n<h2><strong>SINH L\u00dd B\u1ec6NH<\/strong><\/h2>\n<p>Hai gi\u1ea3 thuy\u1ebft \u0111\u01b0\u1ee3c \u0111\u01b0a ra trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh t\u1eadt th\u1eeba ng\u00f3n. Qu\u00e1 tr\u00ecnh ch\u1ebft t\u1ebf b\u00e0o ch\u01b0\u01a1ng tr\u00ecnh b\u1ecb r\u1ed1i lo\u1ea1n trong giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n chi \u1edf thai nhi ho\u1eb7c l\u00e0 s\u1ef1 \u0111\u1ed9t bi\u1ebfn di truy\u1ec1n c\u1ee7a m\u1ed9t s\u1ed1 gen. C\u00e1c nghi\u00ean c\u1ee9u ghi nh\u1eadn c\u00e1c b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra trong s\u1ef1 ph\u00e1t tri\u1ec3n, t\u0103ng tr\u01b0\u1edfng c\u1ee7a chi. Bao g\u1ed3m v\u00f9ng ho\u1ea1t \u0111\u1ed9ng ph\u00e2n c\u1ef1c (Zone of Polarizing Activity &#8211; ZPA), v\u00f9ng ngo\u1ea1i b\u00ec (Pical Ectodermal Ridge &#8211; AER), y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng nguy\u00ean b\u00e0o s\u1ee3i (Fibroblast Growth Factors \u2013 FGF).<\/p>\n<h2><strong>TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG<\/strong><\/h2>\n<p>Tr\u1ebb \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong qu\u00e1 tr\u00ecnh mang thai ho\u1eb7c khi sinh ra c\u00f3 ng\u00f3n th\u1eeba \u1edf b\u00e0n tay, b\u00e0n ch\u00e2n.<\/p>\n<p>K\u00edch th\u01b0\u1edbc: ng\u00f3n th\u1eeba thi\u1ec3u s\u1ea3n t\u00f9y m\u1ee9c \u0111\u1ed9 ho\u1eb7c c\u00f3 k\u00edch th\u01b0\u1edbc b\u1eb1ng ng\u00f3n l\u00e0nh b\u00ean c\u1ea1nh, nh\u01b0ng th\u01b0\u1eddng nh\u1ecf h\u01a1n ng\u00f3n \u0111\u1ed1i b\u00ean.<\/p>\n<p>M\u00f3ng: th\u01b0\u1eddng nh\u1ecf h\u01a1n b\u00ecnh th\u01b0\u1eddng, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 to h\u01a1n ho\u1eb7c c\u00f3 r\u00e3nh gi\u1eefa ho\u1eb7c c\u00f3 2 m\u00f3ng \u0111i theo 2 ng\u00f3n.<\/p>\n<p>X\u01b0\u01a1ng: th\u00f4ng th\u01b0\u1eddng x\u01b0\u01a1ng ng\u00f3n th\u1eeba nh\u1ecf h\u01a1n, thi\u1ec3u s\u1ea3n h\u01a1n ng\u00f3n l\u00e0nh.<\/p>\n<p>Kh\u1edbp: c\u1ee9ng kh\u1edbp \u1edf nhi\u1ec1u m\u1ee9c \u0111\u1ed9, thi\u1ec3u s\u1ea3n, c\u1ed1t h\u00f3a kh\u1edbp. M\u1eb7t kh\u1edbp d\u1eb9t g\u00e2y h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng. Di\u1ec7n kh\u1edbp to ho\u1eb7c c\u00f3 2 di\u1ec7n kh\u1edbp.<\/p>\n<p>G\u00e2n, c\u01a1: kh\u00f4ng c\u00f3 g\u00e2n, thi\u1ec3u s\u1ea3n ho\u1eb7c b\u1ea5t th\u01b0\u1eddng v\u1ec1 v\u1ecb tr\u00ed, s\u1ed1 l\u01b0\u1ee3ng.<\/p>\n<p>M\u1ea1ch m\u00e1u, th\u1ea7n kinh: thay \u0111\u1ed5i t\u00f9y theo m\u1ee9c \u0111\u1ed9 thi\u1ec3u s\u1ea3n. C\u00f3 th\u1ec3 c\u00f3 m\u1ed9t h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u th\u1ea7n kinh chung cho hai ng\u00f3n ho\u1eb7c m\u1ed7i ng\u00f3n c\u00f3 m\u1ed9t h\u1ec7 th\u1ed1ng ri\u00eang bi\u1ec7t.<\/p>\n<h2><strong>CLASSIFY<\/strong><\/h2>\n<p>Tr\u01b0\u1edbc \u0111\u00e2y, t\u1eadt th\u1eeba ng\u00f3n \u1edf b\u00e0n tay, b\u00e0n ch\u00e2n \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh 3 lo\u1ea1i ch\u00ednh: tr\u01b0\u1edbc tr\u1ee5c, trung t\u00e2m v\u00e0 sau tr\u1ee5c. N\u0103m 1995, Li\u00ean \u0111o\u00e0n qu\u1ed1c t\u1ebf v\u1ec1 ph\u1eabu thu\u1eadt b\u00e0n tay quy\u1ebft \u0111\u1ecbnh thay \u0111\u1ed5i thu\u1eadt ng\u1eef th\u1eeba <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-ban-ngon-tay-gay-xuong-ban-tay\/\">ng\u00f3n tay<\/a> tr\u01b0\u1edbc tr\u1ee5c, sau tr\u1ee5c th\u00e0nh th\u1eeba ng\u00f3n tay b\u00ean quay, b\u00ean tr\u1ee5. <a href=\"https:\/\/bsvothanhtoan.com\/en\/\">Th\u1eeba ng\u00f3n tay<\/a> b\u00ean quay bao g\u1ed3m b\u1ea5t th\u01b0\u1eddng \u1edf ng\u00f3n I. Th\u1eeba ng\u00f3n tay trung t\u00e2m bao g\u1ed3m ng\u00f3n II, III, IV v\u00e0 b\u00ean tr\u1ee5 l\u00e0 b\u1ea5t th\u01b0\u1eddng \u1edf ng\u00f3n V.<\/p>\n<p>\u1ede b\u00e0n tay, th\u1eeba ng\u00f3n b\u00ean quay \u0111\u01b0\u1ee3c Wassel ph\u00e2n lo\u1ea1i th\u00eam th\u00e0nh b\u1ea3y type ph\u1ee5 v\u00e0o n\u0103m 1969. Trong \u0111\u00f3 <a href=\"https:\/\/vi.wikipedia.org\/wiki\/B%C3%A0n_tay\" target=\"_blank\" rel=\"noopener\">type IV<\/a> th\u01b0\u1eddng g\u1eb7p nh\u1ea5t v\u1edbi 43%, type II x\u1ebfp sau \u0111\u00f3 v\u1edbi 15%.<\/p>\n<p>+ Type I: x\u01b0\u01a1ng \u0111\u1ed1t 2 t\u00e1ch \u0111\u00f4i m\u1ed9t ph\u1ea7n<\/p>\n<p>+ Type II: \u0111\u1ed1t 2 t\u00e1ch \u0111\u00f4i ho\u00e0n to\u00e0n, c\u00f3 hai \u0111\u1ed1t 2 ri\u00eang bi\u1ec7t ti\u1ebfp kh\u1edbp v\u1edbi m\u1ed9t \u0111\u1ed1t 1<\/p>\n<p>+ Type III: \u0111\u1ed1t 2 t\u00e1ch \u0111\u00f4i ho\u00e0n to\u00e0n, \u0111\u1ed1t 1 t\u00e1ch \u0111\u00f4i ti\u1ebfp kh\u1edbp v\u1edbi hai \u0111\u1ed1t 2<\/p>\n<p>+ Type IV: \u0111\u1ed1t 1 t\u00e1ch \u0111\u00f4i ho\u00e0n to\u00e0n, hai ng\u00f3n I c\u00f3 \u0111\u1ed1t 1, 2 ri\u00eang c\u00f9ng kh\u1edbp v\u1edbi x\u01b0\u01a1ng b\u00e0n<\/p>\n<p>+ Type V: \u0111\u1ed1t 1 th\u1eeba ho\u00e0n to\u00e0n, x\u01b0\u01a1ng b\u00e0n t\u00e1ch \u0111\u00f4i ki\u1ec3u ch\u1eef Y, m\u1ed7i nh\u00e1nh c\u1ee7a ch\u1eef Y ti\u1ebfp kh\u1edbp v\u1edbi m\u1ed9t \u0111\u1ed1t ng\u00f3n ri\u00eang<\/p>\n<p>+ Type VI: \u0111\u1ed1t b\u00e0n th\u1eeba ho\u00e0n to\u00e0n, m\u1ed7i ng\u00f3n c\u00f3 x\u01b0\u01a1ng b\u00e0n, \u0111\u1ed1t 1 v\u00e0 2 ri\u00eang<\/p>\n<p>+ Type VII: hai ng\u00f3n I v\u1edbi m\u1ed9t ng\u00f3n I c\u00f3 3 \u0111\u1ed1t<\/p>\n<p>Trong th\u1eeba ng\u00f3n b\u00ean tr\u1ee5 b\u00e0n tay, Temtamy and Mckusick ph\u00e2n lo\u1ea1i t\u1eadt th\u1eeba ng\u00f3n b\u00ean tr\u1ee5 th\u00e0nh hai type A v\u00e0 B. Type A c\u00f3 m\u00f4 x\u01b0\u01a1ng \u0111\u1ea7y \u0111\u1ee7, type B ch\u1ec9 c\u00f3 m\u00f4 m\u1ec1m. Ph\u00e2n lo\u1ea1i n\u00e0y \u0111\u01a1n gi\u1ea3n, d\u1ec5 \u00e1p d\u1ee5ng v\u00e0 c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong ch\u1ecdn l\u1ef1a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>Thu\u1eadt ng\u1eef th\u1eeba ng\u00f3n b\u00ean ch\u00e0y, trung t\u00e2m, b\u00ean m\u00e1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 \u1edf chi d\u01b0\u1edbi. T\u1eadt th\u1eeba ng\u00f3n chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c Swanson ph\u00e2n lo\u1ea1i d\u1ef1a v\u1ecb tr\u1ecb ng\u00f3n th\u1eeba \u1edf b\u00e0n ch\u00e2n. N\u1ebfu ng\u00f3n th\u1eeba \u1edf v\u1ecb tr\u00ed ng\u00f3n I th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1eeba ng\u00f3n b\u00ean ch\u00e0y, ng\u00f3n II, III, IV l\u00e0 th\u1eeba ng\u00f3n trung t\u00e2m, ng\u00f3n V l\u00e0 th\u1eeba ng\u00f3n b\u00ean m\u00e1c.<\/p>\n<h2><strong>TREATMENT<\/strong><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb t\u1eadt th\u1eeba ng\u00f3n ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p v\u00e0 v\u1ecb tr\u00ed c\u1ee7a d\u1ecb t\u1eadt.Trong th\u1eddi k\u1ef3 \u0111\u1ea7u sau sinh, do c\u00f3 m\u00f4 x\u01b0\u01a1ng n\u00ean t\u1eadt th\u1eeba ng\u00f3n b\u00ean tr\u1ee5 type A \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch th\u1eaft m\u1ea1ch m\u00e1u nu\u00f4i ng\u00f3n th\u1eeba ho\u1eb7c c\u1eaft b\u1ecf. Ph\u01b0\u01a1ng ph\u00e1p th\u1eaft m\u00e1u nu\u00f4i c\u00f3 nguy c\u01a1 t\u1ea1o th\u00e0nh u th\u1ea7n kinh g\u00e2y \u0111au. Trong khi ph\u01b0\u01a1ng ph\u00e1p c\u1eaft b\u1ecf c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c vi\u1ec7c t\u1ea1o th\u00e0nh u th\u1ea7n kinh, nh\u01b0ng t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u. T\u1eadt th\u1eeba ng\u00f3n b\u00ean tr\u1ee5 type B, do ch\u1ec9 c\u00f3 m\u00f4 m\u1ec1m n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch th\u1eaft m\u1ea1ch g\u00e2y <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">caseation<\/a>, ng\u00f3n th\u1eeba t\u1ef1 lo\u1ea1i b\u1ecf 10 \u2013 20 ng\u00e0y sau th\u1eaft m\u1ea1ch.<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb t\u1eadt th\u1eeba ng\u00f3n b\u00ean quay c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn gi\u1ea3i ph\u1eabu, ch\u1ee9c n\u0103ng quan tr\u1ecdng c\u1ee7a ng\u00f3n I. V\u00ec v\u1eady c\u1ea7n ph\u1ea3i c\u00f3 m\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc m\u1ed5, ph\u01b0\u01a1ng \u00e1n ph\u1eabu thu\u1eadt, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">Rehabilitation<\/a>, th\u1ea9m m\u1ef9.<\/p>\n<p>Trong \u0111i\u1ec1u tr\u1ecb th\u1eeba ng\u00f3n b\u00e0n ch\u00e2n. Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng th\u0103ng b\u1eb1ng, ch\u1ee9c n\u0103ng b\u00e0n ch\u00e2n. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n, \u0111i l\u1ea1i, ph\u1eabu thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi tr\u1ebb \u0111\u1ea1t kho\u1ea3ng 1 tu\u1ed5i. Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1eeba ng\u00f3n \u1edf b\u00e0n ch\u00e2n. Tuy nhi\u00ean, c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn bi\u1ebfn d\u1ea1ng b\u00e0n ch\u00e2n v\u1eb9o trong \u0111i k\u00e8m trong th\u1eeba ng\u00f3n b\u00ean ch\u00e0y.<\/p>\n<p>M\u1ed9t s\u1ed1 nguy\u00ean t\u1eafc ph\u1eabu thu\u1eadt:<\/p>\n<p>+ C\u1eaft b\u1ecf ng\u00f3n nh\u1ecf h\u01a1n, th\u01b0\u1eddng l\u00e0 ng\u00f3n b\u00ean quay trong th\u1eeba ng\u00f3n I<\/p>\n<p>+ Th\u1ef1c hi\u1ec7n t\u1ea5t c\u1ea3 qu\u00e1 tr\u00ecnh trong m\u1ed9t l\u1ea7n ph\u1eabu thu\u1eadt duy nh\u1ea5t<\/p>\n<p>+ Da, ph\u1ea7n m\u1ec1m: gi\u1eef t\u1ed1i \u0111a, t\u1eadn d\u1ee5ng da, ph\u1ea7n m\u1ec1m t\u1eeb ng\u00f3n c\u1eaft b\u1ecf \u0111\u1ec3 t\u1ea1o h\u00ecnh cho ng\u00f3n gi\u1eef l\u1ea1i<\/p>\n<p>+ M\u00f3ng tay: t\u1ea1o h\u00ecnh 2 m\u00f3ng tay t\u1eeb 2 ng\u00f3n n\u1ebfu m\u00f3ng nh\u1ecf h\u01a1n 80% k\u00edch th\u01b0\u1edbc ng\u00f3n \u0111\u1ed1i b\u00ean<\/p>\n<p>+ X\u01b0\u01a1ng: t\u00f9y theo m\u1ee9c \u0111\u1ed9 c\u00f3 th\u1ec3 c\u1eaft b\u1ecf 1 ph\u1ea7n hay to\u00e0n ph\u1ea7n x\u01b0\u01a1ng b\u00e0n, \u0111\u1ed1t 1, \u0111\u1ed1t 2 c\u1ee7a m\u1ed9t ng\u00f3n<\/p>\n<p>+ Kh\u1edbp: t\u1ea1o h\u00ecnh cho di\u1ec7n kh\u1edbp b\u00ecnh th\u01b0\u1eddng<\/p>\n<p>+ D\u00e2y ch\u1eb1ng: b\u1ea3o t\u1ed3n t\u1ed1i \u0111a, gi\u1eef l\u1ea1i h\u1ec7 th\u1ed1ng <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/ton-thuong-day-chang-ben\/\">lateral ligament<\/a> khi c\u1eaft b\u1ecf m\u1ed9t ng\u00f3n<\/p>\n<p>+ G\u00e2n, c\u01a1: kh\u00e2u l\u1ea1i g\u00e2n c\u01a1 \u0111\u00fang theo v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu, \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng ng\u00f3n c\u00f2n l\u1ea1i<\/p>\n<p>+ M\u1ea1ch m\u00e1u, th\u1ea7n kinh: b\u1ea3o to\u00e0n t\u1ed1i \u0111a \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o nu\u00f4i d\u01b0\u1ee1ng, c\u1ea3m gi\u00e1c, v\u1eadn \u0111\u1ed9ng, tr\u00e1nh nguy c\u01a1 ho\u1ea1i t\u1eed<\/p>\n<p>+ Ch\u0103m s\u00f3c: <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">motionless<\/a> b\u1eb1ng n\u1eb9p b\u1ed9t, theo d\u00f5i ch\u0103m s\u00f3c sau m\u1ed5, t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/p>\n<h2><strong>TI\u00caN L\u01af\u1ee2NG <\/strong><\/h2>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ebb b\u1ecb th\u1eeba ng\u00f3n \u0111\u01a1n \u0111\u1ed9c, ti\u00ean l\u01b0\u1ee3ng t\u1ed1t. H\u1ea7u h\u1ebft tr\u1ebb c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ng\u00f3n tay, ng\u00f3n ch\u00e2n b\u00ecnh th\u01b0\u1eddng sau ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, c\u1ea7n t\u00ecm c\u00e1c d\u1ecb t\u1eadt kh\u00e1c ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c \u0111i k\u00e8m \u1edf tr\u1ebb c\u00f3 t\u1eadt th\u1eeba ng\u00f3n, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y ti\u00ean l\u01b0\u1ee3ng tr\u1ebb x\u1ea5u h\u01a1n, ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ec7nh l\u00fd b\u1ea9m sinh \u0111i k\u00e8m<\/p>\n<h2><strong>GI\u00c1O D\u1ee4C V\u00c0 PH\u00d2NG TR\u00c1NH<\/strong><\/h2>\n<p>T\u1eadt th\u1eeba ng\u00f3n c\u00f3 th\u1ec3 di truy\u1ec1n qua c\u00e1c th\u1ebf h\u1ec7 theo gen tr\u1ed9i tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng. N\u00ean b\u1ed1 ho\u1eb7c m\u1eb9 c\u00f3 d\u1ecb t\u1eadt th\u1eeba ng\u00f3n c\u00f3 th\u1ec3 di truy\u1ec1n sang con c\u00e1i. Do \u0111\u00f3 n\u00ean \u0111\u01b0\u1ee3c gi\u00e1o d\u1ee5c v\u00e0 si\u00eau \u00e2m s\u00e0ng l\u1ecdc c\u00e1c d\u1ecb t\u1eadt c\u1ee7a thai nhi.<\/p>","protected":false},"featured_media":2296,"comment_status":"open","ping_status":"closed","template":"","tags":[185],"chuyen-muc":[61],"class_list":["post-2079","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-thua-ngon","chuyen-muc-benh-ly"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=2079"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2079\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2296"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2079"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2079"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}