{"id":3637,"date":"2014-12-09T00:46:31","date_gmt":"2014-12-09T00:46:31","guid":{"rendered":"https:\/\/lpfch.org\/stanford-led-study-suggests-changes-to-brain-scanning-guidelines-for-preemies\/"},"modified":"2024-02-16T21:05:57","modified_gmt":"2024-02-16T21:05:57","slug":"stanford-led-study-suggests-changes-to-brain-scanning-guidelines-for-preemies","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/stanford-led-study-suggests-changes-to-brain-scanning-guidelines-for-preemies\/","title":{"rendered":"Nghi\u00ean c\u1ee9u do Stanford d\u1eabn \u0111\u1ea7u \u0111\u1ec1 xu\u1ea5t nh\u1eefng thay \u0111\u1ed5i trong h\u01b0\u1edbng d\u1eabn qu\u00e9t n\u00e3o cho tr\u1ebb sinh non"},"content":{"rendered":"

M\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn khi sinh con non th\u00e1ng: s\u1ef1 b\u1ea5t \u0111\u1ecbnh. V\u1edbi s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf t\u1ed1t, r\u1ea5t nhi\u1ec1u tr\u1ebb sinh non c\u00f3 th\u1ec3 s\u1ed1ng r\u1ea5t kh\u1ecfe m\u1ea1nh, nh\u01b0ng m\u1ed9t s\u1ed1 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c khuy\u1ebft t\u1eadt l\u00e2u d\u00e0i, bi\u1ebfn ch\u1ee9ng y khoa v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n, v\u00e0 \u0111\u00e1ng bu\u1ed3n l\u00e0 m\u1ed9t s\u1ed1 kh\u00e1c t\u1eed vong khi c\u00f2n nh\u1ecf. \u0110\u00e1ng ti\u1ebfc l\u00e0, b\u00e1c s\u0129 kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c t\u01b0\u01a1ng lai c\u1ee7a tr\u1ebb v\u1ec1 l\u00e2u d\u00e0i.<\/p>\n

M\u1ed8T nghi\u00ean c\u1ee9u m\u1edbi<\/a>Nghi\u00ean c\u1ee9u, do nh\u00f3m nghi\u00ean c\u1ee9u t\u1ea1i \u0110\u1ea1i h\u1ecdc Stanford d\u1eabn \u0111\u1ea7u v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i 16 \u0111\u1ecba \u0111i\u1ec3m tr\u00ean kh\u1eafp c\u1ea3 n\u01b0\u1edbc, l\u00e0 m\u1ed9t ph\u1ea7n trong n\u1ed7 l\u1ef1c li\u00ean t\u1ee5c nh\u1eb1m thay \u0111\u1ed5i \u0111i\u1ec1u \u0111\u00f3. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 xem x\u00e9t lo\u1ea1i h\u00ecnh v\u00e0 th\u1eddi \u0111i\u1ec3m ch\u1ee5p n\u00e3o n\u00e0o gi\u00fap b\u00e1c s\u0129 c\u00f3 kh\u1ea3 n\u0103ng d\u1ef1 \u0111o\u00e1n t\u1ed1t nh\u1ea5t v\u1ec1 k\u1ebft qu\u1ea3 ph\u00e1t tri\u1ec3n th\u1ea7n kinh c\u1ee7a tr\u1ebb sinh non trong giai \u0111o\u1ea1n ch\u1eadp ch\u1eefng bi\u1ebft \u0111i. Nghi\u00ean c\u1ee9u, \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u1ef1c tuy\u1ebfn h\u00f4m nay tr\u00ean t\u1ea1p ch\u00ed Pediatrics, ph\u00e1t hi\u1ec7n ra r\u1eb1ng \u0111\u1ed1i v\u1edbi tr\u1ebb sinh non h\u01a1n 12 tu\u1ea7n v\u00e0 s\u1ed1ng s\u00f3t \u0111\u1ebfn g\u1ea7n ng\u00e0y d\u1ef1 sinh ban \u0111\u1ea7u, ch\u1ee5p n\u00e3o \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n g\u1ea7n ng\u00e0y d\u1ef1 sinh c\u00f3 kh\u1ea3 n\u0103ng d\u1ef1 \u0111o\u00e1n t\u1ed1t h\u01a1n so v\u1edbi ch\u1ee5p g\u1ea7n ng\u00e0y sinh.<\/p>\n

H\u1ea7u h\u1ebft tr\u1ebb sinh non \u0111\u1ec1u \u0111\u00e3 \u0111\u01b0\u1ee3c si\u00eau \u00e2m n\u00e3o \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n. \u0110\u00f3 l\u00e0 v\u00ec c\u00e1c h\u01b0\u1edbng d\u1eabn qu\u1ed1c gia khuy\u1ebfn ngh\u1ecb b\u00e1c s\u0129 chuy\u00ean khoa nhi sinh non n\u00ean si\u00eau \u00e2m s\u1ecd n\u00e3o t\u1eeb b\u1ea3y \u0111\u1ebfn 14 ng\u00e0y sau khi sinh \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1ee9c th\u1eddi nh\u01b0 xu\u1ea5t huy\u1ebft n\u00e3o. (Si\u00eau \u00e2m ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a tr\u1ebb s\u01a1 sinh c\u00f2n non y\u1ebfu: Th\u00f3p c\u1ee7a tr\u1ebb s\u01a1 sinh l\u00e0 "c\u1eeda s\u1ed5 \u00e2m thanh" cho n\u00e3o, v\u00e0 si\u00eau \u00e2m kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00f4ng s\u1eed d\u1ee5ng b\u1ee9c x\u1ea1, kh\u00f4ng c\u1ea7n g\u00e2y m\u00ea v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng m\u00e1y qu\u00e9t di \u0111\u1ed9ng mang \u0111\u1ebfn t\u1eadn gi\u01b0\u1eddng.) M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng nh\u1eefng l\u1ea7n si\u00eau \u00e2m s\u1edbm n\u00e0y c\u0169ng c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin v\u1ec1 nguy c\u01a1 tr\u1ebb s\u01a1 sinh b\u1ecb khi\u1ebfm khuy\u1ebft v\u1ec1 nh\u1eadn th\u1ee9c, v\u1eadn \u0111\u1ed9ng v\u00e0 h\u00e0nh vi ho\u1eb7c ch\u1eadm ph\u00e1t tri\u1ec3n trong th\u1eddi th\u01a1 \u1ea5u, nh\u01b0ng gi\u00e1 tr\u1ecb ti\u00ean \u0111o\u00e1n c\u1ee7a nh\u1eefng l\u1ea7n si\u00eau \u00e2m s\u1edbm n\u00e0y c\u00f3 th\u1ec3 kh\u00e1 th\u1ea5p.<\/p>\n

Nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e3 xem x\u00e9t c\u1ea3 si\u00eau \u00e2m s\u1ecd n\u00e3o v\u00e0 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n g\u1ea7n ng\u00e0y d\u1ef1 sinh c\u1ee7a em b\u00e9, c\u0169ng l\u00e0 th\u1eddi \u0111i\u1ec3m h\u1ea7u h\u1ebft tr\u1ebb sinh non \u0111\u00e3 s\u1eb5n s\u00e0ng xu\u1ea5t vi\u1ec7n. N\u00e3o b\u1ed9 \u0111\u00e3 c\u00f3 nhi\u1ec1u thay \u0111\u1ed5i trong v\u00e0i tu\u1ea7n \u0111\u1ea7u ti\u00ean, c\u00f3 l\u1ebd gi\u1ea3i th\u00edch t\u1ea1i sao c\u00e1c l\u1ea7n si\u00eau \u00e2m sau \u0111\u00f3 l\u1ea1i c\u00f3 hi\u1ec7u qu\u1ea3 d\u1ef1 \u0111o\u00e1n t\u1ed1t h\u01a1n \u0111\u00e1ng k\u1ec3 nh\u1eefng tr\u1ebb n\u00e0o s\u1ebd g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u00e1t tri\u1ec3n th\u1ea7n kinh dai d\u1eb3ng khi c\u00e1c b\u00e1c s\u0129 ki\u1ec3m tra c\u00e1c b\u00e9 \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 18 \u0111\u1ebfn 22 th\u00e1ng.<\/p>\n

\u201cCh\u1ee5p \u1ea3nh th\u1ea7n kinh c\u00f3 th\u1ec3 gi\u00fap ch\u00fang ta hi\u1ec3u \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 c\u1ee7a tr\u1ebb nh\u01b0 th\u1ebf n\u00e0o v\u00e0 cu\u1ed1i c\u00f9ng gi\u00fap ch\u00fang ta t\u1eadp trung s\u1ef1 ch\u00fa \u00fd v\u00e0o lo\u1ea1i h\u00ecnh theo d\u00f5i v\u00e0 can thi\u1ec7p c\u1ee5 th\u1ec3 c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 t\u1ed1t nh\u1ea5t cho tr\u1ebb sau khi xu\u1ea5t vi\u1ec7n\u201d, \u00f4ng n\u00f3i. Susan Hintz<\/a>, MD, t\u00e1c gi\u1ea3 ch\u00ednh c\u1ee7a nghi\u00ean c\u1ee9u v\u00e0 l\u00e0 b\u00e1c s\u0129 s\u01a1 sinh t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford<\/a>.<\/p>\n

M\u1ed9t chi ti\u1ebft th\u00fa v\u1ecb: Sau khi c\u00e1c l\u1ea7n si\u00eau \u00e2m mu\u1ed9n \u0111\u01b0\u1ee3c xem x\u00e9t trong m\u00f4 h\u00ecnh to\u00e1n h\u1ecdc c\u1ee7a c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u, k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c l\u1ea7n si\u00eau \u00e2m s\u1edbm kh\u00f4ng mang l\u1ea1i gi\u00e1 tr\u1ecb ti\u00ean \u0111o\u00e1n \u0111\u00e1ng k\u1ec3 n\u00e0o. \u0110i\u1ec1u \u0111\u00f3 kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 c\u00e1c b\u00e1c s\u0129 n\u00ean ng\u1eebng th\u1ef1c hi\u1ec7n si\u00eau \u00e2m s\u1edbm; h\u1ecd v\u1eabn c\u1ea7n ph\u00e1t hi\u1ec7n xu\u1ea5t huy\u1ebft n\u00e3o ch\u1eb3ng h\u1ea1n, v\u00e0 nh\u1eefng l\u1ea7n si\u00eau \u00e2m s\u1edbm c\u00f3 th\u1ec3 gi\u00fap h\u1ecd l\u00ean k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c t\u1ea1i b\u1ec7nh vi\u1ec7n cho em b\u00e9. Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u1ebb sinh non s\u1ed1ng s\u00f3t \u0111\u1ebfn khi xu\u1ea5t vi\u1ec7n, c\u00e1c b\u00e1c s\u0129 n\u00ean nh\u1eadn ra gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng m\u00e0 vi\u1ec7c si\u00eau \u00e2m n\u00e3o mu\u1ed9n mang l\u1ea1i.<\/p>\n

Hintz c\u1ea3nh b\u00e1o r\u1eb1ng nh\u1eefng l\u1ea7n si\u00eau \u00e2m n\u00e0y v\u1eabn c\u00f2n l\u00e2u m\u1edbi c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c. Th\u1ee9 nh\u1ea5t, 18 \u0111\u1ebfn 22 th\u00e1ng tu\u1ed5i l\u00e0 \u0111\u1ed9 tu\u1ed5i c\u00f2n qu\u00e1 s\u1edbm \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ea7n kinh l\u00e2u d\u00e0i. "\u0110i\u1ec1u \u0111\u00f3 ch\u1ec9 m\u1edbi b\u1eaft \u0111\u1ea7u cho ch\u00fang ta bi\u1ebft nh\u1eefng k\u1ef9 n\u0103ng v\u00e0 th\u00e1ch th\u1ee9c m\u00e0 m\u1ed9t \u0111\u1ee9a tr\u1ebb c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i", b\u00e0 n\u00f3i. "Ch\u1ec9 khi tr\u1ebb l\u1edbn h\u01a1n, \u0111\u1ebfn tu\u1ed5i \u0111i h\u1ecdc v\u00e0 sau \u0111\u00f3, ch\u00fang ta m\u1edbi th\u1ef1c s\u1ef1 th\u1ea5y \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i, t\u00ednh linh ho\u1ea1t trong ph\u00e1t tri\u1ec3n c\u1ee7a n\u00e3o b\u1ed9, c\u0169ng nh\u01b0 nh\u1eefng th\u00e1ch th\u1ee9c c\u1ee7a tr\u1ebb. K\u1ebft qu\u1ea3 ph\u00e1t tri\u1ec3n r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nhi\u1ec1u y\u1ebfu t\u1ed1, c\u1ea3 trong b\u1ec7nh vi\u1ec7n l\u1eabn sau khi xu\u1ea5t vi\u1ec7n. Kh\u00f4ng m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01a1n l\u1ebb n\u00e0o \u1edf NICU c\u00f3 th\u1ec3 cho gia \u0111\u00ecnh bi\u1ebft t\u01b0\u01a1ng lai s\u1ebd ra sao."<\/p>\n

Nh\u00f3m nghi\u00ean c\u1ee9u v\u1eabn \u0111ang theo d\u00f5i nh\u1eefng \u0111\u1ee9a tr\u1ebb tham gia nghi\u00ean c\u1ee9u n\u00e0y v\u00e0 d\u1ef1 \u0111\u1ecbnh b\u00e1o c\u00e1o l\u1ea1i sau khi c\u00e1c em \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u1ec1 th\u1ea7n kinh, nh\u1eadn th\u1ee9c v\u00e0 h\u00e0nh vi \u1edf \u0111\u1ed9 tu\u1ed5i 6 ho\u1eb7c 7. Cu\u1ed1i c\u00f9ng, Hintz cho bi\u1ebft, nh\u00f3m nghi\u00ean c\u1ee9u hy v\u1ecdng nh\u1eefng ph\u00e1t hi\u1ec7n c\u1ee7a h\u1ecd s\u1ebd kh\u00f4ng ch\u1ec9 n\u00e2ng cao ki\u1ebfn th\u1ee9c v\u1ec1 c\u00e1ch hi\u1ec3u c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u00e3o \u1edf tr\u1ebb sinh non m\u00e0 c\u00f2n v\u1ec1 c\u00e1ch ph\u00f2ng ng\u1eeba nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng nh\u01b0 v\u1eady ngay t\u1eeb \u0111\u1ea7u.<\/p>\n

Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 m\u1ed9t ph\u1ea7n b\u1edfi gi\u1ea3i th\u01b0\u1edfng Arline v\u00e0 Pete Harman Endowed Faculty Scholar d\u00e0nh cho Hintz t\u1eeb B\u1ec7nh vi\u1ec7n Nhi Lucile Packard Stanford. C\u00f4ng tr\u00ecnh c\u0169ng \u0111\u01b0\u1ee3c t\u00e0i tr\u1ee3 b\u1edfi M\u1ea1ng l\u01b0\u1edbi Nghi\u00ean c\u1ee9u S\u01a1 sinh c\u1ee7a Vi\u1ec7n S\u1ee9c kh\u1ecfe Tr\u1ebb em v\u00e0 Ph\u00e1t tri\u1ec3n Con ng\u01b0\u1eddi Qu\u1ed1c gia Eunice Kennedy Shriver.<\/p>\n

B\u00e0i vi\u1ebft n\u00e0y ban \u0111\u1ea7u xu\u1ea5t hi\u1ec7n trong Blog Ph\u1ea1m vi<\/a>, \u0111\u01b0\u1ee3c xu\u1ea5t b\u1ea3n b\u1edfi Stanford Medicine<\/em>.<\/p>","protected":false},"excerpt":{"rendered":"

M\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn khi sinh con non: s\u1ef1 b\u1ea5t \u0111\u1ecbnh. V\u1edbi s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf t\u1ed1t, r\u1ea5t nhi\u1ec1u tr\u1ebb sinh non c\u00f3 th\u1ec3 s\u1ed1ng s\u00f3t r\u1ea5t t\u1ed1t, nh\u01b0ng m\u1ed9t s\u1ed1 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nh\u1eefng v\u1ea5n \u0111\u1ec1 l\u00e2u d\u00e0i\u2026<\/p>","protected":false},"author":17,"featured_media":10481,"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":[164],"class_list":["post-3637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","health_topic-moms-babies","health_topic-neurology"],"acf":[],"yoast_head":"\nStanford-led study suggests changes to brain scanning guidelines for preemies - 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\/stanford-led-study-suggests-changes-to-brain-scanning-guidelines-for-preemies\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stanford-led study suggests changes to brain scanning guidelines for preemies\" \/>\n<meta property=\"og:description\" content=\"One big challenge of having a premature baby: the uncertainty. 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