{"id":6715,"date":"2021-01-11T14:34:23","date_gmt":"2021-01-11T14:34:23","guid":{"rendered":"https:\/\/pacific-cross-wp.eastplayers.io\/?p=6715"},"modified":"2023-03-17T09:02:29","modified_gmt":"2023-03-17T02:02:29","slug":"nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2","status":"publish","type":"post","link":"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/","title":{"rendered":"\u0110\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9 c\u00f3 g\u00e2y s\u00e2u r\u0103ng? Nh\u1eefng ng\u1ed9 nh\u1eadn tai h\u1ea1i v\u1ec1 s\u1eefa m\u1eb9 (P2)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">N\u1ed9i dung b\u00e0i vi\u1ebft \/ Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69d636156404e\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69d636156404e\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/#1_Sua_me_co_gay_sau_rang_khong\" >1. S\u1eefa m\u1eb9 c\u00f3 g\u00e2y s\u00e2u r\u0103ng kh\u00f4ng?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/#2_Co_phai_me_bi_nhiem_HIV_thi_con_tuyet_doi_khong_duoc_bu_sua_me_hay_khong\" >2. C\u00f3 ph\u1ea3i m\u1eb9 b\u1ecb nhi\u1ec5m HIV th\u00ec con tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c b\u00fa s\u1eefa m\u1eb9 hay kh\u00f4ng?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/#3_Viem_gan_sieu_vi_B_va_sua_me_%E2%80%93_Bu_hay_khong_bu\" >3. Vi\u00eam gan si\u00eau vi B v\u00e0 s\u1eefa m\u1eb9 &#8211; B\u00fa hay kh\u00f4ng b\u00fa?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/#4_Co_phai_sua_me_tri_duoc_viem_ket_mac_viem_tai_giua_o_tre_em_khong\" >4. C\u00f3 ph\u1ea3i s\u1eefa m\u1eb9 tr\u1ecb \u0111\u01b0\u1ee3c vi\u00eam k\u1ebft m\u1ea1c, vi\u00eam tai gi\u1eefa \u1edf tr\u1ebb em kh\u00f4ng?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"1_Sua_me_co_gay_sau_rang_khong\"><\/span><strong>1. S\u1eefa m\u1eb9 c\u00f3 g\u00e2y s\u00e2u r\u0103ng kh\u00f4ng?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong><a href=\"https:\/\/pacificcross.com.vn\/vi\/nhung-ngo-nhan-tai-hai-ve-sua-me-phan-2\/\">S\u1eefa m\u1eb9 c\u00f3 lactose kh\u00f4ng<\/a>?<\/strong> \u0110\u00e3 t\u1eebng c\u00f3 quan ni\u1ec7m cho r\u1eb1ng: \u201cCh\u1ea5t tinh b\u1ed9t (\u0111\u01b0\u1eddng) trong s\u1eefa m\u1eb9 l\u00e0 Lactose, ch\u1ec9 ph\u00e2n hu\u1ef7 trong ru\u1ed9t, kh\u00f4ng ph\u00e2n hu\u1ef7 tr\u00ean mi\u1ec7ng, n\u00ean kh\u00f4ng g\u00e2y s\u00e2u r\u0103ng\u201d. V\u1eady quan ni\u1ec7m n\u00e0y l\u00e0 \u0111\u00fang hay sai?<\/p>\n<p>S\u00e2u r\u0103ng l\u00e0 do Streptococcus mutans v\u00e0 Lactobacillus, 2 lo\u1ea1i vi khu\u1ea9n th\u01b0\u1eddng tr\u00fa trong khoang mi\u1ec7ng g\u00e2y ra. Qu\u00e1 tr\u00ecnh s\u00e2u r\u0103ng ngo\u00e0i s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a 2 lo\u1ea1i vi khu\u1ea9n tr\u00ean c\u00f2n c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p v\u1edbi s\u1ef1 l\u00ean men c\u1ee7a \u0111\u01b0\u1eddng c\u00f3 trong c\u00e1c m\u1ea3ng b\u00e1m tr\u00ean r\u0103ng.<\/p>\n<p>Khi c\u00e1c vi khu\u1ea9n tr\u00ean ti\u1ebfp x\u00fac v\u1edbi \u0111\u01b0\u1eddng, ch\u00fang s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng l\u00e0m ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng v\u00e0 t\u1ea1o ra c\u00e1c lo\u1ea1i axit (nh\u01b0 axit lactic) \u0111\u00f3ng vai tr\u00f2 s\u1ea3n ph\u1ea9m ph\u1ee5.<\/p>\n<p>C\u00e1c axit do n\u00e0y s\u1ebd trung h\u00f2a c\u00e1c kho\u00e1ng ch\u1ea5t nh\u01b0 canxi photphat hi\u1ec7n di\u1ec7n trong men r\u0103ng khi\u1ebfn men r\u0103ng tr\u1edf n\u00ean y\u1ebfu d\u1ea7n \u0111i cho \u0111\u1ebfn khi h\u00ecnh th\u00e0nh c\u00e1c l\u1ed7 r\u1ea5t nh\u1ecf tr\u00ean r\u0103ng \u0111\u00e1nh d\u1ea5u s\u1ef1 kh\u1edfi \u0111\u1ea7u c\u1ee7a qu\u00e1 tr\u00ecnh s\u00e2u r\u0103ng.<\/p>\n<p>May m\u1eafn thay n\u01b0\u1edbc b\u1ecdt ch\u00fang ta c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 v\u00e0 t\u00e1i t\u1ea1o men r\u0103ng. N\u01b0\u1edbc b\u1ecdt r\u1eeda s\u1ea1ch \u0111\u01b0\u1eddng trong mi\u1ec7ng, \u0111\u1ed3ng th\u1eddi gi\u00fap t\u00e1i t\u1ea1o men r\u0103ng nh\u1edd ch\u1ee9a nhi\u1ec1u canxi photphat v\u00e0 c\u00e1c ho\u1ea1t ch\u1ea5t kh\u00e1ng khu\u1ea9n.<\/p>\n<p>Tuy nhi\u00ean, n\u1ebfu ch\u00fang ta \u0103n qu\u00e1 nhi\u1ec1u th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u \u0111\u01b0\u1eddng, nh\u1ea5t l\u00e0 khi th\u1eddi gian ti\u1ebfp x\u00fac v\u1edbi \u0111\u01b0\u1eddng k\u00e9o d\u00e0i v\u00e0 nhi\u1ec1u l\u1ea7n th\u00ec r\u1ea5t d\u1ec5 s\u1ebd d\u1eabn \u0111\u1ebfn s\u00e2u r\u0103ng.<\/p>\n<p>N\u1ebfu m\u1eb9 b\u1ecb s\u00e2u r\u0103ng th\u00ec con s\u1ebd c\u00f3 nguy c\u01a1 s\u00e2u r\u0103ng cao h\u01a1n v\u00ec l\u00e2y nhi\u1ec5m ch\u00e9o vi tr\u00f9ng s\u00e2u r\u0103ng t\u1eeb m\u1eb9, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1edbm th\u1ee9c \u0103n cho con.<\/p>\n<p>\u0110\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9 \u00edt g\u00e2y s\u00e2u r\u0103ng h\u01a1n sucrose (c\u00f3 trong \u0111\u01b0\u1eddng m\u00eda, tr\u00e1i c\u00e2y) v\u00ec S. mutans r\u1ea5t th\u00edch sucrose, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y sucrose l\u00e0m t\u0103ng nhanh s\u1ef1 ph\u00e1t tri\u1ec3n S. mutans.<\/p>\n<p>Nh\u01b0ng n\u1ebfu kh\u00f4ng c\u00f3 sucrose th\u00ec lactose l\u00e0 l\u1ef1a ch\u1ecdn thay th\u1ebf c\u1ee7a n\u00f3. C\u00f2n Lactobacillus th\u00ec r\u1ea5t th\u00edch lactose n\u00ean n\u00f3 l\u00ean men lactose t\u1ea1o acid lactic. S\u1eefa m\u1eb9 c\u00f3 ch\u1ee9a m\u1ed9t s\u1ed1 ho\u1ea1t ch\u1ea5t c\u00f3 t\u00ednh kh\u00e1ng khu\u1ea9n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng vi tr\u00f9ng trong mi\u1ec7ng c\u1ed9ng th\u00eam ch\u1ec9 c\u00f3 \u0111\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9 n\u00ean tr\u1ebb b\u00fa s\u1eefa m\u1eb9 c\u00f3 t\u1ef7 l\u1ec7 s\u00e2u r\u0103ng th\u1ea5p h\u01a1n l\u00e0 tr\u1ebb b\u00fa s\u1eefa c\u00f4ng th\u1ee9c, th\u1ea5p h\u01a1n ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00f4ng s\u00e2u r\u0103ng.<\/p>\n<p>Khi tr\u1ebb b\u1eaft \u0111\u1ea7u m\u1ecdc r\u0103ng th\u00ec c\u0169ng l\u00e0 l\u00fac tr\u1ebb b\u1eaft \u0111\u1ea7u \u0103n d\u1eb7m, t\u1ee9c l\u00e0 ti\u1ebfp x\u00fac v\u1edbi tinh b\u1ed9t, tr\u00e1i c\u00e2y v\u00e0 c\u00e1c lo\u1ea1i \u0111\u01b0\u1eddng kh\u00e1c, t\u1ee9c l\u00e0 c\u00f3 nguy c\u01a1 s\u00e2u r\u0103ng. Do \u0111\u00f3, tr\u1ebb b\u00fa m\u1eb9 hay s\u1eefa c\u00f4ng th\u1ee9c \u0111\u1ec1u c\u00f3 nguy c\u01a1 nh\u01b0 nhau v\u00ec c\u00f9ng \u0103n d\u1eb7m nh\u01b0 nhau.<\/p>\n<p>B\u00ean c\u1ea1nh \u0111\u00f3, trong c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng cho tr\u1ebb, kh\u00f4ng c\u00f3 ph\u00e2n bi\u1ec7t tr\u1ebb b\u00fa m\u1eb9 hay tr\u1ebb b\u00fa s\u1eefa c\u00f4ng th\u1ee9c. Ch\u00ednh v\u00ec th\u1ebf, t\u1eeb nh\u1eefng ph\u00e2n t\u00edch tr\u00ean, quan ni\u1ec7m <strong>\u201clactose c\u00f3 trong s\u1eefa m\u1eb9 kh\u00f4ng g\u00e2y s\u00e2u r\u0103ng\u201d<\/strong> l\u00e0 ho\u00e0n to\u00e0n sai l\u1ea7m. Nh\u1eadn \u0111\u1ecbnh sai l\u1ea7m s\u1ebd g\u00e2y n\u00ean nh\u1eefng t\u00e1c h\u1ea1i v\u00f4 c\u00f9ng nghi\u00eam tr\u1ecdng.<\/p>\n<p><img loading=\"lazy\" class=\"aligncenter size-full wp-image-11075\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-2.png\" alt=\"\u0111\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9\" width=\"623\" height=\"416\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-2.png 623w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/2-2-300x200.png 300w\" sizes=\"(max-width: 623px) 100vw, 623px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"2_Co_phai_me_bi_nhiem_HIV_thi_con_tuyet_doi_khong_duoc_bu_sua_me_hay_khong\"><\/span><strong>2. C\u00f3 ph\u1ea3i m\u1eb9 b\u1ecb nhi\u1ec5m HIV th\u00ec con tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c b\u00fa s\u1eefa m\u1eb9 hay kh\u00f4ng?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Theo khuy\u1ebfn c\u00e1o c\u1ee7a WHO n\u0103m 2010 th\u00ec l\u1eddi khuy\u00ean l\u00e0 v\u1eabn \u01b0u ti\u00ean cho b\u00fa m\u1eb9 mi\u1ec5n l\u00e0 \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ARV (thu\u1ed1c kh\u00e1ng HIV). Nh\u01b0ng theo CDC ho\u1eb7c AAP (Hi\u1ec7p h\u1ed9i Nhi Khoa Hoa K\u1ef3) th\u00ec kh\u00f4ng n\u00ean cho tr\u1ebb s\u01a1 sinh b\u00fa s\u1eefa m\u1eb9 khi m\u1eb9 b\u1ecb nhi\u1ec5m HIV, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y theo qu\u1ed1c gia. V\u1eady khuy\u1ebfn c\u00e1o n\u00e0o l\u00e0 \u0111\u00fang?<\/p>\n<p>Khi m\u1eb9 b\u1ecb nhi\u1ec5m HIV, m\u1eb9 c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m sang con trong l\u00fac mang thai, l\u00fac sinh v\u00e0 trong th\u1eddi gian cho con b\u00fa qua s\u1eefa m\u1eb9. N\u1ebfu m\u1eb9 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ARV, kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m HIV sang con qua s\u1eefa m\u1eb9 l\u00e0 kho\u1ea3ng 8,9%-14% theo s\u1ed1 li\u1ec7u \u1edf M\u1ef9, v\u00e0 kho\u1ea3ng 12% theo s\u1ed1 li\u1ec7u c\u1ee7a WHO, trong \u0111\u00f3 t\u1ea7n su\u1ea5t l\u00e2y nhi\u1ec5m cao nh\u1ea5t trong 6 th\u00e1ng \u0111\u1ea7u \u0111\u1eddi.<\/p>\n<p>N\u1ebfu m\u1eb9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ARV, t\u1ea7n su\u1ea5t l\u00e2y nhi\u1ec5m sang con gi\u1ea3m m\u1ea1nh xu\u1ed1ng c\u00f2n kho\u1ea3ng 3%. D\u1ef1a tr\u00ean th\u00f4ng tin n\u00e0y, v\u00e0o n\u0103m 2010, WHO \u0111\u01b0a ra guideline m\u1edbi l\u00e0 khuy\u1ebfn c\u00e1o \u01b0u ti\u00ean b\u00fa m\u1eb9 cho d\u00f9 m\u1eb9 nhi\u1ec5m HIV mi\u1ec5n l\u00e0 m\u1eb9 \u0111\u01b0\u1ee3c duy tr\u00ec \u0111i\u1ec1u tr\u1ecb ARV do kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m th\u1ea5p, ch\u1ec9 c\u00f3 3%.<\/p>\n<p>\u0110\u1ec3 gi\u1ea3i th\u00edch cho s\u1ef1 thay \u0111\u1ed5i n\u00e0y, WHO \u0111\u01b0a ra l\u00fd do nh\u01b0 sau: \u1edf c\u00e1c n\u01b0\u1edbc ngh\u00e8o, \u0111\u00f3i \u0103n, thi\u1ebfu n\u01b0\u1edbc s\u1ea1ch nh\u01b0 Ch\u00e2u Phi, c\u00f3 nh\u1eefng v\u00f9ng t\u1ef7 l\u1ec7 m\u1eb9 nhi\u1ec5m HIV cao l\u00ean t\u1edbi 30%.<\/p>\n<p>N\u1ebfu kh\u00f4ng cho nh\u1eefng b\u00e0 m\u1eb9 n\u00e0y cho con b\u00fa s\u1eefa m\u1eb9, s\u1ebd c\u00f3 h\u00e0ng lo\u1ea1t tr\u1ebb em b\u1ecb suy dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ebft b\u1edfi c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng, ti\u00eau ch\u1ea3y, vi\u00eam ph\u1ed5i,\u2026 M\u1eb9 c\u00f2n kh\u00f4ng c\u00f3 c\u01a1m \u0103n, kh\u00f4ng cho con b\u00fa s\u1eefa m\u1eb9 th\u00ec con ch\u1ebft \u0111\u00f3i.<\/p>\n<p>WHO nh\u00ecn to\u00e0n c\u1ea3nh tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0 mu\u1ed1n c\u1ee9u l\u1ea5y tr\u1ebb em \u1edf n\u01b0\u1edbc ngh\u00e8o n\u00ean \u0111\u01b0a ra khuy\u1ebfn c\u00e1o m\u1edbi n\u00e0y, v\u00ec c\u00e1i l\u1ee3i \u00edch l\u1edbn m\u00e0 ph\u1ea3i hy sinh ch\u1ea5p nh\u1eadn nguy c\u01a1 nh\u1ecf h\u01a1n.<\/p>\n<p>Trong to\u00e0n b\u1ed9 khuy\u1ebfn c\u00e1o c\u1ee7a WHO, WHO kh\u00f4ng \u0111\u1ec1 c\u1eadp t\u1edbi s\u1ed1 ph\u1eadn c\u1ee7a 3% kh\u00f4ng may kia c\u1ea3. V\u1edbi ho\u00e0n c\u1ea3nh y t\u1ebf \u1edf qu\u1ed1c gia gi\u00e0u c\u00f3 nh\u01b0 M\u1ef9, tr\u1ebb em suy dinh d\u01b0\u1ee1ng do thi\u1ebfu \u0103n l\u00e0 g\u1ea7n nh\u01b0 kh\u00f4ng th\u1ec3 x\u1ea3y ra.<\/p>\n<p>M\u1eb9 kh\u00f4ng th\u1ec3 cho con b\u00fa m\u1eb9 th\u00ec tr\u1ebb c\u00f3 s\u1eefa c\u00f4ng th\u1ee9c mi\u1ec5n ph\u00ed, th\u1ee9c \u0103n d\u1eb7m mi\u1ec5n ph\u00ed, ch\u0103m s\u00f3c y t\u1ebf g\u1ea7n nh\u01b0 mi\u1ec5n ph\u00ed, n\u00ean nguy c\u01a1 suy dinh d\u01b0\u1ee1ng l\u00e0 c\u1ef1c th\u1ea5p.<\/p>\n<p>B\u1ed9 y t\u1ebf M\u1ef9 kh\u00f4ng th\u1ec3 ch\u1ea5p nh\u1eadn nguy c\u01a1 con b\u1ecb nhi\u1ec5m HIV t\u1eeb m\u1eb9 cho d\u00f9 l\u00e0 ch\u1ec9 c\u00f3 3%. Nhi\u1ec5m HIV kh\u00f4ng ph\u1ea3i l\u00e0 ti\u00eau ch\u1ea3y nhi\u1ec5m tr\u00f9ng hay vi\u00eam h\u00f4 h\u1ea5p tr\u00ean m\u00e0 t\u1ef1 h\u1ebft, \u0111\u00f3 l\u00e0 c\u0103n b\u1ec7nh th\u1ebf k\u1ef7 hi\u1ec7n t\u1ea1i v\u1eabn ch\u01b0a c\u00f3 th\u1ec3 tr\u1ecb d\u1ee9t \u0111i\u1ec3m.<\/p>\n<p>N\u00f3i c\u00e1ch kh\u00e1c, khuy\u1ebfn c\u00e1o c\u1ee7a WHO l\u00e0 cho con c\u1ee7a c\u00e1c h\u1ed9 gia \u0111\u00ecnh c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf c\u1ef1c k\u1ef3 kh\u00f3 kh\u0103n, c\u00f2n khuy\u1ebfn c\u00e1o c\u1ee7a CDC l\u00e0 cho con c\u1ee7a c\u00e1c h\u1ed9 gia \u0111\u00ecnh c\u00f3 \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf kh\u00e1 gi\u1ea3 tr\u1edf l\u00ean.<\/p>\n<p>Do \u0111\u00f3, t\u00f9y ho\u00e0n c\u1ea3nh m\u00e0 ch\u00fang ta \u00e1p d\u1ee5ng khuy\u1ebfn c\u00e1o n\u00e0o cho ph\u00f9 h\u1ee3p. V\u00e0 nh\u01b0 v\u1eady quan ni\u1ec7m \u201cm\u1eb9 b\u1ecb nhi\u1ec5m HIV th\u00ec con tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c b\u00fa s\u1eefa m\u1eb9\u201d \u0111\u00fang hay kh\u00f4ng t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng t\u00ecnh hu\u1ed1ng v\u00e0 m\u1ecdi vi\u1ec7c ch\u1ec9 mang t\u00ednh t\u01b0\u01a1ng \u0111\u1ed1i m\u00e0 th\u00f4i.<\/p>\n<h2><img loading=\"lazy\" class=\"aligncenter size-full wp-image-11077\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/3-2.png\" alt=\"\u0111\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9\" width=\"624\" height=\"328\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/3-2.png 624w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/3-2-300x158.png 300w\" sizes=\"(max-width: 624px) 100vw, 624px\" \/><\/h2>\n<h2><span class=\"ez-toc-section\" id=\"3_Viem_gan_sieu_vi_B_va_sua_me_%E2%80%93_Bu_hay_khong_bu\"><\/span><strong>3. Vi\u00eam gan si\u00eau vi B v\u00e0 s\u1eefa m\u1eb9 &#8211; B\u00fa hay kh\u00f4ng b\u00fa?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/livolin.vn\/viem-gan-b-la-gi-va-nhung-thong-tin-ban-can-biet\/\">Vi\u00eam gan si\u00eau vi B<\/a> (VGSVB) l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 s\u1ee9c kho\u1ebb l\u1edbn tr\u00ean to\u00e0n c\u1ea7u, trong \u0111\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u1edf c\u00e1c v\u00f9ng \u0110\u00f4ng Nam \u00c1 r\u1ea5t cao. T\u1ef7 l\u1ec7 m\u1eb9 m\u1eafc b\u1ec7nh VGSVB tr\u00ean th\u1ebf gi\u1edbi v\u00e0o kho\u1ea3ng 5%, trong khi c\u00f3 nh\u1eefng v\u00f9ng l\u00ean t\u1edbi 50%.<\/p>\n<p>Trong s\u1ed1 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m si\u00eau vi vi\u00eam gan B (HBV), c\u00f3 t\u1edbi 50% l\u00e0 t\u1eeb m\u1eb9 sang con. M\u1eb9 c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m HBV sang con trong l\u00fac mang thai, l\u00fac sinh v\u00e0 ngay sau sinh do m\u00e1u m\u1eb9 truy\u1ec1n qua nhau thai trong c\u01a1n co t\u1eed cung, v\u1ee1 m\u00e0ng \u1ed1i, ti\u1ebfp x\u00fac v\u1edbi m\u00e1u m\u1eb9 trong l\u00fac sinh.<\/p>\n<p>L\u00e2y nhi\u1ec5m l\u00fac mang thai r\u1ea5t hi\u1ebfm g\u1eb7p v\u00ec nhau thai c\u00f3 th\u1ec3 ch\u1eb7n HBV xuy\u00ean qua, h\u1ea7u h\u1ebft l\u00e0 l\u00e2y nhi\u1ec5m trong l\u00fac sinh v\u00e0 ngay sau sinh.<\/p>\n<p>Ng\u00e0y x\u01b0a, khi ch\u01b0a c\u00f3 vaccine ng\u1eeba HBV, t\u1ef7 l\u1ec7 truy\u1ec1n sang con l\u00e0 95%, t\u1ee9c l\u00e0 n\u1ebfu m\u1eb9 b\u1ecb VGSVB th\u00ec g\u1ea7n nh\u01b0 ch\u1eafc ch\u1eafn con s\u1ebd m\u1eafc b\u1ec7nh.<\/p>\n<p>T\u1eeb khi tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c ch\u00edch ng\u1eeba HBV, t\u1ef7 l\u1ec7 l\u00e2y nhi\u1ec5m t\u1eeb m\u1eb9 sang con gi\u1ea3m c\u00f2n 4-5%. Hi\u1ec7n nay khuy\u1ebfn c\u00e1o \u0111\u1ec3 ph\u00f2ng ng\u1eeba l\u00e2y nhi\u1ec5m HBV sang con th\u00ec tr\u1ebb s\u01a1 sinh n\u00ean \u0111\u01b0\u1ee3c ti\u00eam m\u0169i vaccine HBV \u0111\u1ea7u ti\u00ean ngay sau sinh c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t (&lt;24h), sau \u0111\u00f3 th\u00eam 2 m\u0169i l\u00fac 1-2 th\u00e1ng v\u00e0 6 th\u00e1ng v\u00e0 n\u00ean d\u00f9ng HBIG sau l\u00fac sinh v\u00ec nghi\u00ean c\u1ee9u cho th\u1ea5y gi\u00fap t\u0103ng cao h\u01a1n kh\u1ea3 n\u0103ng mi\u1ec5n nhi\u1ec5m v\u1edbi HBV n\u1ebfu so v\u1edbi ch\u1ec9 c\u00f3 ti\u00eam vaccine.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p m\u1eb9 c\u00f3 l\u01b0\u1ee3ng virus cao c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng HBIG trong ba th\u00e1ng cu\u1ed1i thai k\u1ef3 v\u00e0 ngay sau sinh \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m cho con.<\/p>\n<p>V\u00ec HBV \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 hi\u1ec7n di\u1ec7n trong s\u1eefa m\u1eb9, n\u00ean c\u00f3 nhi\u1ec1u b\u00e1c s\u0129 \u0111\u00e3 khuy\u1ebfn c\u00e1o m\u1eb9 kh\u00f4ng n\u00ean cho con b\u00fa s\u1eefa m\u1eb9 v\u00ec lo l\u1eafng nguy c\u01a1 l\u00e2y nhi\u1ec5m sang con.<\/p>\n<p>Tuy nhi\u00ean \u0111\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y, sau khi t\u1ed5ng h\u1ee3p v\u00e0 ph\u00e2n t\u00edch t\u1eeb nhi\u1ec1u nghi\u00ean c\u1ee9u, c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng b\u00fa s\u1eefa m\u1eb9 kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 l\u00e2y nhi\u1ec5m HBV t\u1eeb m\u1eb9, t\u1ee9c l\u00e0 b\u00fa m\u1eb9 hay b\u00fa s\u1eefa c\u00f4ng th\u1ee9c \u0111\u1ec1u c\u00f3 nguy c\u01a1 l\u00e2y nhi\u1ec5m HBV t\u1eeb m\u1eb9 v\u00e0o kho\u1ea3ng 4-5%.<\/p>\n<p>Do \u0111\u00f3, CDC v\u00e0 WHO \u0111\u1ec1u khuy\u1ebfn c\u00e1o cho con b\u00fa s\u1eefa m\u1eb9 cho d\u00f9 m\u1eb9 c\u00f3 b\u1ec7nh VGSVB. Tuy nhi\u00ean, n\u1ebfu m\u1eb9 b\u1ecb n\u1ee9t hay vi\u00eam n\u00fam v\u00fa g\u00e2y ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 l\u00e2y nhi\u1ec5m n\u00ean CDC khuy\u1ebfn c\u00e1o t\u1ea1m th\u1eddi ng\u01b0ng cho b\u00fa, ch\u0103m s\u00f3c n\u00fam v\u00fa v\u00e0 h\u00fat b\u1ecf s\u1eefa \u0111\u1ec3 kh\u00f4ng m\u1ea5t s\u1eefa.<\/p>\n<p>Khi l\u00e0nh l\u1eb7n th\u00ec c\u00f3 th\u1ec3 cho con b\u00fa s\u1eefa m\u1eb9 tr\u1edf l\u1ea1i. N\u1ebfu m\u1eb9 c\u00f3 d\u01b0 s\u1eefa th\u00ec h\u00fat ra \u0111\u00f4ng l\u1ea1nh \u0111\u1ec3 d\u00e0nh ph\u00f2ng tr\u01b0\u1eddng h\u1ee3p n\u00e0y. T\u00f3m l\u1ea1i, n\u1ebfu m\u1eb9 b\u1ecb VGSVB th\u00ec v\u1eabn cho con b\u00fa m\u1eb9 b\u00ecnh th\u01b0\u1eddng, ch\u1ec9 l\u01b0u \u00fd tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u v\u00e0o trong s\u1eefa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"4_Co_phai_sua_me_tri_duoc_viem_ket_mac_viem_tai_giua_o_tre_em_khong\"><\/span><strong>4. C\u00f3 ph\u1ea3i s\u1eefa m\u1eb9 tr\u1ecb \u0111\u01b0\u1ee3c vi\u00eam k\u1ebft m\u1ea1c, vi\u00eam tai gi\u1eefa \u1edf tr\u1ebb em kh\u00f4ng?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u0110\u00e3 t\u1eebng c\u00f3 t\u00ecnh hu\u1ed1ng: \u201cM\u1ed9t m\u1eb9 b\u1ec9m s\u1eefa v\u00f4 c\u00f9ng vui s\u01b0\u1edbng khoe th\u00e0nh qu\u1ea3 tr\u1ecb h\u1ebft b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c cho con b\u1eb1ng s\u1eefa m\u1eb9, nh\u01b0 l\u00e0 kh\u00e1m ph\u00e1 ra m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u00f4 c\u00f9ng tr\u1ecdng \u0111\u1ea1i trong khoa h\u1ecdc\u201d. Nh\u01b0 v\u1eady s\u1eefa m\u1eb9 c\u00f3 th\u1ef1c s\u1ef1 c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam k\u1ebft m\u1ea1c hay kh\u00f4ng?<\/p>\n<p><img loading=\"lazy\" class=\"aligncenter size-full wp-image-11079\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/4-4.png\" alt=\"\u0111\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9\" width=\"623\" height=\"341\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/4-4.png 623w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/4-4-300x164.png 300w\" sizes=\"(max-width: 623px) 100vw, 623px\" \/><\/p>\n<p>Ph\u00f2ng kh\u00e1m nhi c\u1ee7a \u0110\u1ea1i h\u1ecdc California \u0111\u00e3 th\u1ef1c hi\u1ec7n m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean c\u00e1c m\u1eabu s\u1eefa m\u1eb9 t\u1eeb c\u00e1c b\u00e0 m\u1eb9 kh\u00f4ng c\u00f3 b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch, nhi\u1ec5m tr\u00f9ng hay d\u00f9ng kh\u00e1ng sinh trong 2 tu\u1ea7n.<\/p>\n<p>H\u1ecd d\u00f9ng c\u00e1c m\u1eabu s\u1eefa n\u00e0y \u0111\u1ec3 xem t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n c\u1ee7a s\u1eefa m\u1eb9 tr\u00ean kho\u1ea3ng 10 lo\u1ea1i vi tr\u00f9ng t\u1ed1t h\u01a1n kh\u00e1ng sinh Polytrim hay kh\u00f4ng. \u0110\u1ed3ng th\u1eddi, h\u1ecd c\u0169ng \u0111em c\u00e1c m\u1eabu s\u1eefa \u0111i c\u1ea5y \u0111\u1ec3 t\u00ecm xem c\u00f3 m\u1ea7m b\u1ec7nh hay kh\u00f4ng.<\/p>\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y s\u1eefa m\u1eb9 ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n t\u1ed1t v\u1edbi N. gonorrhoeae (vi tr\u00f9ng l\u1eadu), M. catarrhalis, Streptococcus viridans, t\u01b0\u01a1ng \u0111\u1ed1i v\u1edbi Staphylococcus v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi c\u00e1c lo\u1ea1i kh\u00e1c. Trong khi \u0111\u00f3 kh\u00e1ng sinh Polytrim c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n t\u1ed1t h\u01a1n s\u1eefa m\u1eb9 tr\u00ean t\u1ea5t c\u1ea3 c\u00e1c m\u1eabu vi tr\u00f9ng \u0111\u01b0\u1ee3c th\u1eed, tr\u1eeb N. gonorrhoeae.<\/p>\n<p>T\u1ea5t c\u1ea3 c\u00e1c m\u1eabu s\u1eefa \u0111em c\u1ea5y \u0111\u1ec1u ph\u00e1t tri\u1ec3n c\u00e1c lo\u1ea1i vi tr\u00f9ng th\u01b0\u1eddng tr\u00fa \u1edf da v\u00e0 ru\u1ed9t, trong \u0111\u00f3 c\u00f3 m\u1ed9t m\u1eabu c\u00f3 c\u1ea3 Staphylococcus aureus (t\u1ee5 c\u1ea7u v\u00e0ng), l\u00e0 m\u1ed9t lo\u1ea1i vi tr\u00f9ng r\u1ea5t nguy hi\u1ec3m.<\/p>\n<p>Kho\u1ea3ng 60-70% vi\u00eam k\u1ebft m\u1ea1c \u1edf tr\u1ebb em l\u00e0 do vi tr\u00f9ng, c\u00f2n l\u1ea1i do si\u00eau vi v\u00e0 \u0111a s\u1ed1 nhi\u1ec5m si\u00eau vi th\u00ec t\u1ef1 h\u1ebft. C\u00e1c vi tr\u00f9ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 H. influenza, Streptococcus pneumonia, M. Catarrhalis.<\/p>\n<p>Nh\u00ecn v\u00e0o \u0111i\u1ec1u n\u00e0y cho th\u1ea5y s\u1eefa m\u1eb9 c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t k\u00e9m \u0111\u1ed1i v\u1edbi c\u00e1c vi tr\u00f9ng g\u00e2y b\u1ec7nh th\u01b0\u1eddng g\u1eb7p. Vi\u1ec7c nh\u1ecf s\u1eefa m\u1eb9 v\u00e0o trong m\u1eaft con v\u00e0i b\u1eefa th\u00ec th\u1ea5y m\u1eaft h\u1ebft \u0111\u1ecf h\u1ea7u h\u1ebft l\u00e0 do may m\u1eafn, ph\u1ea7n nhi\u1ec1u l\u00e0 do si\u00eau vi th\u00ec t\u1ef1 h\u1ebft. B\u00e1c s\u0129 th\u01b0\u1eddng kh\u00f4ng khuy\u1ebfn c\u00e1o d\u00f9ng s\u1eefa m\u1eb9 ch\u1eefa vi\u00eam k\u1ebft m\u1ea1c v\u00ec hi\u1ec7u qu\u1ea3 k\u00e9m v\u00e0 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t cao.<\/p>\n<p><img loading=\"lazy\" class=\"aligncenter size-full wp-image-11081\" src=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/5-1.png\" alt=\"\u0111\u01b0\u1eddng lactose trong s\u1eefa m\u1eb9\" width=\"631\" height=\"409\" srcset=\"https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/5-1.png 631w, https:\/\/pacificcross.com.vn\/wp-content\/uploads\/2021\/06\/5-1-300x194.png 300w\" sizes=\"(max-width: 631px) 100vw, 631px\" \/><\/p>\n<p>C\u00f2n vi\u00eam tai gi\u1eefa l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam nhi\u1ec5m \u1edf khoang tai gi\u1eefa \u0111\u01b0\u1ee3c c\u00e1ch bi\u1ec7t v\u1edbi \u1ed1ng tai ngo\u00e0i b\u1edfi m\u00e0ng nh\u0129. Nh\u1ecf s\u1eefa v\u00f4 tai kh\u00f4ng nh\u1eefng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng v\u00ec kh\u00f4ng v\u00e0o t\u1edbi tai gi\u1eefa m\u00e0 c\u00f2n th\u00e0nh s\u1eefa chua trong \u1ed1ng tai, l\u00e0m nhi\u1ec5m tr\u00f9ng \u1ed1ng tai ngo\u00e0i.<\/p>\n<p>T\u00f3m l\u1ea1i s\u1eefa m\u1eb9 l\u00e0 \u0111\u1ec3 cho con b\u00fa ch\u1ee9 kh\u00f4ng ph\u1ea3i \u0111\u1ec3 nh\u1ecf m\u1eaft hay nh\u1ecf tai. Ch\u00ednh v\u00ec v\u1eady m\u00e0 quan ni\u1ec7m \u201cs\u1eefa m\u1eb9 tr\u1ecb \u0111\u01b0\u1ee3c vi\u00eam k\u1ebft m\u1ea1c, vi\u00eam tai gi\u1eefa \u1edf tr\u1ebb em\u201d l\u00e0 ho\u00e0n to\u00e0n sai l\u1ea7m v\u00e0 g\u00e2y nh\u1eefng h\u1eadu qu\u1ea3 v\u00f4 c\u00f9ng nghi\u00eam tr\u1ecdng.<\/p>\n<p>Tr\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t v\u00e0i ng\u1ed9 nh\u1eadn tai h\u1ea1i v\u1ec1 s\u1eefa m\u1eb9 \u0111\u1ed1i v\u1edbi m\u1ed9t v\u00e0i b\u1ec7nh th\u01b0\u1eddng g\u1eb7p. C\u00e1c b\u00e0 m\u1eb9 c\u1ea7n th\u1eadt s\u1ef1 t\u1ec9nh t\u00e1o \u0111\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u00e2u l\u00e0 nh\u1eefng ngu\u1ed3n th\u00f4ng tin \u0111\u00fang m\u00e0 tr\u00e1nh \u0111\u01b0\u1ee3c nh\u1eefng h\u1eadu qu\u1ea3 \u0111\u00e1ng ti\u1ebfc v\u1ec1 sau.<\/p>\n<p>Pacific Cross Vi\u1ec7t Nam chuy\u00ean cung c\u1ea5p c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m s\u1ee9c kh\u1ecfe v\u00e0 b\u1ea3o hi\u1ec3m du l\u1ecbch. D\u1ecbch v\u1ee5 c\u1ee7a ch\u00fang t\u00f4i c\u00f3 nhi\u1ec1u s\u1ef1 l\u1ef1a ch\u1ecdn, ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng y\u00eau c\u1ea7u v\u00e0 ng\u00e2n s\u00e1ch c\u1ee7a kh\u00e1ch h\u00e0ng.<\/p>\n<p>Cho d\u00f9 l\u00e0 ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m cho c\u00e1 nh\u00e2n, gia \u0111\u00ecnh ho\u1eb7c doanh nghi\u1ec7p c\u1ee7a b\u1ea1n, ch\u00fang t\u00f4i s\u1ebd lu\u00f4n h\u1ed7 tr\u1ee3, t\u01b0 v\u1ea5n t\u1eadn t\u00e2m \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n t\u00ecm \u0111\u01b0\u1ee3c s\u1ea3n ph\u1ea9m b\u1ea3o hi\u1ec3m t\u1ed1t nh\u1ea5t.<\/p>\n<p>N\u1ebfu b\u1ea1n ch\u01b0a ch\u1eafc ch\u1eafn v\u1ec1 ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m n\u00e0o ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a m\u00ecnh, h\u00e3y s\u1eed d\u1ee5ng <a href=\"https:\/\/pacificcross.com.vn\/vi\/health-insurance-select-app\">Ch\u01b0\u01a1ng tr\u00ecnh L\u1ef1a Ch\u1ecdn B\u1ea3o Hi\u1ec3m<\/a> c\u1ee7a ch\u00fang t\u00f4i ho\u1eb7c li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed qua email: <a href=\"mailto:inquiry@pacificcross.com.vn\">inquiry@pacificcross.com.vn<\/a>.<\/p>\n<hr \/>\n<p><em><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/em><\/p>\n<p><em>C\u00e1c trang web c\u1ee7a WHO:<\/em><\/p>\n<ul>\n<li><em><a href=\"https:\/\/www.who.int\/maternal_child_adolescent\/documents\/9789241599535\/en\/\">\u200b<\/a>https:\/\/www.who.int\/bulletin\/volumes\/88\/1\/10-030110\/en\/<\/em><\/li>\n<\/ul>\n<p><em>C\u00e1c trang web c\u1ee7a CDC:<\/em><\/p>\n<ul>\n<li><em><a href=\"https:\/\/www.cdc.gov\/breastfeeding\/breastfeeding-special-circumstances\/contraindications-to-breastfeeding.html\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">https:\/\/www.cdc.gov\/breastfeeding\/breastfeeding-special-circumstances\/contraindications-to-breastfeeding.html<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/www.cdc.gov\/breastfeeding\/breastfeeding-special-circumstances\/maternal-or-infant-illnesses\/hepatitis.html\" target=\"_blank\" rel=\"noopener nofollow noreferrer\">https:\/\/www.cdc.gov\/breastfeeding\/breastfeeding-special-circumstances\/maternal-or-infant-illnesses\/hepatitis.html<\/a><\/em><\/li>\n<\/ul>\n<p><em>Yingjie Zheng v\u00e0 cs. (2011), Should chronic hepatitis B mothers breastfeed? a meta analysis, BMC Public Health, 11: 502<\/em><\/p>\n<p><em>Mihaela Petrova v\u00e0 Victor Kamburov (2010), Breastfeeding and chronic HBV infection: Clinical and social implications, World J Gastroenterol, 16(40): 5042\u20135046<\/em><\/p>\n<p><em>Zhang L v\u00e0 cs. (2014), Effects of hepatitis B immunization on prevention of mother-to-infant transmission of hepatitis B virus and on the immune response of infants towards hepatitis B vaccine, Vaccine. 2014 Oct 21;32(46):6091-7<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. S\u1eefa m\u1eb9 c\u00f3 g\u00e2y s\u00e2u r\u0103ng kh\u00f4ng? S\u1eefa m\u1eb9 c\u00f3 lactose kh\u00f4ng? \u0110\u00e3 t\u1eebng c\u00f3 quan ni\u1ec7m cho r\u1eb1ng: \u201cCh\u1ea5t tinh b\u1ed9t (\u0111\u01b0\u1eddng) trong s\u1eefa m\u1eb9 l\u00e0 Lactose, ch\u1ec9 ph\u00e2n hu\u1ef7 trong ru\u1ed9t, kh\u00f4ng ph\u00e2n hu\u1ef7 tr\u00ean mi\u1ec7ng, n\u00ean kh\u00f4ng g\u00e2y s\u00e2u r\u0103ng\u201d. V\u1eady quan ni\u1ec7m n\u00e0y l\u00e0 \u0111\u00fang hay sai? S\u00e2u r\u0103ng l\u00e0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":13104,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","inline_featured_image":false},"categories":[54,8],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts\/6715"}],"collection":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/comments?post=6715"}],"version-history":[{"count":0,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/posts\/6715\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/media\/13104"}],"wp:attachment":[{"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/media?parent=6715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/categories?post=6715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pacificcross.com.vn\/vi\/wp-json\/wp\/v2\/tags?post=6715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}