{"id":3003,"date":"2024-04-26T03:06:39","date_gmt":"2024-04-26T03:06:39","guid":{"rendered":"https:\/\/ngoclinhoptic.com\/2024\/04\/26\/canh-giac-voi-duc-thuy-tinh-the-o-tre-em\/"},"modified":"2024-08-20T02:34:53","modified_gmt":"2024-08-20T02:34:53","slug":"beware-of-cataracts-in-children","status":"publish","type":"post","link":"https:\/\/ngoclinhoptic.com\/en\/2024\/04\/26\/beware-of-cataracts-in-children\/","title":{"rendered":"Beware of cataracts in children"},"content":{"rendered":"

TP – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3 l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p trong nh\u00e3n khoa nh\u01b0ng r\u1ea5t \u00edt ph\u1ee5 huynh nh\u1eadn bi\u1ebft \u0111\u1ec3 \u0111\u01b0a con \u0111i kh\u00e1m. H\u1eadu qu\u1ea3, nhi\u1ec1u tr\u1ebb \u0111\u1ebfn b\u1ec7nh vi\u1ec7n mu\u1ed9n khi th\u1ecb l\u1ef1c \u0111\u00e3 r\u1ea5t k\u00e9m ho\u1eb7c kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i.<\/strong><\/p>\n

\"\"
\nTS – BS L\u00ea Th\u00fay Qu\u1ef3nh \u0111ang kh\u00e1m m\u1eaft cho tr\u1ebb. \u1ea2nh: K.An.<\/em><\/p>\n

TS – BS L\u00ea Th\u00fay Qu\u1ef3nh, Ph\u00f3 Tr\u01b0\u1edfng khoa M\u1eaft tr\u1ebb em, BV M\u1eaft T.\u01af c\u1ea3nh b\u00e1o, khi ph\u00e1t hi\u1ec7n \u0111\u1ed3ng t\u1eed (con ng\u01b0\u01a1i) trong m\u1eaft tr\u1ebb c\u00f3 m\u00e0u tr\u1eafng \u0111\u1ee5c, ph\u1ea3i \u0111\u01b0a tr\u1ebb t\u1edbi BV chuy\u00ean khoa \u0111\u1ec3 kh\u00e1m ngay. B\u1edfi ngo\u00e0i \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, tr\u1ebb c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh nguy hi\u1ec3m kh\u00e1c l\u00e0 ung th\u01b0 v\u00f5ng m\u1ea1c.<\/p>\n

V\u00e0i ng\u00e0y tu\u1ed5i c\u0169ng m\u1eafc b\u1ec7nh<\/strong><\/p>\n

Theo BS Qu\u1ef3nh, t\u1ea1i BV M\u1eaft T.\u01af t\u1eebng ghi nh\u1eadn c\u00f3 nh\u1eefng tr\u1ebb m\u1edbi v\u00e0i ng\u00e0y tu\u1ed5i b\u1ecb \u0111\u1ee5c th\u1ec3 th\u1ee7y tinh \u1edf tr\u1ebb em (\u0110TTT). Th\u1eadm ch\u00ed c\u00f3 tr\u1ebb ch\u1ec9 m\u1edbi v\u00e0i th\u00e1ng tu\u1ed5i \u0111\u00e3 b\u1ecb \u0110TTT ho\u00e0n to\u00e0n do cha m\u1eb9 kh\u00f4ng ph\u00e1t hi\u1ec7n ra nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong m\u1eaft c\u1ee7a con m\u00ecnh.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p \u0110TTT g\u1ea7n \u0111\u00e2y nh\u1ea5t \u1edf BV M\u1eaft T.\u01af l\u00e0 b\u00e9 g\u00e1i N.T.T.H, m\u1ed9t tu\u1ea7n tu\u1ed5i \u1edf \u0110\u1ecbnh C\u00f4ng, H\u00e0 N\u1ed9i. Theo ng\u01b0\u1eddi nh\u00e0 b\u00e9 H, khi lau m\u1eb7t cho b\u00e9, gia \u0111\u00ecnh v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n th\u1ea5y m\u1eaft b\u00e9 c\u00f3 m\u00e0u tr\u1eafng kh\u00f4ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

V\u1ed9i v\u00e0ng mang con \u0111\u1ebfn BV M\u1eaft T.\u01af, BS cho bi\u1ebft b\u00e9 H. b\u1ecb \u0110TTT b\u1ea9m sinh. \u0110i\u1ec1u may m\u1eafn l\u00e0 do \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi n\u00ean th\u1ecb l\u1ef1c c\u1ee7a b\u00e9 H. s\u1ebd kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng qu\u00e1 nhi\u1ec1u.<\/p>\n

BS Ho\u00e0ng C\u01b0\u01a1ng, BV M\u1eaft T.\u01af cho bi\u1ebft, th\u1ec3 th\u1ee7y tinh l\u00e0 th\u1ea5u k\u00ednh trong su\u1ed1t, n\u1eb1m \u1edf ngay sau \u0111\u1ed3ng t\u1eed. Th\u1ee7y tinh th\u1ec3 (TTT) c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u ti\u1ebft v\u00e0 h\u1ed9i t\u1ee5 c\u00e1c tia s\u00e1ng l\u00ean v\u00f5ng m\u1ea1c gi\u00fap ch\u00fang ta nh\u00ecn r\u00f5, \u0111\u00f3 l\u00e0 TTT b\u00ecnh th\u01b0\u1eddng ho\u1eb7c trong.<\/p>\n

Khi n\u00f3 b\u1ecb \u0111\u1ee5c, nh\u1eefng tia s\u00e1ng kh\u00f4ng th\u1ec3 \u0111i qua \u0111\u01b0\u1ee3c, t\u00f9y theo m\u1ee9c \u0111\u1ed9 \u0111\u1ee5c m\u00e0 tr\u1ebb nh\u00ecn m\u1edd ho\u1eb7c kh\u00f4ng nh\u00ecn th\u1ea5y g\u00ec. Kh\u00e1c v\u1edbi ng\u01b0\u1eddi l\u1edbn, \u0110TTT \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf (d\u01b0\u1edbi 8 tu\u1ed5i) g\u00e2y c\u1ea3n tr\u1edf l\u1edbn cho s\u1ef1 ph\u00e1t tri\u1ec3n ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c, th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn nh\u01b0\u1ee3c th\u1ecb.<\/p>\n

10-25% do di truy\u1ec1n<\/strong><\/p>\n

Theo TS Qu\u1ef3nh, \u0110TTT b\u1ea9m sinh ho\u1eb7c \u1edf tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ngay sau khi sinh, ho\u1eb7c ti\u1ebfn tri\u1ec3n trong nh\u1eefng n\u0103m \u0111\u1ea7u c\u1ee7a cu\u1ed9c \u0111\u1eddi. Ch\u1ee7 y\u1ebfu c\u00f3 2 nguy\u00ean nh\u00e2n ch\u00ednh, m\u1ed9t l\u00e0 do di truy\u1ec1n, g\u1eb7p 10 – 25%.<\/p>\n

Hai l\u00e0 nhi\u1ec5m khu\u1ea9n trong th\u1eddi k\u1ef3 m\u1eb9 thai ngh\u00e9n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c b\u1ec7nh do virut (rubeon, herpes, c\u00fam, quai b\u1ecb…). B\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean v\u00e0 kh\u00f4ng k\u00e8m v\u1edbi m\u1ed9t b\u1ec7nh n\u00e0o kh\u00e1c ho\u1eb7c trong c\u00e1c h\u1ed9i ch\u1ee9ng. \u0110TTT n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf 1 m\u1eaft ho\u1eb7c c\u1ea3 2 m\u1eaft.<\/p>\n

\u0110TTT b\u1ec7nh l\u00fd do c\u00e1c b\u1ec7nh t\u1ea1i m\u1eaft nh\u01b0 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o, gl\u00f4c\u00f4m, bong v\u00f5ng m\u1ea1c, u n\u1ed9i nh\u00e3n… ho\u1eb7c do c\u00e1c b\u1ec7nh to\u00e0n th\u00e2n nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh galactoza huy\u1ebft, t\u00eatani, b\u1ec7nh da…<\/p>\n

Ngo\u00e0i ra, \u0110TTT c\u00f2n c\u00f3 m\u1ed9t nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0 do ch\u1ea5n th\u01b0\u01a1ng: v\u1ebft th\u01b0\u01a1ng th\u01b0\u1eddng g\u00e2y n\u00ean \u0110TTT \u1edf m\u1eaft tr\u1ebb em. M\u1ed9t s\u1ed1 d\u1ea1ng \u0111\u1ee5c n\u00e0y ti\u1ebfn tri\u1ec3n t\u1eeb t\u1eeb sau h\u00e0ng tu\u1ea7n ho\u1eb7c nhi\u1ec1u th\u00e1ng, d\u1ea1ng kh\u00e1c xu\u1ea5t hi\u1ec7n ngay trong l\u00fac b\u1ecb ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n

C\u1ea7n ph\u1eabu thu\u1eadt kh\u1ea9n c\u1ea5p<\/strong><\/p>\n

Theo c\u00e1c BS, cho d\u00f9 \u0110TTT do nguy\u00ean nh\u00e2n n\u00e0o \u0111i n\u1eefa th\u00ec m\u1ecdi \u0110TTT ng\u0103n c\u1ea3n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a th\u1ecb l\u1ef1c \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c l\u1ea5y \u0111i b\u1eb1ng ph\u1eabu thu\u1eadt \u0111\u1ec3 ph\u1ee5c h\u1ed3i th\u1ecb l\u1ef1c. \u1ede tr\u1ebb nh\u1ecf, \u0111\u00e2y l\u00e0 ph\u1eabu thu\u1eadt kh\u1ea9n c\u1ea5p \u0111\u1ec3 ph\u00f2ng nh\u01b0\u1ee3c th\u1ecb.<\/p>\n

Qua m\u1ed9t \u0111\u01b0\u1eddng r\u1ea1ch nh\u1ecf \u1edf trong m\u1eaft, nh\u00e2n \u0111\u1ee5c \u0111\u01b0\u1ee3c l\u1ea5y ra. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c n\u1eb1m vi\u1ec7n 1 – 2 ng\u00e0y. C\u1ea3 ph\u1eabu thu\u1eadt v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ti\u1ebfn b\u1ed9 r\u1ea5t nhi\u1ec1u trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. Cho d\u00f9 m\u1eaft \u0111\u01b0\u1ee3c m\u1ed5 l\u00e0nh r\u1ea5t nhanh, nh\u01b0ng tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c che m\u1eaft l\u1ea1i trong v\u00f2ng 1 – 2 tu\u1ea7n \u0111\u1ec3 gi\u1eef cho tr\u1ebb trong nh\u1eefng va ch\u1ea1m ho\u1eb7c nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng v\u00e0o m\u1eaft.<\/p>\n

Sau khi l\u1ea5y TTT \u0111\u1ee5c \u0111i c\u1ea7n thi\u1ebft ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh quang h\u1ecdc cho con m\u1eaft n\u00e0y b\u1eb1ng c\u00e1ch \u0111eo k\u00ednh g\u1ecdng c\u00f3 d\u00f9ng k\u00ednh h\u1ed9i t\u1ee5. \u0110\u1eb7t th\u1ec3 th\u1ee7y tinh nh\u00e2n t\u1ea1o l\u00e0 xu h\u01b0\u1edbng m\u1edbi nh\u1ea5t, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n t\u1ed1t nh\u1ea5t \u0111\u1ec3 n\u00e2ng cao th\u1ecb l\u1ef1c v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u1ecb gi\u00e1c.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n nh\u01b0\u1ee3c th\u1ecb ngay c\u1ea3 khi \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt \u0111\u1ea1t k\u1ebft qu\u1ea3 cao v\u00e0 \u0111i\u1ec1u ch\u1ec9nh quang h\u1ecdc t\u1ed1t. Do v\u1eady sau m\u1ed5, tr\u1ebb c\u1ea7n ph\u1ea3i t\u1eadp luy\u1ec7n b\u1eb1ng c\u00e1ch b\u1ecbt m\u1eaft l\u00e0nh nh\u1eb1m ph\u1ee5c h\u1ed3i th\u1ecb l\u1ef1c l\u00e2u d\u00e0i.<\/p>\n","protected":false},"author":1,"featured_media":2249,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3003","post","type-post","status-publish","format-gallery","has-post-thumbnail","hentry","category-blog","post_format-post-format-gallery"],"acf":[],"_links":{"self":[{"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/posts\/3003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/comments?post=3003"}],"version-history":[{"count":1,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/posts\/3003\/revisions"}],"predecessor-version":[{"id":3021,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/posts\/3003\/revisions\/3021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/media\/2249"}],"wp:attachment":[{"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/media?parent=3003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/categories?post=3003"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ngoclinhoptic.com\/en\/wp-json\/wp\/v2\/tags?post=3003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}