{"id":3687,"date":"2015-09-08T21:38:06","date_gmt":"2015-09-08T21:38:06","guid":{"rendered":"https:\/\/lpfch.org\/solving-the-mystery-of-prematurity\/"},"modified":"2024-02-14T14:07:07","modified_gmt":"2024-02-14T14:07:07","slug":"solving-the-mystery-of-prematurity","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/solving-the-mystery-of-prematurity\/","title":{"rendered":"Gi\u1ea3i quy\u1ebft b\u00ed \u1ea9n c\u1ee7a s\u1ef1 sinh non"},"content":{"rendered":"<p>L\u00e0m vi\u1ec7c l\u1eb7ng l\u1ebd trong ph\u00f2ng th\u00ed nghi\u1ec7m, m\u1ed9t nh\u00e0 nghi\u00ean c\u1ee9u th\u1ed1ng k\u00ea ph\u00e2n t\u00edch m\u1ee9c \u0111\u1ed9 \u00f4 nhi\u1ec5m \u1edf Thung l\u0169ng Trung t\u00e2m California. B\u00ean kia khu\u00f4n vi\u00ean tr\u01b0\u1eddng, m\u1ed9t nh\u00e0 mi\u1ec5n d\u1ecbch h\u1ecdc \u0111ang nghi\u00ean c\u1ee9u h\u00e0ng lo\u1ea1t vi khu\u1ea9n c\u01b0 tr\u00fa trong h\u1ec7 ti\u00eau h\u00f3a c\u1ee7a con ng\u01b0\u1eddi. V\u00e0 trong m\u1ed9t ph\u00f2ng th\u00ed nghi\u1ec7m kh\u00e1c, m\u1ed9t nh\u00f3m nghi\u00ean c\u1ee9u sinh sau ti\u1ebfn s\u0129 v\u1ec1 tin sinh h\u1ecdc \u0111ang theo d\u00f5i h\u00e0ng ngh\u00ecn m\u1ee5c nh\u1eadp d\u1eef li\u1ec7u sinh h\u1ecdc v\u00e0 c\u00e1c lo\u1ea1i gen.<\/p>\n<p>H\u1ecd n\u1eb1m trong s\u1ed1 h\u01a1n 140 chuy\u00ean gia v\u1ec1 s\u1ea3n khoa, th\u1ed1ng k\u00ea, x\u00e3 h\u1ed9i h\u1ecdc, vi sinh, y t\u1ebf c\u00f4ng c\u1ed9ng, dinh d\u01b0\u1ee1ng, di truy\u1ec1n h\u1ecdc, mi\u1ec5n d\u1ecbch h\u1ecdc v\u00e0 nhi\u1ec1u l\u0129nh v\u1ef1c kh\u00e1c tham gia Trung t\u00e2m nghi\u00ean c\u1ee9u sinh non March of Dimes t\u1ea1i Stanford, m\u1ed9t d\u1ef1 \u00e1n t\u00e1o b\u1ea1o m\u1edbi nh\u1eb1m gi\u1ea3i quy\u1ebft m\u1ed9t trong nh\u1eefng th\u00e1ch th\u1ee9c kh\u00f3 kh\u0103n nh\u1ea5t c\u1ee7a y h\u1ecdc\u2014sinh non.<\/p>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u to\u00e0n c\u1ea7u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o th\u00e1ng 10 cho th\u1ea5y sinh non hi\u1ec7n l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i tr\u00ean to\u00e0n c\u1ea7u. Tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 15 tri\u1ec7u tr\u1ebb sinh non, v\u00e0 h\u01a1n 1 tri\u1ec7u tr\u1ebb t\u1eed vong trong v\u00f2ng 28 ng\u00e0y \u0111\u1ea7u \u0111\u1eddi. Trong s\u1ed1 h\u01a1n 4 tri\u1ec7u tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c sinh ra t\u1ea1i Hoa K\u1ef3 m\u1ed7i n\u0103m, c\u1ee9 t\u00e1m tr\u1ebb th\u00ec c\u00f3 m\u1ed9t tr\u1ebb sinh non.<\/p>\n<p>Tr\u1ebb sinh c\u00e0ng s\u1edbm - d\u01b0\u1edbi 28 tu\u1ea7n tu\u1ed5i thai trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c coi l\u00e0 c\u1ef1c k\u1ef3 non th\u00e1ng - th\u00ec kh\u1ea3 n\u0103ng tr\u1ebb ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng c\u00e0ng cao. Chi ph\u00ed cho x\u00e3 h\u1ed9i l\u00e0 r\u1ea5t l\u1edbn.<\/p>\n<p>B\u1ea5t ch\u1ea5p t\u1ea7n su\u1ea5t v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a n\u00f3, nguy\u00ean nh\u00e2n g\u00e2y sinh non v\u1eabn c\u00f2n kh\u00f3 n\u1eafm b\u1eaft, v\u00e0 nhi\u1ec1u th\u1eadp k\u1ef7 nghi\u00ean c\u1ee9u v\u1eabn ch\u01b0a l\u00e0m \u0111\u01b0\u1ee3c g\u00ec nhi\u1ec1u \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00ecnh tr\u1ea1ng n\u00e0y. Ch\u1ec9 c\u00f3 nh\u1eefng ti\u1ebfn b\u1ed9 nh\u1ecf trong vi\u1ec7c t\u00ecm hi\u1ec3u nhi\u1ec1u y\u1ebfu t\u1ed1 \u0111\u1eb1ng sau ngu\u1ed3n g\u1ed1c c\u1ee7a n\u00f3 v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ng\u0103n ng\u1eeba sinh non.<\/p>\n<p>Ti\u1ebfn s\u0129 David Stevenson, Gi\u00e1o s\u01b0 Nhi khoa Harold K. Faber, nh\u00e0 nghi\u00ean c\u1ee9u ch\u00ednh cho bi\u1ebft: &quot;Ch\u00fang ta c\u1ea7n m\u1ed9t c\u00e1ch suy ngh\u0129 kh\u00e1c \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ecdi \u0111\u1ecbnh ki\u1ebfn v\u1ec1 nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng sinh non c\u0169ng nh\u01b0 c\u1ea7n can thi\u1ec7p \u1edf \u0111\u00e2u v\u00e0 khi n\u00e0o&quot;.<\/p>\n<p>Stevenson, gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Johnson v\u1ec1 D\u1ecbch v\u1ee5 d\u00e0nh cho Ph\u1ee5 n\u1eef Mang thai v\u00e0 Tr\u1ebb s\u01a1 sinh t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Lucile Packard Stanford, cho bi\u1ebft th\u00eam: &quot;V\u1ea5n \u0111\u1ec1 s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft b\u1eb1ng c\u00e1ch \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn truy\u1ec1n th\u1ed1ng, v\u1edbi c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u t\u1eadp trung v\u00e0o m\u1ed9t chuy\u00ean ng\u00e0nh, m\u1ed9t v\u1ea5n \u0111\u1ec1 ho\u1eb7c m\u1ed9t g\u00f3c nh\u00ecn t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m&quot;.<\/p>\n<h3>M\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn m\u1edbi<\/h3>\n<p>Trung t\u00e2m nghi\u00ean c\u1ee9u sinh non d\u1ef1a tr\u00ean m\u1ed9t kh\u00e1i ni\u1ec7m m\u1edbi g\u1ecdi l\u00e0 nghi\u00ean c\u1ee9u li\u00ean ng\u00e0nh, t\u1eadp trung v\u00e0o m\u1ed9t v\u1ea5n \u0111\u1ec1 duy nh\u1ea5t t\u1eeb nhi\u1ec1u \u0111i\u1ec3m kh\u1edfi \u0111\u1ea7u\u2014t\u1ea1o ra nh\u1eefng m\u1ed1i quan h\u1ec7 h\u1ee3p t\u00e1c \u0111\u1ea7y h\u1ee9a h\u1eb9n, k\u1ebft n\u1ed1i c\u00e1c chuy\u00ean gia v\u1ed1n th\u01b0\u1eddng kh\u00f4ng t\u01b0\u01a1ng t\u00e1c v\u1edbi nhau. H\u1ec7 th\u1ed1ng n\u00e0y s\u1eed d\u1ee5ng nhi\u1ec1u g\u00f3c nh\u00ecn kh\u00e1c nhau \u0111\u1ec3 t\u00ecm ra gi\u1ea3i ph\u00e1p m\u1edbi cho m\u1ed9t v\u1ea5n \u0111\u1ec1 ch\u01b0a \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n trong 30 n\u0103m qua.<\/p>\n<p>Ngo\u00e0i Stevenson l\u00e0 nh\u00e0 nghi\u00ean c\u1ee9u ch\u00ednh, trung t\u00e2m nghi\u00ean c\u1ee9u c\u00f2n \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb s\u1ef1 l\u00e3nh \u0111\u1ea1o chung c\u1ee7a ba nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u1ed3ng ch\u00ednh \u0111\u1ea1i di\u1ec7n cho c\u00e1c l\u0129nh v\u1ef1c kh\u00e1c nhau: Maurice Druzin, MD, gi\u00e1o s\u01b0 s\u1ea3n ph\u1ee5 khoa - y h\u1ecdc b\u00e0 m\u1eb9 v\u00e0 thai nhi; Gary Shaw, PhD, gi\u00e1o s\u01b0 nghi\u00ean c\u1ee9u v\u1ec1 s\u01a1 sinh; v\u00e0 Paul Wise, MD, MPH, Gi\u00e1o s\u01b0 Richard E. Behrman v\u1ec1 S\u1ee9c kh\u1ecfe Tr\u1ebb em v\u00e0 l\u00e0 gi\u00e1o s\u01b0 v\u1ec1 nghi\u00ean c\u1ee9u v\u00e0 ch\u00ednh s\u00e1ch y t\u1ebf.<\/p>\n<p>\u201cS\u1ef1 non n\u1edbt kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t kh\u00e1i ni\u1ec7m m\u00e0 l\u00e0 m\u1ed9t ph\u1ea1m tr\u00f9 r\u1ed9ng l\u1edbn c\u1ee7a c\u00e1c qu\u00e1 tr\u00ecnh,\u201d Wise n\u00f3i. \u201cM\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn li\u00ean ng\u00e0nh cho ph\u00e9p ch\u00fang ta t\u1ea1o ra m\u1ed9t ng\u00f4n ng\u1eef chung m\u1edbi \u0111\u1ec3 kh\u00e1m ph\u00e1 m\u1ed9t v\u1ea5n \u0111\u1ec1 ph\u1ee9c t\u1ea1p m\u00e0 cho \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 l\u1eddi gi\u1ea3i.\u201d<\/p>\n<p>Trung t\u00e2m \u0111\u01b0\u1ee3c kh\u00e1nh th\u00e0nh v\u00e0o n\u0103m 2011 v\u1edbi s\u1ed1 ti\u1ec1n t\u00e0i tr\u1ee3 $20 tri\u1ec7u t\u1eeb March of Dimes trong h\u01a1n 10 n\u0103m, l\u00e0 trung t\u00e2m \u0111\u1ea7u ti\u00ean thu\u1ed9c lo\u1ea1i n\u00e0y \u1edf Hoa K\u1ef3 v\u00e0 l\u00e0 trung t\u00e2m \u0111\u1ea7u ti\u00ean trong s\u1ed1 n\u0103m trung t\u00e2m \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch cho c\u00e1c trung t\u00e2m y t\u1ebf h\u1ecdc thu\u1eadt tr\u00ean kh\u1eafp Hoa K\u1ef3.&nbsp;<\/p>\n<p>M\u1ee5c ti\u00eau c\u1ee7a n\u00f3 l\u00e0:<\/p>\n<ul>\n<li>Hi\u1ec3u c\u00e1c con \u0111\u01b0\u1eddng d\u1eabn \u0111\u1ebfn sinh non<\/li>\n<li>D\u1ef1 \u0111o\u00e1n nh\u1eefng ph\u1ee5 n\u1eef n\u00e0o c\u00f3 nguy c\u01a1 sinh non<\/li>\n<li>Bi\u00ean d\u1ecbch nghi\u00ean c\u1ee9u th\u00e0nh c\u00e1c can thi\u1ec7p l\u00e2m s\u00e0ng v\u00e0 thay \u0111\u1ed5i ch\u00ednh s\u00e1ch \u0111\u1ec3 ng\u0103n ng\u1eeba sinh non<\/li>\n<li>Gi\u1ea3m thi\u1ec3u s\u1ef1 ch\u00eanh l\u1ec7ch x\u00e3 h\u1ed9i g\u00f3p ph\u1ea7n g\u00e2y ra t\u00ecnh tr\u1ea1ng sinh non<\/li>\n<\/ul>\n<p>Stevenson, \u0111\u1ed3ng th\u1eddi l\u00e0 Ph\u00f3 khoa S\u1ee9c kh\u1ecfe B\u00e0 m\u1eb9 v\u00e0 Tr\u1ebb em t\u1ea1i \u0110\u1ea1i h\u1ecdc Y Stanford, cho bi\u1ebft: \u201c\u0110\u00e3 c\u00f3 nh\u1eefng ti\u1ebfn b\u1ed9 trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 b\u00ean ngo\u00e0i, nh\u01b0ng ch\u00fang t\u00f4i v\u1eabn ch\u01b0a bi\u1ebft \u0111i\u1ec1u g\u00ec khi\u1ebfn ch\u00fang tr\u1edf th\u00e0nh y\u1ebfu t\u1ed1 nguy c\u01a1. T\u1ea1i sao m\u1ed9t t\u00e1c \u0111\u1ed9ng nh\u01b0 c\u0103ng th\u1eb3ng l\u1ea1i g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i trong sinh h\u1ecdc c\u1ee7a ng\u01b0\u1eddi m\u1eb9? Ch\u00fang t\u00f4i mu\u1ed1n x\u00e1c \u0111\u1ecbnh c\u00e1c qu\u00e1 tr\u00ecnh ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho nh\u1eefng thay \u0111\u1ed5i n\u00e0y v\u00e0 sau \u0111\u00f3 nh\u1eafm m\u1ee5c ti\u00eau v\u00e0o c\u00e1c con \u0111\u01b0\u1eddng ph\u00e2n t\u1eed ho\u1eb7c t\u1ebf b\u00e0o \u0111\u00f3.\u201d<\/p>\n<p>T\u1eeb c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 m\u00f4i tr\u01b0\u1eddng \u0111\u1ebfn c\u00e1c con \u0111\u01b0\u1eddng truy\u1ec1n t\u00edn hi\u1ec7u c\u01a1 b\u1ea3n v\u00e0 t\u01b0\u01a1ng t\u00e1c di truy\u1ec1n gi\u1eefa m\u1eb9 v\u00e0 thai nhi, c\u00e1c nh\u00f3m nghi\u00ean c\u1ee9u c\u1ee7a trung t\u00e2m xem x\u00e9t t\u00ecnh tr\u1ea1ng sinh non t\u1eeb m\u1ecdi g\u00f3c \u0111\u1ed9. M\u1ed7i tu\u1ea7n, kho\u1ea3ng 30 nh\u00e0 nghi\u00ean c\u1ee9u, nghi\u00ean c\u1ee9u sinh sau ti\u1ebfn s\u0129 v\u00e0 sinh vi\u00ean t\u1eadp trung t\u1ea1i c\u00e1c bu\u1ed5i &quot;Th\u1ee9 T\u01b0 Sinh non&quot; \u0111\u1ec3 th\u1ea3o lu\u1eadn \u00fd t\u01b0\u1edfng, thuy\u1ebft tr\u00ecnh v\u00e0 chia s\u1ebb ti\u1ebfn tr\u00ecnh c\u1ee7a h\u1ecd.<\/p>\n<p>\u201cC\u0103n ph\u00f2ng ch\u1eadt k\u00edn nh\u1eefng ng\u01b0\u1eddi \u0111ang t\u01b0 duy s\u00e1ng t\u1ea1o,\u201d Cecele Quaintance, gi\u00e1m \u0111\u1ed1c h\u00e0nh ch\u00ednh, cho bi\u1ebft. \u201cH\u1ecd h\u00e1o h\u1ee9c chia s\u1ebb v\u1ec1 nh\u1eefng g\u00ec m\u00ecnh \u0111ang l\u00e0m v\u00e0 tham gia v\u00e0o m\u1ea1ng l\u01b0\u1edbi r\u1ed9ng l\u1edbn h\u01a1n.\u201d<\/p>\n<p>Shaw m\u00f4 t\u1ea3 quy tr\u00ecnh n\u00e0y nh\u01b0 &quot;m\u1ed9t n\u1ed3i s\u00fap khoa h\u1ecdc, t\u1ed5ng h\u1ee3p h\u00e0ng n\u00fai d\u1eef li\u1ec7u v\u00e0 ph\u1ed1i h\u1ee3p c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong nh\u1eefng l\u0129nh v\u1ef1c t\u01b0\u1edfng ch\u1eebng nh\u01b0 kh\u00f4ng li\u00ean quan. Sau \u0111\u00f3, ch\u00fang t\u00f4i d\u1ef1 \u0111\u1ecbnh bi\u1ebfn ch\u00fang th\u00e0nh nh\u1eefng b\u01b0\u1edbc kh\u1ea3 thi.&quot;<\/p>\n<h3>Thu h\u1eb9p kho\u1ea3ng c\u00e1ch<\/h3>\n<p>M\u1eb7c d\u00f9 tr\u1ebb sinh non \u1edf Hoa K\u1ef3 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t v\u00e0 ph\u00e1t tri\u1ec3n t\u1ed1t h\u01a1n so v\u1edbi tr\u1ebb sinh ra \u1edf n\u01a1i kh\u00e1c, t\u1ef7 l\u1ec7 t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh v\u1eabn cao h\u01a1n h\u1ea7u h\u1ebft c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n kh\u00e1c. Trong m\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y, Hoa K\u1ef3 x\u1ebfp h\u1ea1ng 173 tr\u00ean th\u1ebf gi\u1edbi v\u1ec1 t\u1ef7 l\u1ec7 sinh non, ngang b\u1eb1ng v\u1edbi Somalia, Myanmar v\u00e0 Mali. T\u1ef7 l\u1ec7 t\u1eed vong \u1edf tr\u1ebb s\u01a1 sinh cao c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng ca sinh non cao, v\u1edbi m\u1ed9t t\u1ef7 l\u1ec7 kh\u00f4ng c\u00e2n x\u1ee9ng x\u1ea3y ra \u1edf c\u00e1c b\u00e0 m\u1eb9 thu\u1ed9c nh\u00f3m thi\u1ec3u s\u1ed1 ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u1ea1i di\u1ec7n v\u00e0 c\u00f3 thu nh\u1eadp th\u1ea5p.<\/p>\n<p>Wise cho bi\u1ebft: \u201cCh\u00fang t\u00f4i \u0111ang xem x\u00e9t t\u00ecnh tr\u1ea1ng b\u1ea5t b\u00ecnh \u0111\u1eb3ng v\u00e0 ch\u00eanh l\u1ec7ch v\u1ec1 s\u1ee9c kh\u1ecfe trong b\u1ed1i c\u1ea3nh to\u00e0n c\u1ea7u r\u1ed9ng l\u1edbn h\u01a1n\u201d.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn li\u00ean ng\u00e0nh c\u1ee7a trung t\u00e2m cho ph\u00e9p c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f9ng nhau x\u00e1c \u0111\u1ecbnh c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 \u00e1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o \u0111i\u1ec1u tr\u1ecb t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba v\u00e0 ch\u1ea9n \u0111o\u00e1n. H\u1ecd c\u00f9ng nhau t\u1ed5ng h\u1ee3p d\u1eef li\u1ec7u v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 x\u00e3 h\u1ed9i, sinh h\u1ecdc v\u00e0 l\u00e2m s\u00e0ng ph\u1ea3n \u00e1nh s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc sinh v\u00e0 s\u1ea3n khoa, \u0111\u1ed3ng th\u1eddi l\u00e0m s\u00e1ng t\u1ecf c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n g\u00e2y sinh non.<\/p>\n<p>Ti\u1ebfn s\u0129 d\u1ecbch t\u1ec5 h\u1ecdc Jeffrey Gould, Gi\u00e1o s\u01b0 Nhi khoa Robert L. Hess cho bi\u1ebft: &quot;Ch\u00fang t\u00f4i c\u00f3 l\u1ee3i th\u1ebf v\u00ec c\u00e1c t\u1eadp d\u1eef li\u1ec7u quan tr\u1ecdng \u0111\u00e3 c\u00f3 s\u1eb5n, nh\u01b0ng c\u1ea7n th\u1eddi gian \u0111\u1ec3 t\u1ea1o ra b\u1ee9c tranh ho\u00e0n ch\u1ec9nh v\u1ec1 c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng quan tr\u1ecdng&quot;.<\/p>\n<p>L\u00e0 gi\u00e1m \u0111\u1ed1c c\u1ee7a California Perinatal Quality Care Collaborative (C\u1ed9ng t\u00e1c Ch\u0103m s\u00f3c Ch\u1ea5t l\u01b0\u1ee3ng Chu sinh California), Gould gi\u00e1m s\u00e1t m\u1ea1ng l\u01b0\u1edbi h\u01a1n 130 b\u1ec7nh vi\u1ec7n t\u1ea1i California cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t cho tr\u1ebb s\u01a1 sinh. \u00d4ng s\u1eed d\u1ee5ng d\u1eef li\u1ec7u to\u00e0n ti\u1ec3u bang \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh n\u00e0o c\u00f3 nguy c\u01a1 cao g\u1eb7p ph\u1ea3i k\u1ebft qu\u1ea3 x\u1ea5u v\u00e0 thu h\u1eb9p kho\u1ea3ng c\u00e1ch gi\u1eefa nghi\u00ean c\u1ee9u v\u00e0 ch\u0103m s\u00f3c l\u00e2m s\u00e0ng.<\/p>\n<p>\u201cV\u00ec sinh non kh\u00f4ng \u0111\u1ed3ng \u0111\u1ec1u, ch\u00fang t\u00f4i \u0111ang xem x\u00e9t nh\u1eefng khu v\u1ef1c c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh gia t\u0103ng,\u201d Gould n\u00f3i. \u201cCh\u00fang t\u00f4i \u0111ang t\u00ecm ki\u1ebfm nguy\u00ean nh\u00e2n g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y. Khi t\u00ecm ra nguy\u00ean nh\u00e2n, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 t\u00ecm ra gi\u1ea3i ph\u00e1p.\u201d<\/p>\n<h3>Nh\u1eefng hi\u1ec3u bi\u1ebft s\u00e2u s\u1eafc h\u01a1n<\/h3>\n<p>S\u1ef1 h\u1ee3p t\u00e1c n\u00e0y v\u1edbi March of Dimes cho th\u1ea5y ch\u00fang t\u00f4i s\u1eb5n s\u00e0ng th\u1eed nghi\u1ec7m nh\u1eefng \u0111i\u1ec1u m\u1edbi m\u1ebb v\u00e0 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 m\u1ed9t c\u00e1ch s\u00e1ng t\u1ea1o\u201d, Stevenson n\u00f3i. \u201cKhoa h\u1ecdc \u0111\u1ed3ng \u0111\u1ed9i l\u00e0 v\u1ec1 vi\u1ec7c t\u1ea1o ra nh\u1eefng k\u1ebft n\u1ed1i m\u1edbi, \u0111i\u1ec1u m\u00e0 Stanford n\u1ed5i ti\u1ebfng, v\u00e0 v\u1ea5n \u0111\u1ec1 sinh non \u0111\u00e3 t\u1ea1o n\u00ean m\u1ed9t lo\u1ea1i ch\u1ea5t k\u1ebft d\u00ednh \u0111\u1ea7y c\u1ea3m h\u1ee9ng.\u201d<\/p>\n<p>M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y sinh non \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u khi mang thai, huy\u1ebft \u00e1p cao v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng. Tuy nhi\u00ean, nh\u1eefng hi\u1ec3u bi\u1ebft n\u00e0y ch\u01b0a d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba r\u1ed9ng r\u00e3i ho\u1eb7c gi\u1ea3m s\u1ed1 ca sinh non c\u1ef1c \u0111\u1ed9. C\u00f3 r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 x\u1ea3y ra - sinh h\u1ecdc, h\u00e0nh vi, x\u00e3 h\u1ed9i, th\u1ec3 ch\u1ea5t v\u00e0 m\u00f4i tr\u01b0\u1eddng - c\u0169ng nh\u01b0 s\u1ef1 t\u01b0\u01a1ng t\u00e1c c\u1ee7a ch\u00fang, n\u00ean vi\u1ec7c t\u00ecm ra m\u1ed9t \u0111i\u1ec3m kh\u1edfi \u0111\u1ea7u l\u00e0 r\u1ea5t kh\u00f3 kh\u0103n.<\/p>\n<p>Thay v\u00e0o \u0111\u00f3, tr\u1ecdng t\u00e2m c\u1ee7a trung t\u00e2m \u0111ang h\u01b0\u1edbng \u0111\u1ebfn m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn ph\u00f2ng ng\u1eeba t\u00edch h\u1ee3p h\u01a1n. C\u00f4ng vi\u1ec7c \u0111ang di\u1ec5n ra t\u1ea1i trung t\u00e2m \u0111ang cung c\u1ea5p nh\u1eefng hi\u1ec3u bi\u1ebft s\u00e2u s\u1eafc h\u01a1n v\u1ec1 c\u00e1c qu\u00e1 tr\u00ecnh vi\u00eam nhi\u1ec5m d\u01b0\u1eddng nh\u01b0 l\u00e0 d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc c\u1ee7a sinh non, v\u00e0 nh\u1eefng ph\u00e1t hi\u1ec7n ban \u0111\u1ea7u \u0111\u00e3 gi\u00fap \u0111\u01b0a ra c\u00e1c quy tr\u00ecnh ph\u00f2ng ng\u1eeba.<\/p>\n<ul>\n<li>M\u1ed9t d\u1ef1 \u00e1n do Ti\u1ebfn s\u0129 Y khoa David Relman, gi\u00e1o s\u01b0 v\u1ec1 b\u1ec7nh truy\u1ec1n nhi\u1ec5m, vi sinh v\u1eadt h\u1ecdc v\u00e0 mi\u1ec5n d\u1ecbch h\u1ecdc, \u0111\u1ee9ng \u0111\u1ea7u, \u0111\u00e3 ph\u00e1t hi\u1ec7n ra r\u1eb1ng nhi\u1ec5m tr\u00f9ng n\u01b0\u1edbc \u1ed1i l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y chuy\u1ec3n d\u1ea1 v\u00e0 sinh non, v\u00e0 thai nhi b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 d\u1ec5 b\u1ecb bi\u1ebfn ch\u1ee9ng ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n. \u00d4ng v\u00e0 nh\u00f3m c\u1ee7a m\u00ecnh d\u1ef1 \u0111\u1ecbnh x\u00e1c \u0111\u1ecbnh li\u1ec7u c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc khi chuy\u1ec3n d\u1ea1 sinh non hay kh\u00f4ng, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba ho\u1eb7c \u0111i\u1ec1u tr\u1ecb m\u1edbi.<\/li>\n<li>M\u1ed9t d\u1ef1 \u00e1n kh\u00e1c, do Shaw \u0111\u1ee9ng \u0111\u1ea7u, \u0111\u00e3 ph\u00e2n t\u00edch m\u1ed1i quan h\u1ec7 gi\u1eefa c\u00e2n n\u1eb7ng c\u1ee7a ph\u1ee5 n\u1eef v\u00e0 kh\u1ea3 n\u0103ng sinh non. Nghi\u00ean c\u1ee9u n\u00e0y, \u0111\u01b0\u1ee3c coi l\u00e0 l\u1edbn nh\u1ea5t trong l\u0129nh v\u1ef1c n\u00e0y, ph\u00e1t hi\u1ec7n ra r\u1eb1ng ph\u1ee5 n\u1eef thu\u1ed9c m\u1ecdi ch\u1ee7ng t\u1ed9c b\u1ecb b\u00e9o ph\u00ec tr\u01b0\u1edbc khi mang thai \u0111\u1ec1u c\u00f3 nguy c\u01a1 sinh con c\u1ef1c non (d\u01b0\u1edbi 28 tu\u1ea7n thai), nh\u01b0ng c\u00e2n n\u1eb7ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh non ho\u1eb7c sinh non mu\u1ed9n (t\u1eeb 28 \u0111\u1ebfn 37 tu\u1ea7n). Ph\u00e1t hi\u1ec7n c\u1ee7a \u00f4ng l\u00e0m r\u00f5 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa b\u00e9o ph\u00ec v\u00e0 nguy c\u01a1 sinh non, \u0111\u1ed3ng th\u1eddi cho th\u1ea5y sinh non c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau \u1edf c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau c\u1ee7a thai k\u1ef3.<\/li>\n<li>Chuy\u00ean gia tin sinh h\u1ecdc Atul Butte, Ti\u1ebfn s\u0129, B\u00e1c s\u0129, Ph\u00f3 gi\u00e1o s\u01b0 nhi khoa v\u1ec1 y h\u1ecdc h\u1ec7 th\u1ed1ng v\u00e0 di truy\u1ec1n h\u1ecdc, v\u00e0 c\u0169ng l\u00e0 chuy\u00ean gia khoa h\u1ecdc m\u00e1y t\u00ednh, \u0111\u00e3 k\u1ebft h\u1ee3p c\u00e1c thu\u1eadt to\u00e1n m\u00e1y t\u00ednh ph\u1ee9c t\u1ea1p, ph\u00e2n t\u00edch m\u00e1y t\u00ednh m\u1ea1nh m\u1ebd v\u00e0 c\u01a1 s\u1edf d\u1eef li\u1ec7u c\u00f4ng khai \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 m\u00f4i tr\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn sinh non. D\u1ef1 \u00e1n c\u1ee7a \u00f4ng \u0111\u00e3 ph\u00e2n l\u1eadp \u0111\u01b0\u1ee3c hai protein m\u00e1u b\u00e1o hi\u1ec7u s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c gen li\u00ean quan \u0111\u1ebfn ti\u1ec1n s\u1ea3n gi\u1eadt, m\u1ed9t t\u00ecnh tr\u1ea1ng g\u00e2y ra huy\u1ebft \u00e1p cao v\u00e0 sinh non. Nh\u00f3m nghi\u00ean c\u1ee9u c\u1ee7a \u00f4ng ph\u00e1t hi\u1ec7n ra r\u1eb1ng m\u1ed9t s\u1ed1 gen nh\u1ea5t \u0111\u1ecbnh, khi k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c t\u00e1c nh\u00e2n m\u00f4i tr\u01b0\u1eddng nh\u01b0 \u00f4 nhi\u1ec5m, ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng v\u00e0 dinh d\u01b0\u1ee1ng, l\u00e0m t\u0103ng nguy c\u01a1 sinh non.<\/li>\n<\/ul>\n<p>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u kh\u00e1c \u0111ang t\u00ecm hi\u1ec3u m\u1ed1i quan h\u1ec7 gi\u1eefa di truy\u1ec1n v\u00e0 m\u00f4i tr\u01b0\u1eddng, nh\u1eefng thay \u0111\u1ed5i trong h\u1ec7 vi sinh v\u1eadt c\u1ee7a ng\u01b0\u1eddi m\u1eb9 (c\u00e1c vi sinh v\u1eadt s\u1ed1ng trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi) v\u00e0 kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c l\u1ea7n mang thai.<\/p>\n<p><br      \/>\u201cTheo m\u1ed9t s\u1ed1 c\u00e1ch, c\u00f4ng ngh\u1ec7 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u1ea7n kh\u00f3, v\u00e0 d\u1eef li\u1ec7u \u0111ang \u0111\u1ebfn r\u1ea5t nhanh, ho\u1eb7c \u0111\u00e3 c\u00f3 s\u1eb5n r\u1ed3i,\u201d Butte n\u00f3i. \u201cPh\u1ea7n kh\u00f3 b\u00e2y gi\u1edd l\u00e0 t\u00ecm ra c\u00e2u h\u1ecfi c\u1ea7n \u0111\u1eb7t ra. Sau \u0111\u00f3, ch\u00fang t\u00f4i c\u00f3 th\u1ec3 vi\u1ebft ph\u1ea7n m\u1ec1m \u0111\u1ec3 tr\u1ea3 l\u1eddi.\u201d<\/p>\n<h3 style=\"text-align: center;\"><img decoding=\"async\" alt=\"\"      src=\"\/sites\/default\/files\/pictures\/prematurity_infographic.png\" style=\"width: 514px; height:      674px;\" \/><\/h3>\n<h3>T\u1ea1o n\u00ean s\u1ef1 kh\u00e1c bi\u1ec7t<\/h3>\n<p>Trung t\u00e2m v\u00e0 Qu\u1ef9 March of Dimes \u0111\u00e3 c\u00f3 nh\u1eefng t\u00e1c \u0111\u1ed9ng t\u00edch c\u1ef1c \u0111\u1ebfn t\u00ecnh tr\u1ea1ng sinh non mu\u1ed9n b\u1eb1ng c\u00e1ch \u0111\u01b0a ra c\u00e1c h\u01b0\u1edbng d\u1eabn can thi\u1ec7p c\u1ee7a b\u00e1c s\u0129. T\u1eeb n\u0103m 1990 \u0111\u1ebfn n\u0103m 2006, t\u1ef7 l\u1ec7 ph\u1ee5 n\u1eef chuy\u1ec3n d\u1ea1 tr\u01b0\u1edbc 39 tu\u1ea7n \u0111\u00e3 t\u0103ng h\u01a1n g\u1ea5p \u0111\u00f4i. Ngo\u00e0i ra, nhi\u1ec1u b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00ean l\u1ecbch m\u1ed5 l\u1ea5y thai ch\u1ee7 \u0111\u1ed9ng tr\u01b0\u1edbc 39 tu\u1ea7n. V\u00ec ng\u00e0y d\u1ef1 sinh ch\u1ec9 l\u00e0 \u01b0\u1edbc t\u00ednh, vi\u1ec7c sinh con v\u00e0o tu\u1ea7n th\u1ee9 37 ho\u1eb7c 38 th\u1ef1c s\u1ef1 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn sinh non. Trong khi \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh d\u1eabn \u0111\u1ebfn sinh \u0111\u00f4i c\u0169ng l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 sinh non.<\/p>\n<p>M\u1ed9t chi\u1ebfn d\u1ecbch qu\u1ed1c gia nh\u1eb1m gi\u00e1o d\u1ee5c c\u00e1c b\u00e0 m\u1eb9 v\u00e0 b\u00e1c s\u0129 v\u1ec1 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c k\u00edch th\u00edch chuy\u1ec3n d\u1ea1 \u0111\u00e3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 k\u00edch th\u00edch chuy\u1ec3n d\u1ea1 t\u1ef1 nguy\u1ec7n \u1edf thai ph\u1ee5 d\u01b0\u1edbi 39 tu\u1ea7n. Do c\u00e1ch h\u1ed7 tr\u1ee3 ph\u1ee5 n\u1eef g\u1ea7n cu\u1ed1i thai k\u1ef3 v\u00e0 c\u00e1ch \u0111\u00e1nh gi\u00e1 th\u1eddi \u0111i\u1ec3m khuy\u1ebfn ngh\u1ecb k\u00edch th\u00edch chuy\u1ec3n d\u1ea1 kh\u00e1c nhau, chi\u1ebfn d\u1ecbch \u0111\u00e3 thi\u1ebft l\u1eadp c\u00e1c ti\u00eau ch\u00ed c\u1ee5 th\u1ec3, c\u00f3 th\u1ec3 \u0111o l\u01b0\u1eddng \u0111\u01b0\u1ee3c cho vi\u1ec7c k\u00edch th\u00edch chuy\u1ec3n d\u1ea1. Nh\u1eefng thay \u0111\u1ed5i v\u1ec1 th\u1eddi \u0111i\u1ec3m v\u00e0 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh, v\u1ed1n d\u1eabn \u0111\u1ebfn nhi\u1ec1u ca sinh \u0111\u00f4i h\u01a1n, c\u0169ng \u0111ang g\u00f3p ph\u1ea7n c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n<p>\u201cH\u1ea7u h\u1ebft m\u1ecdi b\u1ec7nh vi\u1ec7n \u1edf Hoa K\u1ef3 \u0111\u1ec1u \u0111\u00e3 \u00e1p d\u1ee5ng b\u1ed9 c\u00f4ng c\u1ee5 n\u00e0y, v\u00e0 k\u1ebft qu\u1ea3 l\u00e0 t\u1ef7 l\u1ec7 sinh non mu\u1ed9n \u0111\u00e3 gi\u1ea3m\u201d, Druzin n\u00f3i. \u201cT\u00ecnh h\u00ecnh \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1eafc ph\u1ee5c nh\u1edd s\u1ef1 thay \u0111\u1ed5i trong th\u1ef1c h\u00e0nh. Nh\u01b0ng \u0111\u1ed1i v\u1edbi c\u00e1c ca sinh non c\u1ef1c \u0111\u1ed9, v\u1eabn ch\u01b0a c\u00f3 nhi\u1ec1u c\u1ea3i thi\u1ec7n. Sinh non s\u1edbm kh\u00f3 kh\u1eafc ph\u1ee5c h\u01a1n: V\u1ea5n \u0111\u1ec1 kh\u00f4ng ph\u1ea3i \u1edf vi\u1ec7c sinh n\u1edf, m\u00e0 l\u00e0 \u1edf s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi.\u201d<\/p>\n<p>Druzin c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c tri\u1ec3n khai c\u00e1c ti\u00eau chu\u1ea9n m\u1edbi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt v\u00e0 s\u1ea3n gi\u1eadt. M\u1ed9t nh\u00f3m chuy\u00ean tr\u00e1ch do Druzin ch\u1ee7 tr\u00ec \u0111\u00e3 thi\u1ebft l\u1eadp c\u00e1c h\u01b0\u1edbng d\u1eabn v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd c\u00e1c t\u00ecnh tr\u1ea1ng n\u00e0y, v\u00e0 b\u1ed9 c\u00f4ng c\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea3i xu\u1ed1ng h\u01a1n 1.000 l\u1ea7n t\u1ea1i 48 ti\u1ec3u bang v\u00e0 \u0111\u01b0\u1ee3c c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Mexico, Nam M\u1ef9 v\u00e0 Ch\u00e2u \u00c2u y\u00eau c\u1ea7u. D\u1eef li\u1ec7u theo d\u00f5i \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p v\u00e0o c\u00e1c nghi\u00ean c\u1ee9u b\u1ed5 sung \u0111\u1ec3 mang l\u1ea1i nh\u1eefng c\u1ea3i ti\u1ebfn h\u01a1n n\u1eefa.<\/p>\n<p>\u00d4ng d\u1ef1 \u0111o\u00e1n r\u1eb1ng thay v\u00ec s\u1eed d\u1ee5ng m\u1ed9t x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n duy nh\u1ea5t, c\u00e1c b\u00e1c s\u0129 s\u1ebd \u00e1p d\u1ee5ng nhi\u1ec1u y\u1ebfu t\u1ed1 \u0111\u1ec3 t\u1ea1o ra h\u1ed3 s\u01a1 r\u1ee7i ro bao g\u1ed3m thu nh\u1eadp, ch\u1ee7ng t\u1ed9c, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, c\u0103ng th\u1eb3ng v\u00e0 ti\u1ebfp x\u00fac v\u1edbi m\u00f4i tr\u01b0\u1eddng, c\u0169ng nh\u01b0 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi khu\u1ea9n, t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u di truy\u1ec1n c\u00f3 th\u1ec3 ch\u1ec9 ra kh\u1ea3 n\u0103ng sinh non cao h\u01a1n.<\/p>\n<h3>C\u00e1c b\u01b0\u1edbc \u0111i \u0111\u00fang h\u01b0\u1edbng<\/h3>\n<p>L\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a m\u1ed9t t\u1eadp \u0111o\u00e0n l\u1edbn h\u01a1n, Stanford \u0111ang d\u1eabn \u0111\u1ea7u trong vi\u1ec7c chuy\u1ec3n \u0111\u1ed5i nh\u1eefng hi\u1ec3u bi\u1ebft khoa h\u1ecdc c\u1ee7a trung t\u00e2m th\u00e0nh c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c mang l\u1ea1i l\u1ee3i \u00edch cho tr\u1ebb s\u01a1 sinh \u1edf kh\u1eafp m\u1ecdi n\u01a1i v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u. S\u1ef1 li\u00ean k\u1ebft ch\u1eb7t ch\u1ebd gi\u1eefa c\u00e1c nh\u00e0 khoa h\u1ecdc v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ee7a trung t\u00e2m, c\u00f9ng v\u1edbi kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn c\u00e1c ngu\u1ed3n l\u1ef1c tr\u00ed tu\u1ec7 v\u00e0 c\u00f4ng ngh\u1ec7 c\u1ee7a to\u00e0n tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc, khi\u1ebfn cho tri\u1ec3n v\u1ecdng nghi\u00ean c\u1ee9u li\u00ean ng\u00e0nh tr\u1edf n\u00ean \u0111\u1eb7c bi\u1ec7t \u0111\u00e1ng kh\u00edch l\u1ec7.<\/p>\n<p>\u201cCh\u00fang t\u00f4i \u0111\u00e3 \u0111\u1eb7t n\u1ec1n m\u00f3ng cho \u00fd ngh\u0129a c\u1ee7a khoa h\u1ecdc \u0111\u1ed3ng \u0111\u1ed9i,\u201d Shaw n\u00f3i. \u201cCh\u00fang t\u00f4i \u0111\u00e3 chia s\u1ebb ki\u1ebfn th\u1ee9c v\u1edbi c\u00e1c t\u1ed5 ch\u1ee9c kh\u00e1c v\u00e0 s\u1ebd h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c trung t\u00e2m kh\u00e1c c\u1ee7a March of Dimes. Vai tr\u00f2 c\u1ee7a ch\u00fang t\u00f4i l\u00e0 c\u1ed1 v\u1ea5n cho t\u1ed5 ch\u1ee9c.\u201d<\/p>\n<p>Ban l\u00e3nh \u0111\u1ea1o trung t\u00e2m k\u1ef3 v\u1ecdng c\u00f4ng vi\u1ec7c c\u1ee7a h\u1ecd s\u1ebd ph\u00e1t tri\u1ec3n theo th\u1eddi gian khi h\u1ecd h\u1ee3p t\u00e1c v\u1edbi c\u00e1c t\u1ed5 ch\u1ee9c kh\u00e1c v\u00e0 k\u1ebft h\u1ee3p th\u00eam c\u00e1c l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u khoa h\u1ecdc kh\u00e1c. Nh\u1eefng g\u00f3c nh\u00ecn m\u1edbi c\u0169ng c\u00f3 th\u1ec3 n\u1ea3y sinh t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u vi\u00ean v\u00e0 th\u1ef1c t\u1eadp sinh \u0111ang ph\u00e1t tri\u1ec3n chuy\u00ean m\u00f4n v\u00e0 x\u00e2y d\u1ef1ng h\u1ed3 s\u01a1 nghi\u00ean c\u1ee9u c\u1ee7a ri\u00eang m\u00ecnh.&nbsp;<\/p>\n<p>Stevenson cho bi\u1ebft th\u00eam r\u1eb1ng nh\u00f3m nghi\u00ean c\u1ee9u \u0111\u1eb7t m\u1ee5c ti\u00eau h\u1ee3p t\u00e1c v\u00e0 b\u1ed5 sung cho nh\u1eefng n\u1ed7 l\u1ef1c c\u1ee7a c\u00e1c \u0111\u1ed3ng nghi\u1ec7p t\u1ea1i \u0110\u1ea1i h\u1ecdc California, San Francisco, nh\u1eefng ng\u01b0\u1eddi c\u0169ng \u0111ang b\u1eaft \u0111\u1ea7u gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng v\u1ec1 t\u00ecnh tr\u1ea1ng sinh non.<\/p>\n<p>Druzin d\u1ef1 \u0111o\u00e1n r\u1eb1ng trung t\u00e2m n\u00e0y s\u1ebd g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m d\u1ea7n s\u1ed1 ca sinh non, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u00f4ng qua vi\u1ec7c ph\u00e1t tri\u1ec3n b\u1ed9 c\u00f4ng c\u1ee5 d\u00e0nh cho b\u00e1c s\u0129 v\u00e0 gi\u00e1o d\u1ee5c c\u00f4ng ch\u00fang.&nbsp;<\/p>\n<p>C\u00e1c nh\u00e0 \u0111i\u1ec1u tra c\u1ee7a trung t\u00e2m l\u1ea1c quan r\u1eb1ng trong v\u00f2ng 5 \u0111\u1ebfn 10 n\u0103m t\u1edbi, h\u1ecd s\u1ebd c\u00f3 \u0111\u01b0\u1ee3c b\u1ee9c tranh to\u00e0n c\u1ea3nh v\u1ec1 c\u01a1 ch\u1ebf nh\u00e2n qu\u1ea3 \u0111\u1eb1ng sau t\u00ecnh tr\u1ea1ng sinh non c\u1ef1c \u0111\u1ed9 v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt ph\u00f2ng ng\u1eeba thi\u1ebft th\u1ef1c \u0111\u1ec3 cung c\u1ea5p cho c\u00e1c b\u00e0 m\u1eb9 t\u01b0\u01a1ng lai.<\/p>\n<p>\u201cTr\u01b0\u1edbc \u0111\u00e2y, t\u00f4i ngh\u0129 ch\u00fang ta s\u1ebd kh\u00f4ng bao gi\u1edd gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 sinh non,\u201d Gould n\u00f3i. \u201cNh\u01b0ng gi\u1edd \u0111\u00e2y, sau ba n\u0103m ho\u1ea1t \u0111\u1ed9ng t\u1ea1i trung t\u00e2m, ch\u00fang t\u00f4i \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c nh\u1eefng b\u01b0\u1edbc ti\u1ebfn quan tr\u1ecdng. T\u00f4i ngh\u0129 ch\u00fang t\u00f4i \u0111ang tr\u00ean \u0111\u01b0\u1eddng t\u1ea1o ra nh\u1eefng thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 cho c\u00e1c b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb s\u01a1 sinh, c\u1ea3 \u1edf \u0111\u1ecba ph\u01b0\u01a1ng v\u00e0 tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.\u201d<\/p>\n<p><em>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&nbsp;<a      href=\"http:\/\/supportlpch.org\/publications\/childrens-news\">T\u1ea1p ch\u00ed Tin t\u1ee9c Tr\u1ebb em Lucile Packard<\/a>.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>M\u1ed9t nh\u00e0 nghi\u00ean c\u1ee9u th\u1ed1ng k\u00ea l\u1eb7ng l\u1ebd l\u00e0m vi\u1ec7c trong ph\u00f2ng th\u00ed nghi\u1ec7m, ph\u00e2n t\u00edch m\u1ee9c \u0111\u1ed9 \u00f4 nhi\u1ec5m \u1edf Thung l\u0169ng Trung t\u00e2m California. B\u00ean kia khu\u00f4n vi\u00ean tr\u01b0\u1eddng, m\u1ed9t nh\u00e0 mi\u1ec5n d\u1ecbch h\u1ecdc \u0111ang xem x\u00e9t c\u00e1c t\u1eadp...<\/p>","protected":false},"author":17,"featured_media":3688,"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-3687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","health_topic-moms-babies"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Solving the Mystery of Prematurity - Lucile Packard Foundation for Children&#039;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\/solving-the-mystery-of-prematurity\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Solving the Mystery of Prematurity\" \/>\n<meta property=\"og:description\" content=\"Working quietly in his lab, a statistics researcher analyzes the levels of pollutants in California&rsquo;s Central Valley. 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