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CẤP CỨU SẢN PHỤ VẾT MỔ ĐẺ CŨ TRÊN NỀN BỆNH TAN MÁU BẨM SINH (THALASEMIA)

Thứ hai - 12/12/2022 14:28
🚑  Vừa qua, các bác sĩ Khoa Phụ sản-CSSKSS TTYT huyện Phụ Ninh đã tiến hành phẫu thuật cứu sống sản phụ mang thai 38 tuần, cạn ối, thai suy, vết mổ đẻ cũ trên nền bệnh tan máu bẩm sinh (Thalassemia). Sau 6 ngày điều trị sức khỏe sản phụ và thai nhi ổn định và được xuất viện.
z3952585334822 4fa526f8af08b756607a998113e7ebdc
🚨 Sản phụ là Đ.T.H.T 28 tuổi, trú tại tt Phong Châu nhập viện khi thai được 38 tuần tuổi, da xanh niêm mạc nhợt, người mệt mỏi, 2 chân bị phù, 2 lách to đường kính 20cm. Qua thăm khám và làm các xét nghiệm cho thấy có hiện tượng cạn ối, thai suy dinh dưỡng, thiếu máu nặng, nhịp tim thai là 128 lần/phút có nguy cơ tử vong cao. Được biết trong quá trình mang thai sản phụ H đã nhập viện 5 lần để truyền máu, lần nhiều nhất là truyền 5 đơn vị máu. Sau khi tiến hành hội chẩn giữa các bác sĩ ngay lập tức tiến hành phẫu thuật cấp cứu cho sản phụ.
z3952585344047 81755a9f1e1c06bfe6a91c85ec21bbac
Theo Bs.CKI Đặng Thị Việt Phương đối với những trường hợp có tình trạng bệnh giống của sản phụ T. thì khả năng cứu sống mẹ là rất thấp bởi tiềm ẩn rất nhiều nguy cơ như biến chứng suy tim, nhiễm trùng, băng huyết, vỡ lách, tắc mạch. Nhưng chúng tôi đã cố gắng hết mình giành lại sự sống cho 2 mẹ con, đặc biệt trong trường hợp sản phụ có bệnh lý tan máu bẩm sinh kèm theo.
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z3952585334764 3c9ca811f1d7875ba4a7a656b26382f8
👉 Qua đây các bác sĩ lưu ý các sản phụ: Thalassemia là bệnh thiếu máu do tan máu, bệnh biểu hiện suốt đời, thuộc nhóm bệnh di truyền - bẩm sinh, gặp ở cả nam và nữ. Đối với sản phụ mắc bệnh có nguy cơ biến chứng tim như suy tim, tăng áp động mạch phổi, rối loạn van tim nặng, tắc mạch… nguy cơ tử vong cao. Đối với thai nhi thì làm tăng nguy cơ mắc bệnh dị tật ống thần kinh, thai có nguy cơ chết lưu hoặc sinh non.
z3952585330677 3ffdfd8463c04628fac25c396408c82a
z3952585334326 39ac5a038ba650b70f7c5b49b50a9752
💥 Do đó để tránh những hậu quả đáng tiếc có thể xảy ra, các bác sỹ khuyến cáo các sản phụ mắc bệnh Thalassemia cần thường xuyên kiểm tra, thăm khám sức khỏe định kì để làm các xét nghiệm tổng quát sớm phát hiện những bất thường về sức khỏe cũng như thai nhi.
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