{"id":1050,"date":"2021-01-12T07:13:50","date_gmt":"2021-01-12T07:13:50","guid":{"rendered":"http:\/\/dallet.net\/?p=1050"},"modified":"2022-04-01T09:11:03","modified_gmt":"2022-04-01T09:11:03","slug":"monitor-san-khoa","status":"publish","type":"post","link":"http:\/\/dallet.net\/chuc-nang-monitor-san-khoa\/","title":{"rendered":"MONITOR S\u1ea2N KHOA"},"content":{"rendered":"\n

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e9 trong b\u1ee5ng m\u1eb9, ngo\u00e0i nh\u1eefng ch\u1ec9 s\u1ed1 \u0111o \u0111\u1ea1c qua si\u00eau \u00e2m, c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa c\u00f2n d\u1ef1a v\u00e0o<\/strong> monitor theo d\u00f5i nh\u1ecbp tim thai. \u0110\u00e2y l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n nh\u01b0ng l\u1ea1i v\u00f4 c\u00f9ng h\u1eefu \u00edch, gi\u00fap b\u00e1c s\u0129 mau ch\u00f3ng \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed l\u00fd ph\u00f9 h\u1ee3p. V\u1eady monitor theo d\u00f5i tim thai l\u00e0 g\u00ec, th\u1ef1c hi\u1ec7n l\u00fac n\u00e0o v\u00e0 b\u1eb1ng c\u00e1ch n\u00e0o, \u00fd ngh\u0129a c\u1ee7a n\u00f3 ra sao? H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y:<\/strong><\/p>\n\n\n\n

S\u1ef1 \u0111i\u1ec1u h\u00f2a c\u1ee7a nh\u1ecbp tim thai l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a nhi\u1ec1u y\u1ebfu t\u1ed1 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhau, bao g\u1ed3m c\u00e1c y\u1ebfu t\u1ed1 t\u1eeb m\u1eb9 (nh\u01b0 c\u01a1n g\u00f2 t\u1eed cung khi chuy\u1ec3n d\u1ea1<\/strong>) v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 t\u1eeb b\u1ea3n th\u00e2n thai nhi (nh\u01b0 tu\u1ed5i thai, t\u01b0 th\u1ebf, c\u1eed \u0111\u1ed9ng c\u1ee7a b\u00e9 trong bu\u1ed3ng t\u1eed cung).<\/p>\n\n\n\n

\"Monitor
Monitor s\u1ea3n khoa<\/figcaption><\/figure><\/div>\n\n\n\n

1. Monitor theo d\u00f5i tim thai l\u00e0 g\u00ec?<\/strong><\/h3>\n\n\n\n

Monitoring s\u1ea3n khoa ghi l\u1ea1i \u0111\u1ed3ng th\u1eddi nh\u1ecbp tim thai v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u01a1 t\u1eed cung (TC). \u0110\u01b0\u1eddng bi\u1ec3u di\u1ec5n thu \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 CTG (cardiotocography). Khi \u0111\u00e1nh gi\u00e1 v\u00e0 di\u1ec5n d\u1ecbch c\u00e1c \u0111\u01b0\u1eddng ghi tr\u00ean CTG ph\u1ea3i \u0111\u00e1nh gi\u00e1 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a nh\u1ecbp tim thai v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1n co t\u1eed cung. B\u1ea5t k\u1ef3 s\u1ef1 sai l\u1ec7ch n\u00e0o v\u01b0\u1ee3t ra ngo\u00e0i c\u00e1c \u0111\u01b0\u1eddng bi\u1ec3u di\u1ec5n b\u00ecnh th\u01b0\u1eddng c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft v\u00e0 ph\u00e2n t\u00edch \u0111\u1ec3 \u0111\u01b0a \u0111\u1ebfn m\u1ed9t k\u1ebft lu\u1eadn \u0111\u00fang \u0111\u1eafn trong qu\u00e1 tr\u00ecnh theo d\u00f5i chuy\u1ec3n d\u1ea1 \u0111\u1ec3 tr\u00e1nh d\u1eabn \u0111\u1ebfn can thi\u1ec7p mu\u1ed9n ho\u1eb7c can thi\u1ec7p kh\u00f4ng c\u1ea7n thi\u1ebft cho m\u1eb9 v\u00e0 thai nhi.<\/p>\n\n\n\n

Ngo\u00e0i ra, theo<\/strong> d\u00f5i tim thai b\u1eb1ng monitor<\/strong> kh\u00f4ng ch\u1ec9 thu th\u1eadp th\u00f4ng tin tim thai m\u00e0 c\u00f2n ghi nh\u1eadn c\u01a1n g\u00f2 c\u1ee7a t\u1eed cung v\u00e0 c\u00e1c c\u1eed \u0111\u1ed9ng c\u1ee7a thai<\/strong> (thai m\u00e1y) x\u1ea3y ra trong l\u00fac g\u1eafn m\u00e1y. V\u1ec1 m\u1eb7t nguy\u00ean t\u1eafc, b\u1ea5t c\u1ee9 l\u00fac n\u00e0o ghi nh\u1eadn \u0111\u01b0\u1ee3c tim thai \u0111\u1ec1u c\u00f3 th\u1ec3 theo d\u00f5i monitor. Tuy nhi\u00ean, trong giai \u0111o\u1ea1n tam c\u00e1 nguy\u1ec7t th\u1ee9 ba (ba th\u00e1ng cu\u1ed1i thai k\u00ec), nh\u1ea5t l\u00e0 nh\u1eefng ng\u00e0y c\u1eadn k\u1ec1 ng\u00e0y d\u1ef1 sinh ho\u1eb7c theo d\u00f5i tim thay ngay trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1, vai tr\u00f2 c\u1ee7a monitor c\u00f3 \u00fd ngh\u0129a h\u01a1n c\u1ea3.<\/p>\n\n\n\n

Monitor s\u1ea3n khoa FM20 \u2013 Mediana H\u00e0n Qu\u1ed1c<\/strong><\/h3>\n\n\n\n

B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t \u0111\u1ea7u d\u00f2 \u0111\u1eb7t tr\u00ean th\u00e0nh b\u1ee5ng m\u1eb9, \u0111i\u1ec7n c\u1ef1c s\u1ebd ghi nh\u1eadn t\u1ea7n s\u1ed1 v\u00e0 bi\u00ean \u0111\u1ed9 c\u1ee7a tim thai. K\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c ghi nh\u1eadn li\u00ean t\u1ee5c, v\u1ebd tr\u00ean gi\u1ea5y m\u1ed9t \u0111\u01b0\u1eddng bi\u1ec3u di\u1ec5n k\u00e9o d\u00e0i trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111\u1eb7t m\u00e1y. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 monitor theo d\u00f5i nh\u1ecbp tim thai<\/strong>.<\/p>\n\n\n\n

2. C\u00e1c k\u1ebft qu\u1ea3 c\u1ee7a monitor theo d\u00f5i tim thai<\/strong><\/h3>\n\n\n\n

Monitor ghi nh\u1eadn s\u1ef1 bi\u1ebfn thi\u00ean c\u1ee7a c\u00e1c gi\u00e1 tr\u1ecb nh\u01b0 sau:<\/p>\n\n\n\n

2.1. Nh\u1ecbp tim thai c\u01a1 b\u1ea3n<\/strong><\/h5>\n\n\n\n

Nh\u1ecbp tim thai c\u01a1 b\u1ea3n l\u00e0 s\u1ed1 l\u1ea7n trung b\u00ecnh tim c\u1ee7a b\u00e9 \u0111\u1eadp trong m\u1ed9t ph\u00fat khi kh\u00f4ng c\u00f3 c\u01a1n g\u00f2 t\u1eed cung ho\u1eb7c c\u1eed \u0111\u1ed9ng thai.<\/p>\n\n\n\n

Nh\u1ecbp tim thai b\u00ecnh th\u01b0\u1eddng l\u00e0 t\u1eeb 120 \u0111\u1ebfn 160 l\u1ea7n trong m\u1ed9t ph\u00fat. N\u1ebfu tr\u00ean 160 l\u1ea7n s\u1ebd g\u1ecdi l\u00e0 nh\u1ecbp nhanh v\u00e0 d\u01b0\u1edbi 120 l\u1ea7n s\u1ebd g\u1ecdi l\u00e0 nh\u1ecbp ch\u1eadm. Nh\u1ecbp nhanh tr\u1ea7m tr\u1ecdng ho\u1eb7c nh\u1ecbp ch\u1eadm tr\u1ea7m tr\u1ecdng l\u00e0 khi nh\u1ecbp tim thai tr\u00ean 180 l\u1ea7n ho\u1eb7c d\u01b0\u1edbi 100 l\u1ea7n trong m\u1ed9t ph\u00fat.<\/p>\n\n\n\n

2.2. Nh\u1eefng dao \u0111\u1ed9ng n\u1ed9i t\u1ea1i<\/strong><\/h5>\n\n\n\n

Khi c\u00f3 s\u1ef1 t\u00e1c \u0111\u1ed9ng t\u1eeb b\u00ean ngo\u00e0i (nh\u01b0 c\u01a1n g\u00f2, c\u1eed \u0111\u1ed9ng c\u1ee7a thai), trung t\u00e2m \u0111i\u1ec1u khi\u1ec3n nh\u1ecbp tim s\u1ebd k\u00edch th\u00edch t\u0103ng t\u1ea7n s\u1ed1, nh\u1eb1m cung c\u1ea5p l\u01b0\u1ee3ng m\u00e1u nhi\u1ec1u h\u01a1n c\u0169ng nh\u01b0 \u0111\u1ec3 ch\u1ecbu \u0111\u1ef1ng t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy t\u01b0\u01a1ng \u0111\u1ed1i, nh\u1ea5t l\u00e0 trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1. S\u1ef1 bi\u1ebfn \u0111\u1ed5i nh\u1ecbp tim thai quanh nh\u1ecbp tim c\u01a1 b\u1ea3n g\u1ecdi l\u00e0 nh\u1eefng dao \u0111\u1ed9ng n\u1ed9i t\u1ea1i.<\/p>\n\n\n\n

Dao \u0111\u1ed9ng n\u1ed9i t\u1ea1i \u0111\u01b0\u1ee3c xem l\u00e0 b\u00ecnh th\u01b0\u1eddng n\u1ebfu nh\u01b0 tim thai c\u1ee7a b\u00e9 t\u0103ng \u0111\u01b0\u1ee3c h\u01a1n 10 nh\u1ecbp trong m\u1ed9t ph\u00fat so v\u1edbi nh\u1ecbp tim thai c\u01a1 b\u1ea3n.<\/p>\n\n\n\n

2.3. C\u1eed \u0111\u1ed9ng thai<\/strong><\/h5>\n\n\n\n

C\u00e1c c\u1eed \u0111\u1ed9ng thai \u0111\u01b0\u1ee3c ghi nh\u1eadn b\u1eb1ng c\u1ea3m nh\u1eadn c\u1ee7a m\u1eb9. Trong th\u1eddi gian theo d\u00f5i l\u00e0 20 ph\u00fat, b\u00e9 y\u00eau c\u1ee7a b\u1ea1n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 b\u00ecnh th\u01b0\u1eddng n\u1ebfu c\u00f3 t\u1eeb tr\u00ean 2 l\u1ea7n c\u1eed \u0111\u1ed9ng.<\/p>\n\n\n\n

Trong tr\u01b0\u1eddng h\u1ee3p 10 ph\u00fat \u0111\u1ea7u ch\u01b0a th\u1ea5y thai m\u00e1y, c\u00e1c m\u1eb9 b\u1ea7u \u0111\u01b0\u1ee3c khuy\u00ean c\u1ea7n \u201c\u0111\u00e1nh th\u1ee9c\u201d b\u00e9 d\u1eady b\u1eb1ng c\u00e1ch v\u1ed7 nh\u1eb9, rung l\u1eafc b\u1ee5ng ho\u1eb7c n\u00f3i chuy\u1ec7n v\u1edbi b\u00e9, cho b\u00e9 nghe nh\u1ea1c… B\u1edfi v\u00ec ch\u1ec9 khi c\u00f3 c\u1eed \u0111\u1ed9ng thai, c\u00e1c b\u00e1c s\u0129 m\u1edbi \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c nh\u1eefng dao \u0111\u1ed9ng n\u1ed9i t\u1ea1i c\u00f3 b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng.<\/p>\n\n\n\n

N\u1ebfu k\u1ebft qu\u1ea3 kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t, \u0111\u00e2y l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u b\u00e1o \u0111\u1ed9ng thai c\u00f3 th\u1ec3 b\u1ecb suy. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y g\u00f3p ph\u1ea7n gi\u00fap b\u00e1c s\u0129 nh\u1eadn \u0111\u1ecbnh ti\u1ebfp t\u1ee5c thai k\u00ec hay n\u00ean ch\u1ea5m d\u1ee9t thai k\u00ec l\u00e0 c\u00f3 l\u1ee3i h\u01a1n.<\/p>\n\n\n\n

Vi\u1ec7c \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi b\u1eb1ng monitor cho k\u1ebft qu\u1ea3 kh\u00e1 tin c\u1eady, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi theo d\u00f5i trong giai \u0111o\u1ea1n cu\u1ed1i hay nh\u1eefng thai k\u00ec nguy c\u01a1 cao. Ch\u00ednh v\u00ec th\u1ebf, c\u00e1c m\u1eb9 b\u1ea7u s\u1ebd ho\u00e0n to\u00e0n y\u00ean t\u00e2m khi theo d\u00f5i t\u00ecm tim thai b\u1eb1ng monitor cho b\u00e9, tr\u00e1nh nh\u1eefng r\u1ee7i ro \u0111\u00e1ng ti\u1ebfc x\u1ea3y ra.<\/p>\n\n\n\n

Monitor s\u1ea3n khoa FM20 \u2013 Mediana H\u00e0n Qu\u1ed1c<\/strong><\/h3>\n\n\n\n

l\u00e0 thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c nhi\u1ec1u b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m s\u1ea3n ph\u1ee5 khoa \u0111\u1ea7u t\u01b0 b\u1edfi t\u00ednh n\u0103ng hi\u1ec7u qu\u1ea3, ch\u00ednh x\u00e1c v\u00e0 b\u1ec1n b\u1ec9.<\/p>\n\n\n\n

Chi ti\u1ebft Monitor S\u1ea3n khoa FM20:<\/p>\n\n\n\n

\n
Monitor s\u1ea3n khoa FM20 – Mediana H\u00e0n Qu\u1ed1c (monitoring theo d\u00f5i s\u1ea3n khoa)<\/a><\/blockquote><\/iframe>\n<\/div><\/figure>\n\n\n\n

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

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e9 trong b\u1ee5ng m\u1eb9, ngo\u00e0i nh\u1eefng ch\u1ec9 s\u1ed1 \u0111o \u0111\u1ea1c qua si\u00eau \u00e2m, c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa c\u00f2n d\u1ef1a v\u00e0o monitor theo d\u00f5i nh\u1ecbp tim thai. \u0110\u00e2y l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u01a1n gi\u1ea3n nh\u01b0ng l\u1ea1i v\u00f4 c\u00f9ng h\u1eefu \u00edch, gi\u00fap b\u00e1c s\u0129 mau ch\u00f3ng \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[176],"tags":[],"yoast_head":"\n\n\n\n\n\n\n\n\n\n\n\n\n