9 loi vcxin ph n nn tim nga trc khi mang

thai
Ph n trc khi mang thai nn tim phng cm, si, quai b, rubella, thy u, vin gan A, B, un
vn, vim phi do ph cu, vim mng no...
Theo tin s, bc s Nguyn Huy Lun, ph trch Phng khm Nhi, Bnh vin H Y Dc TP HCM, ph n
khi mang thai, h thng min dch ca c th s hot ng km hn bnh thng. Nguy c nhim
bnh cng v vy m tng ln. Tim phng l cch tt nht bo v h khi nhng nguy him cho c
m v thai nhi.
Thng thng, cc bc s khuyn co ph n trc khi mang thai nn tim phng vcxin phng cm, si,
quai b, rubella, thy u, vim gan A, B, un vn, vim phi do ph cu, vim mng no...
- Rubella: 90% trng hp ngi m nhim rubella trong 3 thng u thai k c th gy d tt thai nhi hoc
sy thai. Virus ny nh hng n no, tim, tai v mt ca em b trong bng, thm ch c th li di
chng khi tr cho i.
- Si: Nu b m mc bnh si khi mang thai, nguy c d dng thai nhi rt cao. Ngoi ra, ph n b si khi
mang thai c th gy sy thai, sinh non hoc thai cht lu.
- Quai b: Virus quai b c th lm vim nhim bung trng, ng thi ph hy t bo trng, lm nh
hng nghim trng n sc khe sinh sn ca ph n. Ngoi ra, quai b c th gy d tt bm sinh, sinh
non v thai cht lu. c bit, nguy c cng cao hn nu m bu b nhim quai b trong tam c nguyt th
nht v th ba ca thai k.
Hin nay, ph n c th ch ng phng nga si, quai b v rubella ch vi mt mi vcxin 3 trong 1 (si quai b - rubella). Mt s ngi c th tim phng khi cn nh v c kh nng min dch vi b ba ny.
Tuy nhin, khng c g l chc chn 100% c. Cho d c tim phng t trc, ch em vn nn xt
nghim li. Nn tim phng vcxin mt thng trc khi th thai.
- Thy u: Nu tim phng thy u khi cn nh, bn nn tim thm mt mi tng cng. Lu : Tim
trc khi mang thai t nht mt thng.
- Cm: y l cn bnh thng gp nht Vit Nam. Cm cm thng thng s khng gy ra nhng bin
chng g c bit. Song khi mang thai, nhng cn cm cm ko di c th gy d tt bm sinh cho thai nhi,
nht l m mc bnh trong 3 thng u thai k. Nu l mang thai m cha kp tim phng cm, bn vn c
th tim nga trong thai k ca mnh. Vcxin phng nga cm c ch to t nhng virus cht nn rt
an ton vi b bu.
- Vcxin nga ung th c t cung: Nu di 26 tui, bn nn xem xt n vic tim phng ung th c t
cung. Vcxin ny bao gm 3 mi, ko di trong 6 thng v khng th tip tc nu nh bn mang thai. V
vy, bn nn tnh ton thi gian ph hp nu mun hon thnh vic phng nga ny trc khi c bu.
- Vim gan siu vi B: Virus ny c th ly truyn thng qua mu v dch c th. V vy, ch em c th d
dng mc bnh ny m khng h hay bit. Khng ch h m ngi chng cng nn tim phng vim gan
siu vi B. Vcxin ny gm 3 mi, tim trong vng 4 thng. Nu khng hon thnh 3 mi vim gan siu vi B
trc khi mang thai, bn hon ton c th tip tc tim phng khi mang thai.
- Virus vim gan A khng gy bnh vim gan mn tnh nhng trong giai on cp tnh c t l t vong cao
hn. Bnh ny khng nh hng nhiu n thai nhi nhng nguy him cho b m nn cng cn tim trc
khi mang thai.
- Un vn: Bnh c th gy t vong cho tr s sinh. Ph n trong tui c kh nng sinh sn nn c
tim vcxin nga un vn trc khi c thai hoc vo tun 27-36 ca thai k.