{"id":3632,"date":"2014-11-19T17:56:05","date_gmt":"2014-11-19T17:56:05","guid":{"rendered":"https:\/\/lpfch.org\/after-the-nicu-studying-connections-between-prematurity-and-development\/"},"modified":"2024-02-14T14:06:55","modified_gmt":"2024-02-14T14:06:55","slug":"after-the-nicu-studying-connections-between-prematurity-and-development","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/after-the-nicu-studying-connections-between-prematurity-and-development\/","title":{"rendered":"Sau NICU: Nghi\u00ean c\u1ee9u m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa sinh non v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n"},"content":{"rendered":"

N\u0103m m\u01b0\u01a1i n\u0103m tr\u01b0\u1edbc, m\u1ed9t em b\u00e9 sinh non n\u1eb7ng d\u01b0\u1edbi 1,5kg ch\u1ec9 c\u00f3 30% c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t. Ng\u00e0y nay, nh\u1edd nh\u1eefng ti\u1ebfn b\u1ed9 v\u01b0\u1ee3t b\u1eadc trong y h\u1ecdc s\u01a1 sinh, t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t \u0111\u00e3 t\u0103ng l\u00ean g\u1ea7n 80%.<\/p>\n

Nh\u01b0ng nh\u1eefng "tr\u1ebb sinh non" n\u00e0y s\u1ebd ra sao khi r\u1eddi kh\u1ecfi ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t d\u00e0nh cho tr\u1ebb s\u01a1 sinh (NICU)?<\/p>\n

Nhi\u1ec1u tr\u1ebb l\u1edbn l\u00ean kh\u1ecfe m\u1ea1nh. Nh\u01b0ng m\u1ed9t n\u1eeda s\u1ed1 tr\u1ebb s\u01a1 sinh c\u00f3 c\u00e2n n\u1eb7ng khi sinh c\u1ef1c th\u1ea5p s\u1ebd g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u1ecdc t\u1eadp, v\u00e0 c\u1ee9 10 tr\u1ebb th\u00ec c\u00f3 1 tr\u1ebb m\u1eafc ch\u1ee9ng b\u1ea1i n\u00e3o.<\/p>\n

\u0110\u1ec3 gi\u1ea3i quy\u1ebft nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y, c\u00e1c nh\u00e0 khoa h\u1ecdc t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Lucile Packard v\u00e0 Tr\u01b0\u1eddng Y khoa \u0110\u1ea1i h\u1ecdc Stanford \u0111ang t\u00ecm ki\u1ebfm manh m\u1ed1i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a r\u1ed1i lo\u1ea1n ph\u00e1t tri\u1ec3n v\u00e0 th\u00fac \u0111\u1ea9y c\u00e1c chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p nh\u1eb1m c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 cho nh\u1eefng tr\u1ebb t\u1ed1t nghi\u1ec7p NICU.<\/p>\n

Qu\u1ef9 \u0111\u1ea1o ch\u0103m s\u00f3c<\/h3>\n

B\u00e1c s\u0129 chuy\u00ean khoa s\u01a1 sinh Susan Hintz, MD, MS Epi, \u0111\u1ed3ng th\u1eddi l\u00e0 gi\u00e1o s\u01b0 nhi khoa t\u1ea1i Stanford v\u00e0 gi\u00e1m \u0111\u1ed1c y khoa c\u1ee7a Ch\u01b0\u01a1ng tr\u00ecnh S\u1ee9c kh\u1ecfe Thai nhi v\u00e0 Mang thai t\u1ea1i Trung t\u00e2m D\u1ecbch v\u1ee5 Mang thai v\u00e0 Tr\u1ebb s\u01a1 sinh Johnson, cho bi\u1ebft vi\u1ec7c theo d\u00f5i l\u00e2u d\u00e0i l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n cho tr\u1ebb sinh non.<\/p>\n

\u201cCh\u00fang ta c\u1ea7n h\u01b0\u1edbng t\u1edbi m\u1ed9t l\u1ed9 tr\u00ecnh ch\u0103m s\u00f3c nh\u1ecbp nh\u00e0ng, b\u1eaft \u0111\u1ea7u t\u1eeb b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai, tr\u1ea3i qua giai \u0111o\u1ea1n s\u01a1 sinh v\u00e0 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn h\u1ebft th\u1eddi th\u01a1 \u1ea5u,\u201d Hintz n\u00f3i. \u201c\u0110i\u1ec1u r\u1ea5t quan tr\u1ecdng l\u00e0 c\u00e1c gia \u0111\u00ecnh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u1edbi m\u1ed9t nh\u00f3m g\u1ed3m c\u00e1c b\u00e1c s\u0129 nhi khoa ph\u00e1t tri\u1ec3n, chuy\u00ean gia tr\u1ecb li\u1ec7u ngh\u1ec1 nghi\u1ec7p, chuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n, h\u00e0nh vi, ng\u00f4n ng\u1eef ho\u1eb7c v\u1eadn \u0111\u1ed9ng.\u201d<\/p>\n

M\u1ed9t trong nh\u1eefng chuy\u00ean gia \u0111\u00f3 l\u00e0 Jessica Rose, Ti\u1ebfn s\u0129, gi\u00e1m \u0111\u1ed1c Ph\u00f2ng th\u00ed nghi\u1ec7m ph\u00e2n t\u00edch chuy\u1ec3n \u0111\u1ed9ng v\u00e0 d\u00e1ng \u0111i v\u00e0 ph\u00f3 gi\u00e1o s\u01b0 khoa ch\u1ec9nh h\u00ecnh nhi khoa t\u1ea1i Stanford, ng\u01b0\u1eddi \u0111\u00e3 \u0111\u00e1nh gi\u00e1 h\u00e0ng tr\u0103m tr\u1ebb nh\u1ecf c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ea1i n\u00e3o, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ki\u1ec3m so\u00e1t c\u01a1, \u0111i l\u1ea1i v\u00e0 gi\u1eef th\u0103ng b\u1eb1ng.<\/p>\n

Tr\u1ebb em kh\u00f4ng th\u1ec3 \u0111i l\u1ea1i tr\u01b0\u1edbc 2 tu\u1ed5i th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh b\u1ea1i n\u00e3o. Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb tr\u01b0\u1edbc khi c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n c\u00f3 th\u1ec3 mang l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n.<\/p>\n

Rose cho bi\u1ebft c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y can thi\u1ec7p s\u1edbm s\u1ebd hi\u1ec7u qu\u1ea3 n\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n chuy\u00ean s\u00e2u v\u00e0 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c. B\u00e0 ch\u1ec9 ra nghi\u00ean c\u1ee9u m\u1edbi cho th\u1ea5y 60 gi\u1edd ho\u1ea1t \u0111\u1ed9ng chi tr\u00ean chuy\u00ean s\u00e2u trong kho\u1ea3ng th\u1eddi gian hai tu\u1ea7n c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t c\u01a1 \u1edf tr\u1ebb nh\u1ecf b\u1ecb b\u1ea1i n\u00e3o.<\/p>\n

Th\u1eadt kh\u00f4ng may, Rose cho bi\u1ebft, ph\u1ea7n l\u1edbn tr\u1ebb em kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p s\u1edbm v\u00ec hi\u1ec7n t\u1ea1i kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c tr\u1ebb sinh non n\u00e0o s\u1ebd b\u1ecb suy gi\u1ea3m v\u1eadn \u0111\u1ed9ng v\u00e0 c\u00e1c khuy\u1ebft t\u1eadt kh\u00e1c.<\/p>\n

N\u0103m 2010, trong n\u1ed7 l\u1ef1c x\u00e1c \u0111\u1ecbnh c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o s\u1edbm c\u1ee7a b\u1ec7nh b\u1ea1i n\u00e3o, Rose v\u00e0 c\u00e1c \u0111\u1ed3ng nghi\u1ec7p \u0111\u00e3 b\u1eaft \u0111\u1ea7u tuy\u1ec3n d\u1ee5ng cha m\u1eb9 c\u1ee7a tr\u1ebb sinh non t\u1ea1i khoa Ch\u0103m s\u00f3c t\u00edch c\u1ef1c s\u01a1 sinh (NICU) c\u1ee7a b\u1ec7nh vi\u1ec7n ch\u00fang t\u00f4i cho m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ed9t ph\u00e1. Nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u00e3 ph\u00e2n t\u00edch m\u1eabu m\u00e1u v\u00e0 h\u00ecnh \u1ea3nh n\u00e3o c\u1ee7a 102 tr\u1ebb s\u01a1 sinh, v\u00e0 ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m theo d\u00f5i sau 18 \u0111\u1ebfn 22 th\u00e1ng.<\/p>\n

M\u1ed7i tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c ch\u1ee5p n\u00e3o \u0111\u1ecbnh k\u1ef3 v\u00e0o kho\u1ea3ng tu\u1ea7n th\u1ee9 37 c\u1ee7a thai k\u1ef3 tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n kh\u1ecfi NICU (g\u1ea7n th\u1eddi \u0111i\u1ec3m \u0111\u00e1ng l\u1ebd c\u00e1c b\u00e9 \u0111\u00e3 \u0111\u1ee7 th\u00e1ng) b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) th\u00f4ng th\u01b0\u1eddng. S\u00e1u m\u01b0\u01a1i s\u00e1u tr\u1ebb c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee5p MRI b\u1eb1ng k\u1ef9 thu\u1eadt m\u1edbi h\u01a1n, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb khu\u1ebfch t\u00e1n (DTI), t\u1ea1o ra h\u00ecnh \u1ea3nh chi ti\u1ebft v\u1ec1 c\u00e1c s\u1ee3i li\u00ean k\u1ebft, hay ch\u1ea5t tr\u1eafng, trong n\u00e3o b\u1eb1ng c\u00e1ch theo d\u00f5i s\u1ef1 khu\u1ebfch t\u00e1n c\u1ee7a c\u00e1c ph\u00e2n t\u1eed n\u01b0\u1edbc xung quanh m\u1ed7i s\u1ee3i.<\/p>\n

M\u1eb7c d\u00f9 ch\u1ee5p MRI th\u00f4ng th\u01b0\u1eddng ph\u00e1t hi\u1ec7n b\u1eb1ng ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng \u1edf n\u00e3o, nh\u01b0ng \u0111i\u1ec1u n\u00e0y kh\u00f4ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi k\u1ebft qu\u1ea3 ph\u00e1t tri\u1ec3n th\u1ea7n kinh ho\u1eb7c d\u00e1ng \u0111i c\u1ee7a tr\u1ebb t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng tu\u1ed5i. Ch\u1ee5p DTI cho th\u1ea5y c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 vi c\u1ea5u tr\u00fac \u1edf hai v\u00f9ng quan tr\u1ecdng c\u1ee7a ch\u1ea5t tr\u1eafng: th\u1ec3 chai, n\u01a1i k\u1ebft n\u1ed1i hai b\u00e1n c\u1ea7u n\u00e3o, v\u00e0 bao trong, v\u00f9ng k\u1ebft n\u1ed1i v\u1ecf n\u00e3o c\u1ea3m gi\u00e1c-v\u1eadn \u0111\u1ed9ng v\u1edbi th\u00e2n n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng.<\/p>\n

Rose cho bi\u1ebft: \u201cCh\u00fang t\u00f4i ph\u00e1t hi\u1ec7n ra r\u1eb1ng nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac vi m\u00f4 \u1edf th\u1ec3 chai v\u00e0 bao trong \u1edf tu\u1ea7n th\u1ee9 37 c\u00f3 m\u1ed1i t\u01b0\u01a1ng quan \u0111\u00e1ng k\u1ec3 v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n nh\u1eadn th\u1ee9c v\u00e0 v\u1eadn \u0111\u1ed9ng c\u0169ng nh\u01b0 t\u1ed1c \u0111\u1ed9 \u0111i b\u1ed9 v\u00e0 s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a tr\u1ebb \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng\u201d.<\/p>\n

C\u00e1c m\u1eabu m\u00e1u thu th\u1eadp t\u1ea1i NICU \u0111\u00e3 cung c\u1ea5p th\u00eam manh m\u1ed1i. Tr\u1ebb s\u01a1 sinh c\u00f3 l\u01b0\u1ee3ng albumin th\u1ea5p v\u00e0 n\u1ed3ng \u0111\u1ed9 protein ph\u1ea3n \u1ee9ng C (CRP) cao trong m\u00e1u \u0111\u00e3 ph\u00e1t tri\u1ec3n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 v\u1eadn \u0111\u1ed9ng v\u00e0 nh\u1eadn th\u1ee9c t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng sau \u0111\u00f3. "CRP v\u00e0 albumin l\u00e0 m\u1ed9t ph\u1ea7n ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam nhi\u1ec5m", Rose gi\u1ea3i th\u00edch. "Ch\u00fang t\u00f4i ph\u00e1t hi\u1ec7n ra r\u1eb1ng n\u1ed3ng \u0111\u1ed9 c\u00e1c protein n\u00e0y trong hai tu\u1ea7n \u0111\u1ea7u \u0111\u1eddi c\u00f3 m\u1ed1i t\u01b0\u01a1ng quan \u0111\u00e1ng k\u1ec3 v\u1edbi k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb."<\/p>\n

Nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y nhi\u1ec5m tr\u00f9ng v\u00e0 ch\u1ea5n th\u01b0\u01a1ng n\u00e3o trong thai k\u1ef3 ho\u1eb7c khi sinh l\u00e0m t\u0103ng nguy c\u01a1 tr\u1ebb m\u1eafc c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n th\u1ea7n kinh. Tuy nhi\u00ean, Rose cho bi\u1ebft c\u1ea7n c\u00f3 th\u00eam nghi\u00ean c\u1ee9u tr\u00ean qu\u1ea7n th\u1ec3 l\u1edbn h\u01a1n \u0111\u1ec3 x\u00e1c nh\u1eadn gi\u00e1 tr\u1ecb d\u1ef1 \u0111o\u00e1n d\u00e0i h\u1ea1n c\u1ee7a si\u00eau \u00e2m DTI \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 ph\u00e2n t\u00edch protein m\u00e1u.<\/p>\n

"Ch\u00fang t\u00f4i \u0111ang c\u1ed1 g\u1eafng \u0111\u1ea3m b\u1ea3o kinh ph\u00ed cho m\u1ed9t nghi\u00ean c\u1ee9u ti\u1ebfp theo \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng th\u1ea7n kinh c\u1ee7a t\u1eebng tr\u1ebb \u1edf \u0111\u1ed9 tu\u1ed5i 6", Rose n\u00f3i th\u00eam. "M\u1ee5c ti\u00eau c\u1ee7a ch\u00fang t\u00f4i l\u00e0 t\u00ecm ra m\u00f4 h\u00ecnh d\u1ef1 \u0111o\u00e1n t\u1ed1t nh\u1ea5t, cho ph\u00e9p ch\u00fang t\u00f4i \u0111\u1ecbnh h\u01b0\u1edbng can thi\u1ec7p ngay t\u1eeb khi tr\u1ebb xu\u1ea5t vi\u1ec7n kh\u1ecfi NICU."<\/p>\n

Ng\u00f4n ng\u1eef v\u00e0 H\u1ecdc t\u1eadp<\/h3>\n

Khi l\u1edbn l\u00ean, nhi\u1ec1u tr\u1ebb sinh non c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng th\u00e1ch th\u1ee9c v\u1ec1 nh\u1eadn th\u1ee9c.<\/p>\n

Ti\u1ebfn s\u0129, Ti\u1ebfn s\u0129 Heidi Feldman, Gi\u00e1o s\u01b0 khoa Nhi khoa Ph\u00e1t tri\u1ec3n v\u00e0 H\u00e0nh vi t\u1ea1i Stanford, cho bi\u1ebft: "Kho\u1ea3ng 50 ph\u1ea7n tr\u0103m tr\u1ebb em sinh non h\u01a1n t\u00e1m tu\u1ea7n ho\u1eb7c c\u00f3 c\u00e2n n\u1eb7ng khi sinh c\u1ef1c k\u1ef3 th\u1ea5p s\u1ebd g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 ng\u00f4n ng\u1eef, kh\u1ea3 n\u0103ng h\u1ecdc t\u1eadp v\u00e0 ch\u1ee9c n\u0103ng \u0111i\u1ec1u h\u00e0nh".<\/p>\n

Nh\u1eefng tr\u1ebb n\u00e0y c\u00f3 \u0111i\u1ec3m s\u1ed1 th\u1ea5p h\u01a1n b\u1ea1n b\u00e8 c\u00f9ng trang l\u1ee9a v\u1ec1 ng\u00f4n ng\u1eef v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ecdc, v\u00e0 c\u0169ng kh\u00f4ng gi\u1ecfi l\u1eadp k\u1ebf ho\u1ea1ch, t\u1ed5 ch\u1ee9c, ch\u1ed1ng l\u1ea1i c\u00e1m d\u1ed7 ho\u1eb7c t\u1eadp trung. M\u1ed9t s\u1ed1 tr\u1ebb m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n thi\u1ebfu t\u1eadp trung v\u00e0 lo \u00e2u, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

Trong th\u1eadp k\u1ef7 qua, ph\u00f2ng th\u00ed nghi\u1ec7m c\u1ee7a Feldman \u0111\u00e3 s\u1eed d\u1ee5ng h\u00ecnh \u1ea3nh n\u00e3o v\u00e0 nghi\u00ean c\u1ee9u h\u00e0nh vi \u0111\u1ec3 hi\u1ec3u m\u1ed1i quan h\u1ec7 gi\u1eefa t\u00ecnh tr\u1ea1ng sinh non v\u1edbi ng\u00f4n ng\u1eef v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ecdc.<\/p>\n

B\u1eb1ng c\u00e1ch ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch th\u1ed1ng k\u00ea \u0111\u1ed1i v\u1edbi tr\u1ebb em t\u1eeb 9 \u0111\u1ebfn 16 tu\u1ed5i, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 t\u00ecm th\u1ea5y ba l\u0129nh v\u1ef1c nh\u1eadn th\u1ee9c m\u00e0 t\u00ecnh tr\u1ea1ng sinh non g\u00f3p ph\u1ea7n g\u00e2y ra nh\u1eefng kh\u00f3 kh\u0103n c\u1ee5 th\u1ec3: tr\u00ed nh\u1edb ng\u00f4n t\u1eeb, kh\u1ea3 n\u0103ng hi\u1ec3u b\u00e0i \u0111\u1ecdc v\u00e0 t\u1ed1c \u0111\u1ed9 x\u1eed l\u00fd ng\u00f4n ng\u1eef - t\u1ed1c \u0111\u1ed9 tr\u1ebb x\u1eed l\u00fd c\u00e2u - c\u00f3 th\u1ec3 khi\u1ebfn tr\u1ebb kh\u00f3 th\u00e0nh c\u00f4ng h\u01a1n trong m\u00f4i tr\u01b0\u1eddng l\u1edbp h\u1ecdc.<\/p>\n

Feldman b\u1eaft \u0111\u1ea7u h\u1ee3p t\u00e1c v\u1edbi nh\u00e0 t\u00e2m l\u00fd h\u1ecdc Anne Fernald, Ti\u1ebfn s\u0129, c\u1ee7a \u0110\u1ea1i h\u1ecdc Stanford \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 tu\u1ed5i n\u00e0o c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ra k\u1ef9 n\u0103ng x\u1eed l\u00fd ng\u00f4n ng\u1eef ch\u1eadm h\u01a1n.<\/p>\n

"Ch\u00fang t\u00f4i t\u00ecm th\u1ea5y m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa t\u1ed1c \u0111\u1ed9 x\u1eed l\u00fd t\u1eeb v\u1ef1ng quen thu\u1ed9c c\u1ee7a tr\u1ebb m\u1edbi bi\u1ebft \u0111i \u1edf \u0111\u1ed9 tu\u1ed5i 18 th\u00e1ng v\u00e0 v\u1ed1n t\u1eeb v\u1ef1ng c\u1ee7a tr\u1ebb \u1edf \u0111\u1ed9 tu\u1ed5i 3 tu\u1ed5i", Feldman n\u00f3i. "Ph\u00e1t hi\u1ec7n n\u00e0y cho th\u1ea5y t\u1ed1c \u0111\u1ed9 x\u1eed l\u00fd c\u00f3 th\u1ec3 gi\u00fap d\u1ef1 \u0111o\u00e1n tr\u1ebb n\u00e0o s\u1ebd h\u1ecdc ng\u00f4n ng\u1eef hi\u1ec7u qu\u1ea3 v\u00e0 tr\u1ebb n\u00e0o c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i s\u1ef1 ch\u1eadm tr\u1ec5 trong vi\u1ec7c ph\u00e1t tri\u1ec3n v\u1ed1n t\u1eeb v\u1ef1ng v\u00e0 c\u00e1c k\u1ef9 n\u0103ng ng\u00f4n ng\u1eef kh\u00e1c."<\/p>\n

\u1ede \u0111\u1ed9 tu\u1ed5i t\u1eeb 9 \u0111\u1ebfn 16, k\u1ebft qu\u1ea3 ch\u1ee5p n\u00e3o c\u1ee7a tr\u1ebb sinh non cho th\u1ea5y m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa t\u00ednh to\u00e0n v\u1eb9n v\u1ec1 c\u1ea5u tr\u00fac c\u1ee7a ch\u1ea5t tr\u1eafng trong n\u00e3o v\u1edbi k\u1ef9 n\u0103ng ng\u00f4n ng\u1eef v\u00e0 \u0111\u1ecdc.<\/p>\n

\u201cH\u00e3y h\u00ecnh dung b\u1ed9 n\u00e3o nh\u01b0 m\u1ed9t t\u1eadp h\u1ee3p nh\u1eefng chi\u1ebfc m\u00e1y t\u00ednh nh\u1ecf \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i ch\u1eb7t ch\u1ebd v\u1edbi nhau,\u201d Feldman gi\u1ea3i th\u00edch. \u201cCh\u1ea5t tr\u1eafng c\u1ee7a n\u00e3o gi\u1ed1ng nh\u01b0 nh\u1eefng s\u1ee3i d\u00e2y k\u1ebft n\u1ed1i c\u00e1c m\u00e1y t\u00ednh. T\u1ed1c \u0111\u1ed9 x\u1eed l\u00fd ng\u00f4n ng\u1eef c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ch\u1ec9 b\u00e1o r\u1ea5t nh\u1ea1y c\u1ea3m cho bi\u1ebft nh\u1eefng k\u1ebft n\u1ed1i \u0111\u00f3 \u0111ang kh\u1ecfe m\u1ea1nh hay b\u1ecb t\u1ed5n th\u01b0\u01a1ng.\u201d<\/p>\n

Ch\u1ea5t tr\u1eafng c\u0169ng c\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 trong s\u1ef1 ph\u00e1t tri\u1ec3n kh\u1ea3 n\u0103ng \u0111\u1ecdc. Nghi\u00ean c\u1ee9u c\u1ee7a Feldman ph\u00e1t hi\u1ec7n ra r\u1eb1ng so v\u1edbi tr\u1ebb \u0111\u1ee7 th\u00e1ng, tr\u1ebb sinh non \u00edt c\u00f3 kh\u1ea3 n\u0103ng b\u1eaft \u0111\u1ea7u \u0111\u1ecdc \u1edf tu\u1ed5i l\u00ean 6 h\u01a1n. Hi\u1ec7n b\u00e0 \u0111ang nghi\u00ean c\u1ee9u xem li\u1ec7u c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ch\u1ea5t tr\u1eafng c\u00f3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c tr\u1ebb n\u00e0o ch\u1eadm h\u1ecdc \u0111\u1ecdc hay kh\u00f4ng, v\u00e0 li\u1ec7u c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ch\u1ea5t tr\u1eafng c\u00f3 thay \u0111\u1ed5i theo th\u1eddi gian v\u00e0 khi tr\u1ebb h\u1ecdc \u0111\u1ecdc hay kh\u00f4ng.<\/p>\n

Feldman l\u01b0u \u00fd r\u1eb1ng m\u1ee5c ti\u00eau cu\u1ed1i c\u00f9ng l\u00e0 t\u00ecm ra nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ef9 n\u0103ng ng\u00f4n ng\u1eef v\u00e0 \u0111\u1ecdc hi\u1ec3u \u1edf tr\u1ebb sinh non, nh\u1eb1m gi\u1ea3m nguy c\u01a1 ch\u1eadm ph\u00e1t tri\u1ec3n v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n. Hi\u1ec7n t\u1ea1i, gi\u00e1o d\u1ee5c v\u00e0 li\u1ec7u ph\u00e1p ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf ri\u00eang cho tr\u1ebb em d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd ho\u1eb7c \u0111\u1eb7c \u0111i\u1ec3m n\u00e3o b\u1ed9 c\u1ee7a tr\u1ebb.<\/p>\n

"Ch\u00fang t\u00f4i mu\u1ed1n t\u00ecm hi\u1ec3u xem li\u1ec7u tr\u1ebb sinh non c\u00f3 c\u1ea7n ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn kh\u00e1c v\u1edbi tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng hay kh\u00f4ng, ngay c\u1ea3 khi ch\u00fang c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n ch\u1eadm ph\u00e1t tri\u1ec3n t\u01b0\u01a1ng t\u1ef1", b\u00e0 gi\u1ea3i th\u00edch. "Ch\u00fang t\u00f4i hy v\u1ecdng s\u1ebd thi\u1ebft k\u1ebf c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 lo\u1ea1i h\u00ecnh gi\u00e1o d\u1ee5c v\u00e0 li\u1ec7u ph\u00e1p m\u00e0 nh\u1eefng ng\u01b0\u1eddi tr\u1ebb n\u00e0y n\u00ean \u0111\u01b0\u1ee3c h\u01b0\u1edfng \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch t\u1ed1i \u0111a t\u1eeb vi\u1ec7c h\u1ecdc t\u1eadp."<\/p>\n

M\u1edf r\u1ed9ng ph\u1ea1m vi ti\u1ebfp c\u1eadn c\u1ee7a ch\u00fang t\u00f4i<\/h3>\n

Ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c d\u00e0i h\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i h\u01a1n th\u00f4ng qua S\u00e1ng ki\u1ebfn Ch\u1ea5t l\u01b0\u1ee3ng Ch\u0103m s\u00f3c Theo d\u00f5i Tr\u1ebb s\u01a1 sinh Nguy c\u01a1 Cao tr\u00ean to\u00e0n ti\u1ec3u bang, trong \u0111\u00f3 Hintz l\u00e0 \u0111\u1ed3ng \u0111i\u1ec1u tra vi\u00ean ch\u00ednh. \u0110\u01b0\u1ee3c t\u00e0i tr\u1ee3 b\u1edfi D\u1ecbch v\u1ee5 Tr\u1ebb em California (CCS), s\u00e1ng ki\u1ebfn n\u00e0y t\u1eadp h\u1ee3p h\u01a1n 70 ch\u01b0\u01a1ng tr\u00ecnh theo d\u00f5i tr\u1ebb s\u01a1 sinh nguy c\u01a1 cao tr\u00ean to\u00e0n ti\u1ec3u bang.<\/p>\n

N\u0103m 2009, CCS b\u1eaft \u0111\u1ea7u ph\u1ed1i h\u1ee3p v\u1edbi Ch\u01b0\u01a1ng tr\u00ecnh H\u1ee3p t\u00e1c Ch\u1ea5t l\u01b0\u1ee3ng Ch\u0103m s\u00f3c Chu sinh California (California Perinatal Quality of Care Collaborative), nh\u1edd \u0111\u00f3 h\u01a1n 130 NICU tr\u00ean to\u00e0n ti\u1ec3u bang c\u00f3 th\u1ec3 h\u1ee3p t\u00e1c v\u00e0 chia s\u1ebb k\u1ebft qu\u1ea3. M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh li\u00ean k\u1ebft n\u00e0y l\u00e0 x\u00e1c \u0111\u1ecbnh xem tr\u1ebb sinh non c\u00f3 \u0111\u01b0\u1ee3c th\u01b0\u1eddng xuy\u00ean t\u00e1i kh\u00e1m khi xu\u1ea5t vi\u1ec7n t\u1eeb NICU hay kh\u00f4ng, v\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c chuy\u1ec3n giao ch\u0103m s\u00f3c t\u1eeb NICU sang c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

"B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh tr\u1ebb em n\u00e0o c\u00f3 th\u1ec3 h\u01b0\u1edfng l\u1ee3i t\u1eeb can thi\u1ec7p s\u1edbm l\u00e0 \u0111\u1ea3m b\u1ea3o c\u00e1c em \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ebfn m\u1ed9t nh\u00f3m ph\u00e1t tri\u1ec3n \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n", Hintz n\u00f3i. "T\u1ea1i California, m\u1ecdi tr\u1ebb s\u01a1 sinh c\u00f3 c\u00e2n n\u1eb7ng d\u01b0\u1edbi 3,3 pound khi sinh n\u00ean \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ebfn m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh theo d\u00f5i tr\u1ebb s\u01a1 sinh c\u00f3 nguy c\u01a1 cao. Nh\u01b0ng ch\u00fang t\u00f4i th\u1ea5y r\u1eb1ng nh\u1eefng tr\u01b0\u1eddng h\u1ee3p gi\u1edbi thi\u1ec7u n\u00e0y ch\u1ec9 x\u1ea3y ra kho\u1ea3ng 80%."<\/p>\n

\u0110\u1ed1i v\u1edbi nhi\u1ec1u gia \u0111\u00ecnh, vi\u1ec7c \u0111\u1ebfn \u0111\u01b0\u1ee3c bu\u1ed5i t\u00e1i kh\u00e1m \u0111\u1ea7u ti\u00ean c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c. Hintz v\u00e0 c\u00e1c \u0111\u1ed3ng nghi\u1ec7p hi\u1ec7n \u0111ang \u0111\u00e1nh gi\u00e1 ch\u01b0\u01a1ng tr\u00ecnh tr\u00ean to\u00e0n ti\u1ec3u bang \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1, ch\u1eb3ng h\u1ea1n nh\u01b0 kho\u1ea3ng c\u00e1ch t\u1eeb nh\u00e0 \u0111\u1ebfn \u0111\u1ecba \u0111i\u1ec3m t\u00e1i kh\u00e1m, t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a tr\u1ebb, v\u00e0 c\u00e1c th\u00e1ch th\u1ee9c kh\u00e1c c\u1ee7a gia \u0111\u00ecnh c\u0169ng nh\u01b0 r\u00e0o c\u1ea3n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh c\u00f3 th\u1ec3 khi\u1ebfn m\u1ed9t s\u1ed1 tr\u1ebb kh\u00f4ng th\u1ec3 \u0111\u1ebfn \u0111\u01b0\u1ee3c bu\u1ed5i t\u00e1i kh\u00e1m \u0111\u1ea7u ti\u00ean v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u00f3.<\/p>\n

\u1ede c\u1ea5p qu\u1ed1c gia, Hintz \u0111ang d\u1eabn \u0111\u1ea7u m\u1ed9t nghi\u00ean c\u1ee9u do M\u1ea1ng l\u01b0\u1edbi Nghi\u00ean c\u1ee9u S\u01a1 sinh thu\u1ed9c Vi\u1ec7n S\u1ee9c kh\u1ecfe Tr\u1ebb em v\u00e0 Ph\u00e1t tri\u1ec3n Con ng\u01b0\u1eddi Qu\u1ed1c gia t\u00e0i tr\u1ee3, t\u1eadp trung v\u00e0o vi\u1ec7c t\u00ecm hi\u1ec3u v\u00e0 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb s\u01a1 sinh c\u1ef1c non v\u00e0 b\u1ec7nh n\u1eb7ng. B\u1ec7nh vi\u1ec7n c\u1ee7a ch\u00fang t\u00f4i l\u00e0 m\u1ed9t trong 16 trung t\u00e2m h\u1ecdc thu\u1eadt duy nh\u1ea5t tr\u00ean kh\u1eafp Hoa K\u1ef3 tham gia nghi\u00ean c\u1ee9u n\u00e0y.<\/p>\n

Trong nghi\u00ean c\u1ee9u qu\u1ed1c gia \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh, h\u01a1n 500 tr\u1ebb sinh non, sinh s\u1edbm \u00edt nh\u1ea5t 12 tu\u1ea7n, \u0111\u00e3 \u0111\u01b0\u1ee3c si\u00eau \u00e2m s\u1ecd n\u00e3o v\u00e0 ch\u1ee5p MRI n\u00e3o trong th\u1eddi gian n\u1eb1m t\u1ea1i NICU. M\u1ed9t bu\u1ed5i t\u00e1i kh\u00e1m theo d\u00f5i ph\u00e1t tri\u1ec3n v\u00e0 th\u1ea7n kinh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi tr\u1ebb \u0111\u01b0\u1ee3c 18 \u0111\u1ebfn 22 th\u00e1ng tu\u1ed5i. Nghi\u00ean c\u1ee9u n\u00e0y nh\u1eb1m m\u1ee5c \u0111\u00edch \u0111\u00e1nh gi\u00e1 gi\u00e1 tr\u1ecb c\u1ee7a c\u00e1c ph\u00e1t hi\u1ec7n h\u00ecnh \u1ea3nh th\u1ea7n kinh s\u01a1 sinh s\u1edbm v\u00e0 mu\u1ed9n h\u01a1n so v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e2m s\u00e0ng kh\u00e1c, v\u00e0 li\u1ec7u si\u00eau \u00e2m s\u1ecd n\u00e3o - ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u1ea7n kinh th\u01b0\u1eddng quy hi\u1ec7n nay - hay MRI c\u00f3 th\u1ec3 gi\u00fap d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3 c\u1ee7a tr\u1ebb t\u1ed1t h\u01a1n hay kh\u00f4ng.<\/p>\n

\u201c\u0110\u1ed1i v\u1edbi nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y, nh\u00ecn chung ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y r\u1eb1ng si\u00eau \u00e2m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi tr\u1ebb m\u1edbi v\u00e0i ng\u00e0y tu\u1ed5i c\u00f3 kh\u1ea3 n\u0103ng d\u1ef1 \u0111o\u00e1n th\u1ea5p h\u01a1n so v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh th\u1ea7n kinh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau \u0111\u00f3 trong th\u1eddi gian n\u1eb1m vi\u1ec7n NICU. Tuy nhi\u00ean, m\u1ed7i tr\u1ebb s\u01a1 sinh \u0111\u1ec1u c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ph\u1ee9c t\u1ea1p ri\u00eang,\u201d Hintz n\u00f3i. \u201cTrong khoa s\u01a1 sinh, ch\u00fang t\u00f4i th\u01b0\u1eddng d\u1ef1a nhi\u1ec1u v\u00e0o k\u1ebft qu\u1ea3 si\u00eau \u00e2m n\u00e3o s\u1edbm \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng cho c\u00e1c cu\u1ed9c tr\u00f2 chuy\u1ec7n v\u1edbi cha m\u1eb9, nh\u01b0ng \u0111i\u1ec1u n\u00e0y qu\u00e1 \u0111\u01a1n gi\u1ea3n. Vi\u1ec7c tr\u00ecnh b\u00e0y k\u1ebft qu\u1ea3 h\u00ecnh \u1ea3nh th\u1ea7n kinh s\u01a1 sinh cho c\u00e1c gia \u0111\u00ecnh nh\u01b0 m\u1ed9t y\u1ebfu t\u1ed1 d\u1ef1 \u0111o\u00e1n duy nh\u1ea5t cho t\u01b0\u01a1ng lai c\u1ee7a con h\u1ecd l\u00e0 kh\u00f4ng ph\u00f9 h\u1ee3p v\u00e0 c\u0169ng kh\u00f4ng ch\u00ednh x\u00e1c.\u201d<\/p>\n

Ph\u00e2n t\u00edch h\u00ecnh \u1ea3nh ch\u1ee5p MRI cho th\u1ea5y b\u1ea5t th\u01b0\u1eddng v\u1ec1 ch\u1ea5t tr\u1eafng k\u1ebft h\u1ee3p v\u1edbi t\u1ed5n th\u01b0\u01a1ng ti\u1ec3u n\u00e3o c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o c\u00f3 gi\u00e1 tr\u1ecb v\u1ec1 c\u00e1c k\u1ebft qu\u1ea3 ph\u00e1t tri\u1ec3n th\u1ea7n kinh b\u1ea5t l\u1ee3i \u1edf tr\u1ebb t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng tu\u1ed5i, b\u1ea5t k\u1ec3 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c. Tuy nhi\u00ean, Hintz v\u1eabn th\u1eadn tr\u1ecdng v\u1ec1 k\u1ebft qu\u1ea3 n\u00e0y.<\/p>\n

"Vi\u1ec7c theo d\u00f5i t\u00ecnh h\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb sinh non \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng ch\u1ec9 cung c\u1ea5p m\u1ed9t g\u00f3c nh\u00ecn r\u1ea5t h\u1ea1n h\u1eb9p v\u1ec1 k\u1ebft qu\u1ea3 c\u1ee7a ch\u00fang", b\u00e0 n\u00f3i. V\u00ec c\u00f3 nhi\u1ec1u qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0y, n\u00ean m\u1ed9t nghi\u00ean c\u1ee9u to\u00e0n di\u1ec7n h\u01a1n \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 theo d\u00f5i nh\u1eefng tr\u1ebb n\u00e0y \u0111\u1ebfn 6 ho\u1eb7c 7 tu\u1ed5i.<\/p>\n

\u201cC\u00e1c s\u00e1ng ki\u1ebfn v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c c\u1ee7a ch\u00fang ta kh\u00f4ng n\u00ean d\u1eebng l\u1ea1i \u1edf c\u1eeda NICU,\u201d Hintz n\u00f3i th\u00eam. \u201cCh\u00fang ta c\u1ea7n ti\u1ebfp t\u1ee5c \u0111\u00e1nh gi\u00e1 c\u00e1c quy tr\u00ecnh \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 trong su\u1ed1t th\u1eddi th\u01a1 \u1ea5u. \u0110\u1ea7u t\u01b0 v\u00e0o th\u1eddi th\u01a1 \u1ea5u cho ch\u00fang ta c\u01a1 h\u1ed9i n\u00e2ng cao v\u1ecb th\u1ebf c\u1ee7a gia \u0111\u00ecnh, c\u1ed9ng \u0111\u1ed3ng v\u00e0 x\u00e3 h\u1ed9i b\u1eb1ng c\u00e1ch gi\u00fap c\u00e1c b\u1ec7nh nh\u00e2n sinh non \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng \u0111i\u1ec1u t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3 khi tr\u01b0\u1edfng th\u00e0nh.\u201d<\/p>\n

B\u00e0i vi\u1ebft n\u00e0y l\u1ea7n \u0111\u1ea7u ti\u00ean xu\u1ea5t hi\u1ec7n trong \u1ea5n b\u1ea3n M\u00f9a thu n\u0103m 2014 c\u1ee7a T\u1ea1p ch\u00ed Tin t\u1ee9c Tr\u1ebb em Lucile Packard<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

N\u0103m m\u01b0\u01a1i n\u0103m tr\u01b0\u1edbc, m\u1ed9t em b\u00e9 sinh non n\u1eb7ng d\u01b0\u1edbi 1,5kg ch\u1ec9 c\u00f3 30% c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t. Ng\u00e0y nay, nh\u1edd nh\u1eefng ti\u1ebfn b\u1ed9 v\u01b0\u1ee3t b\u1eadc trong\u2026<\/p>","protected":false},"author":17,"featured_media":10476,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[148],"class_list":["post-3632","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","health_topic-moms-babies"],"acf":[],"yoast_head":"\nAfter the NICU: Studying Connections Between Prematurity and Development - Lucile Packard Foundation for Children's Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/lpfch.org\/vi\/impact-stories\/after-the-nicu-studying-connections-between-prematurity-and-development\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"After the NICU: Studying Connections Between Prematurity and Development\" \/>\n<meta property=\"og:description\" content=\"Fifty years ago, a premature baby weighing less than 3.3 pounds had only a 30 percent chance of survival. 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