{"id":2201,"date":"2023-09-23T21:20:48","date_gmt":"2023-09-23T14:20:48","guid":{"rendered":"https:\/\/khoatritruong.com\/?p=2201"},"modified":"2024-07-23T22:07:01","modified_gmt":"2024-07-23T15:07:01","slug":"mang-thai-co-khoi-benh-viem-khop-dang-thap","status":"publish","type":"post","link":"https:\/\/khoatritruong.com\/index.php\/2023\/09\/23\/mang-thai-co-khoi-benh-viem-khop-dang-thap\/","title":{"rendered":"Mang thai c\u00f3 kh\u1ecfi b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p?"},"content":{"rendered":"<span class=\"rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u23f3Th\u1eddi gian \u0111\u1ecdc: <\/span> <span class=\"rt-time\">3<\/span> <span class=\"rt-label rt-postfix\">ph\u00fat<\/span><\/span>\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2201\" class=\"elementor elementor-2201\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f054998 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f054998\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1c84542\" data-id=\"1c84542\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-792af5d elementor-widget elementor-widget-text-editor\" data-id=\"792af5d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 14-09-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta gi\u1ea3 \u0111\u1ecbnh g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef m\u1eafc vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p khi mang thai s\u1ebd lui b\u1ec7nh. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd ph\u00e2n gi\u1ea3i th\u1ef1c h\u01b0 c\u00e2u chuy\u1ec7n n\u00e0y.<\/p><p><br \/><span style=\"text-decoration: underline;\">L\u01b0u \u00fd:<\/span> ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ng\u1eeba thai trong su\u1ed1t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u0169ng nh\u01b0 c\u1ea7n th\u00f4ng b\u00e1o b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi mang thai v\u00ec nhi\u1ec1u thu\u1ed1c \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p \u1ea3nh h\u01b0\u1edfng l\u00ean thai k\u00ec.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-69d9ad2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"69d9ad2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f7295dc\" data-id=\"f7295dc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-07cb0bb elementor-widget elementor-widget-heading\" data-id=\"07cb0bb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 14-09-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Ho\u1ea1t t\u00ednh b\u1ec7nh trong thai k\u00ec<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3573653 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3573653\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-052c6d1\" data-id=\"052c6d1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4240850 elementor-widget elementor-widget-text-editor\" data-id=\"4240850\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>1 quan ni\u1ec7m cho r\u1eb1ng h\u1ea7u h\u1ebft VKDT s\u1ebd lui b\u1ec7nh t\u1ef1 nhi\u00ean trong th\u1eddi k\u00ec mang thai v\u00e0 xu h\u01b0\u1edbng b\u00f9ng ph\u00e1t l\u1ea1i v\u00e0o h\u1eadu s\u1ea3n trong v\u00f2ng 3-4 th\u00e1ng.<br \/>\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ho\u1ea1t t\u00ednh b\u1ec7nh trong thai k\u00ec, c\u00e1c thang \u0111i\u1ec3m d\u1ef1a tr\u00ean CRP nh\u01b0 DAS28-CRP \u0111\u01b0\u1ee3c \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn h\u01a1n c\u00e1c thang \u0111i\u1ec3m d\u1ef1a tr\u00ean t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u (ESR, erythrocyte sedimentation rate). Nguy\u00ean nh\u00e2n do thay \u0111\u1ed5i sinh l\u00fd trong thai k\u00ec \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ESR v\u00e0 \u0111i\u1ec3m s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7288dfb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7288dfb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5c27c2d\" data-id=\"5c27c2d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18fef81 elementor-widget elementor-widget-heading\" data-id=\"18fef81\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Nghi\u00ean c\u1ee9u PARA<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-88bbd70 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88bbd70\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c18948a\" data-id=\"c18948a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-93ea877 elementor-widget elementor-widget-text-editor\" data-id=\"93ea877\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tNghi\u00ean c\u1ee9u \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng thang \u0111i\u1ec3m DAS28-CRP hi\u1ec7u ch\u1ec9nh cho th\u1ea5y \u0111i\u1ec3m ho\u1ea1t t\u00ednh b\u1ec7nh trung b\u00ecnh gi\u1ea3m khi mang thai m\u1eb7c cho gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng thu\u1ed1c d\u00f9ng so v\u1edbi tr\u01b0\u1edbc khi mang thai. K\u1ebft qu\u1ea3 n\u00e0y cho th\u1ea5y t\u00e1c \u0111\u1ed9ng c\u00f3 l\u1ee3i c\u1ee7a thai k\u00ec.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-669407d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"669407d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27b84ba\" data-id=\"27b84ba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d68a331 elementor-widget elementor-widget-text-editor\" data-id=\"d68a331\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u c\u00f3 th\u1eddi gian m\u1eafc b\u1ec7nh trung v\u1ecb 4,8, kho\u1ea3ng 2\/3 c\u00f3 anti-CCP (+), 50% mang thai l\u1ea7n \u0111\u1ea7u, nh\u01b0ng ch\u1ec9 c\u00f3 2 \u0111\u1ed1i t\u01b0\u1ee3ng l\u00e0 ng\u01b0\u1eddi ch\u00e2u \u00c1. Ng\u01b0\u1eddi c\u00f3 ho\u1ea1t t\u00ednh b\u1ec7nh th\u1ea5p trong tam c\u00e1 nguy\u1ec7t (TCN) th\u1ee9 1 duy tr\u00ec \u1ed5n \u0111\u1ecbnh ho\u1ea1t t\u00ednh trong su\u1ed1t thai k\u00ec. Thay \u0111\u1ed5i \u0111\u00e1ng ch\u00fa \u00fd nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ho\u1ea1t t\u00ednh b\u1ec7nh trung b\u00ecnh. G\u1ea7n 50% ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ho\u1ea1t t\u00ednh b\u1ec7nh trung b\u00ecnh v\u00e0o TCN th\u1ee9 1 c\u1ea3i thi\u1ec7n ho\u1ea1t t\u00ednh b\u1ec7nh, 25% \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1ea1t lui b\u1ec7nh trong TCN th\u1ee9 3. Tuy kh\u00f4ng ph\u1ea3i 100% nh\u01b0ng c\u0169ng l\u00e0 con s\u1ed1 \u0111\u00e1ng k\u1ec3.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eb97dc2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eb97dc2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a400bf\" data-id=\"4a400bf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea6cd48 elementor-widget elementor-widget-image\" data-id=\"ea6cd48\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.16.0 - 14-09-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"630\" src=\"https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/09\/RA-activity-in-pregnancy-and-postpartum-1024x630.png\" class=\"attachment-large size-large wp-image-2209\" alt=\"RA activity progression in pregnancy and postpartum\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1fc8df0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fc8df0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4f2a93d\" data-id=\"4f2a93d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed16f0d elementor-widget elementor-widget-text-editor\" data-id=\"ed16f0d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tT\u00e1c \u0111\u1ed9ng r\u00f5 nh\u1ea5t c\u1ee7a thai k\u00ec tr\u00ean thang DAS28 trong TCN th\u1ee9 3 l\u00e0 tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 ho\u1ea1t t\u00ednh b\u1ec7nh trung b\u00ecnh \u0111\u1ebfn cao t\u1eeb TCN th\u1ee9 1. \u0110i\u1ec3m DAS28 gia t\u0103ng tr\u1edf l\u1ea1i t\u1eeb h\u1eadu s\u1ea3n 6 tu\u1ea7n \u0111\u1ebfn h\u1eadu s\u1ea3n 12 tu\u1ea7n. Khi ph\u00e2n t\u00edch d\u01b0\u1edbi nh\u00f3m, anti-CCP (+), RF (+) v\u00e0 h\u1ee7y kh\u1edbp tr\u00ean X quang kh\u00f4ng thay \u0111\u1ed5i di\u1ec5n ti\u1ebfn ho\u1ea1t t\u00ednh b\u1ec7nh trong thai k\u00ec v\u00e0 h\u1eadu s\u1ea3n. N\u1ed3ng \u0111\u1ed9 CRP trong su\u1ed1t thai k\u00ec v\u00e0 h\u1eadu s\u1ea3n c\u0169ng kh\u00f4ng thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-406f413 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"406f413\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bbfd3c2\" data-id=\"bbfd3c2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-075956e elementor-widget elementor-widget-text-editor\" data-id=\"075956e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tTrong th\u1eddi k\u00ec h\u1eadu s\u1ea3n, ho\u1ea1t t\u00ednh b\u1ec7nh t\u0103ng tr\u1edf l\u1ea1i trong 39% ng\u01b0\u1eddi b\u1ec7nh. Th\u1eadm ch\u00ed, h\u1ecd c\u00f3 th\u1ec3 m\u1eafc \u0111\u1ee3t b\u00f9ng ph\u00e1t trung b\u00ecnh \u2013 n\u1eb7ng m\u1eb7c d\u00f9 \u0111\u00e3 t\u0103ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sau khi mang thai.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2eb1f6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2eb1f6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ca3468f\" data-id=\"ca3468f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-327552e elementor-widget elementor-widget-text-editor\" data-id=\"327552e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Tuy ch\u01b0a r\u00f5 ch\u00ednh x\u00e1c c\u01a1 ch\u1ebf, m\u1ed9t s\u1ed1 gi\u1ea3 thuy\u1ebft bao g\u1ed3m:<\/p><ol><li style=\"list-style-type: none;\"><ol><li>\u1ee8c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch do b\u1ea5t t\u01b0\u01a1ng h\u1ee3p HLA gi\u1eefa m\u1eb9 v\u00e0 con.<\/li><li>Thay \u0111\u1ed5i sinh h\u00f3a nh\u01b0 t\u0103ng n\u1ed3ng \u0111\u1ed9 \u03b12-glycoprotein, t\u0103ng glycosyl h\u00f3a IgG trong thai k\u00ec.<\/li><li>Thay \u0111\u1ed5i ch\u1ee9c n\u0103ng t\u00e9 b\u00e0o T t\u1eeb ki\u1ec3u h\u00ecnh Th1 sang Th2.<\/li><\/ol><\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a911a4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a911a4e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ac8ee31\" data-id=\"ac8ee31\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ed70768 elementor-widget elementor-widget-text-editor\" data-id=\"ed70768\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tH\u1ea1n ch\u1ebf c\u1ee7a nghi\u00ean c\u1ee9u tr\u00ean l\u00e0 ch\u1ec9 bao g\u1ed3m thai k\u00ec \u0111\u01a1n thai, kh\u00e1 \u00edt tr\u01b0\u1eddng h\u1ee3p d\u00f9ng thu\u1ed1c sinh h\u1ecdc tr\u01b0\u1edbc khi mang thai v\u00e0 r\u1ea5t \u00edt ng\u01b0\u1eddi ch\u00e2u \u00c1.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75fa054 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75fa054\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-48e5eba\" data-id=\"48e5eba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f93e641 elementor-widget elementor-widget-text-editor\" data-id=\"f93e641\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Sau \u0111\u00f3, 1 t\u1ed5ng quan h\u1ec7 th\u1ed1ng g\u1ed3m 10 nghi\u00ean c\u1ee9u cho k\u1ebft qu\u1ea3 t\u01b0\u01a1ng t\u1ef1: 60% ng\u01b0\u1eddi b\u1ec7nh VKDT trong thai k\u00ec c\u00f3 c\u1ea3i thi\u1ec7n ho\u1ea1t t\u00ednh b\u1ec7nh v\u00e0 46,7% b\u1ecb b\u00f9ng ph\u00e1t b\u1ec7nh trong h\u1eadu s\u1ea3n.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ee4196b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ee4196b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-71176ec\" data-id=\"71176ec\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b35f432 elementor-widget elementor-widget-heading\" data-id=\"b35f432\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Y\u1ebfu t\u1ed1 nguy c\u01a1 b\u00f9ng ph\u00e1t b\u1ec7nh trong thai k\u00ec<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a8d3cfa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a8d3cfa\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-454abab\" data-id=\"454abab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6bd6f03 elementor-widget elementor-widget-text-editor\" data-id=\"6bd6f03\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tVan den Brant v\u00e0 c\u1ed9ng s\u1ef1 ghi nh\u1eadn y\u1ebfu t\u1ed1 g\u00e2y b\u00f9ng ph\u00e1t trong TCN th\u1ee9 1 g\u1ed3m b\u1ec7nh \u0111ang ho\u1ea1t \u0111\u1ed9ng v\u00e0 t\u0103ng CRP v\u00e0o giai \u0111o\u1ea1n s\u1edbm thai k\u00ec, ng\u01b0ng thu\u1ed1c kh\u00e1ng TNF. Kh\u1edfi \u0111\u1ed9ng l\u1ea1i thu\u1ed1c kh\u00e1ng TNF v\u00e0 glucocorticoid l\u00e0 bi\u1ec7n ph\u00e1p ghi nh\u1eadn gi\u00fap ki\u1ec3m so\u00e1t ho\u1ea1t t\u00ednh b\u1ec7nh trong TCN th\u1ee9 2 v\u00e0 th\u1ee9 3. K\u1ebft qu\u1ea3 n\u00e0y cho th\u1ea5y c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c thu\u1ed1c kh\u00e1ng TNF sau khi th\u1ee5 thai v\u00e0 trong su\u1ed1t thai k\u00ec.\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc27394 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc27394\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ae321c7\" data-id=\"ae321c7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc3d6e4 elementor-widget elementor-widget-text-editor\" data-id=\"bc3d6e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<em>Thu\u1ed1c kh\u00e1ng TNF c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c khi mang thai (khuy\u1ebfn c\u00e1o c\u00f3 \u0111i\u1ec1u ki\u1ec7n). Tuy nhi\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 chuy\u1ec3n sang thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o m\u1ea1nh cho mang thai l\u00e0 certolizumab, nh\u01b0ng xui thay kh\u00f4ng c\u00f3 \u1edf Vi\u1ec7t Nam<\/em>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ed454f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ed454f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e975497\" data-id=\"e975497\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f2e1d7 elementor-widget elementor-widget-heading\" data-id=\"5f2e1d7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L\u1eddi k\u1ebft<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-233c0c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"233c0c3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ca02bf6\" data-id=\"ca02bf6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eaaf53b elementor-widget elementor-widget-text-editor\" data-id=\"eaaf53b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tTuy kh\u00f4ng ph\u1ea3i 100%, ph\u1ee5 n\u1eef m\u1eafc vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ho\u1ea1t t\u00ednh b\u1ec7nh v\u00e0 \u0111\u1ea1t lui b\u1ec7nh trong thai k\u00ec nh\u01b0ng t\u0103ng ho\u1ea1t t\u00ednh trong th\u1eddi k\u00ec h\u1eadu s\u1ea3n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd v\u00e0 ti\u1ebfp t\u1ee5c thu\u1ed1c an to\u00e0n trong thai k\u00ec b\u1edfi c\u1ea3 b\u00e1c s\u0129 n\u1ed9i c\u01a1 x\u01b0\u01a1ng kh\u1edbp v\u00e0 b\u00e1c s\u0129 s\u1ea3n khoa.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-57f7ceb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"57f7ceb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fd2246\" data-id=\"8fd2246\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-082ee21 elementor-widget elementor-widget-heading\" data-id=\"082ee21\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5373dc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5373dc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c39fbe7\" data-id=\"c39fbe7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d88636 elementor-widget elementor-widget-text-editor\" data-id=\"0d88636\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ol>\n<li><a href=\"doi:10.1016\/j.bpobgyn.2019.09.005\">Littlejohn EA. Pregnancy and rheumatoid arthritis. Best Pract Res Clin Obstet Gynaecol. 2020;64:52-58.<\/a><\/li>\n<li><a href=\"doi:10.1002\/art.24003\">de Man YA, Dolhain RJ, van de Geijn FE, Willemsen SP, Hazes JM. Disease activity of rheumatoid arthritis during pregnancy: results from a nationwide prospective study. Arthritis Rheum. 2008;59(9):1241-1248.<\/a><\/li>\n<li><a href=\"doi:10.3899\/jrheum.180226\">Jethwa H, Lam S, Smith C, Giles I. Does Rheumatoid Arthritis Really Improve During Pregnancy? A Systematic Review and Metaanalysis. J Rheumatol. 2019;46(3):245-250.<\/a><\/li>\n<li><a href=\"doi:10.1002\/acr.24130\">Sammaritano LR, Bermas BL, Chakravarty EE, et al. 2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases. Arthritis Care Res (Hoboken). 2020;72(4):461-488.<\/a><\/li>\n<\/ol>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p><span class=\"rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u23f3Th\u1eddi gian \u0111\u1ecdc: <\/span> <span class=\"rt-time\">3<\/span> <span class=\"rt-label rt-postfix\">ph\u00fat<\/span><\/span> Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta gi\u1ea3 \u0111\u1ecbnh g\u1ea7n nh\u01b0 t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef m\u1eafc vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p khi mang thai s\u1ebd lui b\u1ec7nh. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd ph\u00e2n gi\u1ea3i th\u1ef1c h\u01b0 c\u00e2u chuy\u1ec7n n\u00e0y. 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