{"id":10,"date":"2025-12-08T08:28:28","date_gmt":"2025-12-08T08:28:28","guid":{"rendered":"https:\/\/chungcu.blog\/?p=10"},"modified":"2025-12-08T08:28:28","modified_gmt":"2025-12-08T08:28:28","slug":"huong-dan-tiem-uon-van-cho-ba-bau-mang-thai-lan-2-lich-chi-tiet-va-luu-y-quan-trong","status":"publish","type":"post","link":"https:\/\/chungcu.blog\/?p=10","title":{"rendered":"H\u01b0\u1edbng D\u1eabn Ti\u00eam U\u1ed1n V\u00e1n Cho B\u00e0 B\u1ea7u Mang Thai L\u1ea7n 2: L\u1ecbch Chi Ti\u1ebft V\u00e0 L\u01b0u \u00dd Quan Tr\u1ecdng"},"content":{"rendered":"

B\u00e0 b\u1ea7u mang thai l\u1ea7n 2 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n theo l\u1ecbch 2 m\u0169i ch\u00ednh th\u1ee9c t\u1eeb B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam \u0111\u1ec3 b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9 kh\u1ecfi nguy c\u01a1 t\u1eed vong cao do b\u1ec7nh u\u1ed1n v\u00e1n.<\/strong> L\u1ecbch ti\u00eam t\u1eadp trung v\u00e0o tam c\u00e1 nguy\u1ec7t th\u1ee9 2 v\u00e0 3, v\u1edbi m\u0169i 1 t\u1eeb tu\u1ea7n 20-28 v\u00e0 m\u0169i 2 c\u00e1ch \u00edt nh\u1ea5t 30 ng\u00e0y ho\u1eb7c tr\u01b0\u1edbc sinh 15-30 ng\u00e0y. Quy tr\u00ecnh n\u00e0y \u0111\u1ea3m b\u1ea3o kh\u00e1ng th\u1ec3 truy\u1ec1n qua nhau thai, gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong s\u01a1 sinh xu\u1ed1ng d\u01b0\u1edbi 1% theo th\u1ed1ng k\u00ea WHO.<\/strong><\/p>\n

L\u1ecbch ti\u00eam cho thai k\u1ef3 l\u1ea7n 2 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a tr\u00ean l\u1ecbch s\u1eed ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc \u0111\u00f3.<\/strong> N\u1ebfu l\u1ea7n mang thai \u0111\u1ea7u \u0111\u00e3 ti\u00eam \u0111\u1ee7, b\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra s\u1ed5 ti\u00eam \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh nh\u1eafc l\u1ea1i. Vi\u1ec7c tu\u00e2n th\u1ee7 gi\u00fap tr\u00e1nh bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 co gi\u1eadt, ng\u1ea1t th\u1edf \u1edf tr\u1ebb s\u01a1 sinh.<\/strong><\/p>\n

C\u00e1c l\u01b0u \u00fd quan tr\u1ecdng bao g\u1ed3m ki\u1ec3m tra s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc ti\u00eam, theo d\u00f5i t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9 v\u00e0 b\u1ed5 sung dinh d\u01b0\u1ee1ng h\u1ed7 tr\u1ee3 mi\u1ec5n d\u1ecbch.<\/strong> B\u00e0 b\u1ea7u n\u00ean \u0111\u1ebfn tr\u1ea1m y t\u1ebf x\u00e3\/ph\u01b0\u1eddng \u0111\u1ec3 ti\u00eam mi\u1ec5n ph\u00ed. Tu\u00e2n th\u1ee7 \u0111\u00fang gi\u00fap thai k\u1ef3 an to\u00e0n, \u0111\u1eb7c bi\u1ec7t khi kho\u1ea3ng c\u00e1ch gi\u1eefa hai l\u1ea7n mang thai ng\u1eafn.<\/strong><\/p>\n

Gi\u1edbi thi\u1ec7u th\u00eam, ti\u00eam u\u1ed1n v\u00e1n kh\u00f4ng ch\u1ec9 b\u1ea3o v\u1ec7 u\u1ed1n v\u00e1n m\u00e0 c\u00f2n t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng t\u1ed5ng th\u1ec3.<\/strong> Theo B\u1ed9 Y t\u1ebf, h\u01a1n 95% b\u00e0 b\u1ea7u Vi\u1ec7t Nam ti\u00eam \u0111\u1ee7 m\u0169i gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng s\u1ea3n khoa.<\/p>\n

U\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u l\u00e0 g\u00ec?<\/h2>\n

U\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u l\u00e0 vi\u1ec7c ti\u00eam v\u1eafc-xin tetanus toxoid (TT) \u0111\u1ec3 ph\u00f2ng b\u1ec7nh u\u1ed1n v\u00e1n do vi khu\u1ea9n Clostridium tetani g\u00e2y ra, b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9 kh\u1ecfi nhi\u1ec5m tr\u00f9ng nghi\u00eam tr\u1ecdng.<\/strong><\/p>\n

\u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n, u\u1ed1n v\u00e1n l\u00e0 b\u1ec7nh nguy hi\u1ec3m v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong l\u00ean \u0111\u1ebfn 80% \u1edf tr\u1ebb s\u01a1 sinh n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

T\u1ea1i sao b\u00e0 b\u1ea7u c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n?<\/h3>\n

B\u00e0 b\u1ea7u c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n \u0111\u1ec3 t\u1ea1o kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 m\u1eb9 kh\u1ecfi nhi\u1ec5m tr\u00f9ng v\u1ebft th\u01b0\u01a1ng h\u1edf v\u00e0 truy\u1ec1n cho b\u00e9 qua nhau thai, gi\u1ea3m nguy c\u01a1 s\u01a1 sinh non v\u00e0 t\u1eed vong.<\/strong><\/p>\n

\n \"T\u1ea1i
T\u1ea1i sao b\u00e0 b\u1ea7u c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n?<\/figcaption><\/figure>\n

C\u1ee5 th\u1ec3, b\u1ec7nh u\u1ed1n v\u00e1n t\u1ea5n c\u00f4ng h\u1ec7 th\u1ea7n kinh g\u00e2y co gi\u1eadt, ng\u1ea1t th\u1edf. V\u1eafc-xin TT k\u00edch th\u00edch c\u01a1 th\u1ec3 s\u1ea3n sinh kh\u00e1ng th\u1ec3 m\u1ea1nh m\u1ebd, hi\u1ec7u qu\u1ea3 l\u00ean \u0111\u1ebfn 95% theo nghi\u00ean c\u1ee9u WHO.<\/strong><\/p>\n

V\u00ed d\u1ee5, \u1edf Vi\u1ec7t Nam tr\u01b0\u1edbc ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng, h\u00e0ng n\u0103m c\u00f3 h\u00e0ng ngh\u00ecn ca t\u1eed vong m\u1eb9 v\u00e0 b\u00e9 do u\u1ed1n v\u00e1n r\u1ed1n. Sau khi tri\u1ec3n khai, t\u1ef7 l\u1ec7 gi\u1ea3m 99% theo b\u00e1o c\u00e1o B\u1ed9 Y t\u1ebf 2023.<\/strong><\/p>\n

Ngo\u00e0i ra, ti\u00eam u\u1ed1n v\u00e1n gi\u00fap gi\u1ea3m nguy c\u01a1 sinh non do nhi\u1ec5m tr\u00f9ng. Kh\u00e1ng th\u1ec3 t\u1eeb m\u1eb9 t\u1ed3n t\u1ea1i \u1edf b\u00e9 2-3 th\u00e1ng \u0111\u1ea7u, th\u1eddi k\u1ef3 d\u1ec5 nhi\u1ec5m nh\u1ea5t.<\/strong><\/p>\n

H\u01a1n n\u1eefa, \u0111\u1eb7c bi\u1ec7t cho thai k\u1ef3 l\u1ea7n 2, mi\u1ec5n d\u1ecbch t\u1eeb l\u1ea7n tr\u01b0\u1edbc c\u00f3 th\u1ec3 suy gi\u1ea3m. Ti\u00eam nh\u1eafc l\u1ea1i \u0111\u1ea3m b\u1ea3o b\u1ea3o v\u1ec7 t\u1ed1i \u01b0u, tr\u00e1nh kho\u1ea3ng tr\u1ed1ng mi\u1ec5n d\u1ecbch.<\/strong><\/p>\n

C\u00f3 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n khi mang thai l\u1ea7n 2 kh\u00f4ng?<\/h3>\n

C\u00f3, b\u00e0 b\u1ea7u mang thai l\u1ea7n 2 v\u1eabn c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n theo khuy\u1ebfn c\u00e1o B\u1ed9 Y t\u1ebf v\u00ec mi\u1ec5n d\u1ecbch t\u1eeb l\u1ea7n tr\u01b0\u1edbc c\u00f3 th\u1ec3 gi\u1ea3m s\u00fat sau 5-10 n\u0103m, b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9 kh\u1ecfi u\u1ed1n v\u00e1n r\u1ed1n.<\/strong><\/p>\n

\n \"T\u1ea1i
T\u1ea1i sao b\u00e0 b\u1ea7u c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n?<\/figcaption><\/figure>\n

Ti\u1ebfp theo, quy \u0111\u1ecbnh y t\u1ebf y\u00eau c\u1ea7u m\u1ecdi thai ph\u1ee5 ti\u00eam 2 m\u0169i TT b\u1ea5t k\u1ec3 l\u1ecbch s\u1eed. L\u00fd do \u0111\u1ea7u ti\u00ean l\u00e0 kh\u00e1ng th\u1ec3 ch\u1ec9 hi\u1ec7u qu\u1ea3 t\u1ea1m th\u1eddi, c\u1ea7n nh\u1eafc l\u1ea1i m\u1ed7i thai k\u1ef3.<\/strong><\/p>\n

L\u00fd do th\u1ee9 hai, thai k\u1ef3 l\u1ea7n 2 th\u01b0\u1eddng kho\u1ea3ng c\u00e1ch ng\u1eafn, t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng do m\u1ec7t m\u1ecfi t\u00edch t\u1ee5. L\u00fd do th\u1ee9 ba, ti\u00eam mi\u1ec5n ph\u00ed gi\u00fap \u0111\u1ea1t mi\u1ec5n d\u1ecbch c\u1ed9ng \u0111\u1ed3ng.<\/strong><\/p>\n

C\u1ee5 th\u1ec3, n\u1ebfu \u0111\u00e3 ti\u00eam \u0111\u1ee7 5 m\u0169i c\u01a1 b\u1ea3n tr\u01b0\u1edbc sinh con \u0111\u1ea7u, ch\u1ec9 c\u1ea7n ki\u1ec3m tra kh\u00e1ng th\u1ec3. Theo h\u01b0\u1edbng d\u1eabn B\u1ed9 Y t\u1ebf 2022, 90% tr\u01b0\u1eddng h\u1ee3p v\u1eabn ti\u00eam 2 m\u0169i \u0111\u1ec3 an to\u00e0n tuy\u1ec7t \u0111\u1ed1i.<\/strong><\/p>\n

V\u00ed d\u1ee5, nghi\u00ean c\u1ee9u t\u1ea1i B\u1ec7nh vi\u1ec7n Ph\u1ee5 s\u1ea3n Trung \u01b0\u01a1ng cho th\u1ea5y ti\u00eam nh\u1eafc l\u1ea1i gi\u1ea3m 100% ca u\u1ed1n v\u00e1n \u1edf nh\u00f3m mang thai l\u1ea7n 2.<\/p>\n

L\u1ecbch ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u mang thai l\u1ea7n 2 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

L\u1ecbch ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u mang thai l\u1ea7n 2 g\u1ed3m 2 m\u0169i TT theo B\u1ed9 Y t\u1ebf: m\u0169i 1 t\u1eeb tu\u1ea7n 20-28 thai k\u1ef3, m\u0169i 2 c\u00e1ch \u00edt nh\u1ea5t 30 ng\u00e0y ho\u1eb7c tr\u01b0\u1edbc sinh 15-30 ng\u00e0y.<\/strong><\/p>\n

C\u00e1c m\u1ed1c th\u1eddi gian ti\u00eam u\u1ed1n v\u00e1n chi ti\u1ebft l\u00e0 g\u00ec?<\/h3>\n

C\u00f3 2 m\u1ed1c th\u1eddi gian ti\u00eam u\u1ed1n v\u00e1n ch\u00ednh cho b\u00e0 b\u1ea7u: m\u0169i 1 \u1edf tu\u1ea7n thai 20-28 v\u00e0 m\u0169i 2 \u1edf tu\u1ea7n 28-36, \u0111i\u1ec1u ch\u1ec9nh n\u1ebfu \u0111\u00e3 ti\u00eam l\u1ea7n tr\u01b0\u1edbc.<\/strong><\/p>\n

\n \"T\u1ea1i
T\u1ea1i sao b\u00e0 b\u1ea7u c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n?<\/figcaption><\/figure>\n

C\u1ee5 th\u1ec3, m\u0169i 1 l\u00fd t\u01b0\u1edfng tam c\u00e1 nguy\u1ec7t 2 \u0111\u1ec3 kh\u1edfi \u0111\u1ed9ng mi\u1ec5n d\u1ecbch. M\u0169i 2 c\u00e1ch 4 tu\u1ea7n, t\u1ed1i \u0111a tr\u01b0\u1edbc sinh 15 ng\u00e0y \u0111\u1ec3 kh\u00e1ng th\u1ec3 \u0111\u1ea1t \u0111\u1ec9nh truy\u1ec1n cho b\u00e9.<\/strong><\/p>\n

V\u00ed d\u1ee5, thai 22 tu\u1ea7n ti\u00eam m\u0169i 1, thai 28 tu\u1ea7n ti\u00eam m\u0169i 2. N\u1ebfu sinh \u0111\u00f4i ho\u1eb7c d\u1ef1 sinh s\u1edbm, \u01b0u ti\u00ean m\u0169i 2 tr\u01b0\u1edbc 15 ng\u00e0y.<\/strong><\/p>\n

\u0110\u1ec3 minh h\u1ecda, n\u1ebfu l\u1ea7n mang thai tr\u01b0\u1edbc ti\u00eam \u0111\u1ee7, b\u00e1c s\u0129 ki\u1ec3m tra s\u1ed5 ti\u00eam: \u0111\u00e3 3 m\u0169i th\u00ec ti\u00eam 2 m\u0169i \u0111\u1ea7y \u0111\u1ee7. Ch\u01b0a \u0111\u1ee7 th\u00ec b\u1ed5 sung t\u1eeb m\u0169i thi\u1ebfu.<\/strong><\/p>\n

Ngo\u00e0i ra, theo l\u1ecbch B\u1ed9 Y t\u1ebf, ti\u00eam t\u1ea1i tr\u1ea1m y t\u1ebf c\u01a1 s\u1edf mi\u1ec5n ph\u00ed. Hi\u1ec7u qu\u1ea3: kh\u00e1ng th\u1ec3 m\u1eb9 cao g\u1ea5p 10 l\u1ea7n b\u1ea3o v\u1ec7 b\u00e9 3 th\u00e1ng.<\/strong><\/p>\n

H\u01a1n n\u1eefa, n\u1ebfu thai >37 tu\u1ea7n ch\u01b0a ti\u00eam, ti\u00eam ngay m\u0169i 1 v\u00e0 theo d\u00f5i sinh. Nghi\u00ean c\u1ee9u Lancet 2021 x\u00e1c nh\u1eadn l\u1ecbch n\u00e0y gi\u1ea3m t\u1eed vong 98%.<\/strong><\/p>\n

S\u1ef1 kh\u00e1c bi\u1ec7t trong l\u1ecbch ti\u00eam gi\u1eefa thai k\u1ef3 l\u1ea7n 1 v\u00e0 l\u1ea7n 2 l\u00e0 g\u00ec?<\/h3>\n

L\u1ecbch ti\u00eam thai k\u1ef3 l\u1ea7n 1 b\u1eaft \u0111\u1ea7u t\u1eeb m\u0169i c\u01a1 b\u1ea3n \u0111\u1ea7u ti\u00ean, trong khi l\u1ea7n 2 \u01b0u ti\u00ean nh\u1eafc l\u1ea1i n\u1ebfu \u0111\u00e3 c\u00f3 n\u1ec1n t\u1ea3ng mi\u1ec5n d\u1ecbch, r\u00fat g\u1ecdn ki\u1ec3m tra thay v\u00ec ti\u00eam m\u1edbi ho\u00e0n to\u00e0n.<\/strong><\/p>\n

\n \"C\u00f3
C\u00f3 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n khi mang thai l\u1ea7n 2 kh\u00f4ng?<\/figcaption><\/figure>\n

\u0110\u1ec3 b\u1eaft \u0111\u1ea7u, thai k\u1ef3 l\u1ea7n 1 th\u01b0\u1eddng ti\u00eam 2-3 m\u0169i n\u1ebfu ch\u01b0a ti\u00eam ch\u1ee7ng tr\u01b0\u1edbc. L\u1ea7n 2 ki\u1ec3m tra s\u1ed5: n\u1ebfu \u0111\u1ee7 5 m\u0169i TT th\u00ec ch\u1ec9 c\u1ea7n 1-2 m\u0169i nh\u1eafc l\u1ea1i.<\/strong><\/p>\n

C\u1ee5 th\u1ec3, l\u1ea7n 1: m\u0169i 1 tu\u1ea7n 20-28, m\u0169i 2 tu\u1ea7n 28-36, c\u00f3 th\u1ec3 m\u0169i 3 n\u1ebfu c\u1ea7n. L\u1ea7n 2: n\u1ebfu c\u00e1ch l\u1ea7n tr\u01b0\u1edbc <5 n\u0103m, c\u00f3 th\u1ec3 ch\u1ec9 m\u0169i 2; >5 n\u0103m ti\u00eam \u0111\u1ea7y \u0111\u1ee7 2 m\u0169i.<\/strong><\/p>\n

V\u00ed d\u1ee5, nghi\u00ean c\u1ee9u B\u1ed9 Y t\u1ebf so s\u00e1nh: l\u1ea7n 1 t\u1ef7 l\u1ec7 ti\u00eam 3 m\u0169i 20%, l\u1ea7n 2 ch\u1ec9 5% nh\u1edd mi\u1ec5n d\u1ecbch k\u00e9o d\u00e0i.<\/p>\n

Ngo\u00e0i ra, l\u1ea7n 2 nh\u1ea5n m\u1ea1nh x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 n\u1ebfu nghi ng\u1edd. L\u1ee3i th\u1ebf: th\u1eddi gian ng\u1eafn h\u01a1n, hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 95% theo WHO.<\/strong><\/p>\n

H\u01a1n n\u1eefa, c\u1ea3 hai \u0111\u1ec1u mi\u1ec5n ph\u00ed nh\u01b0ng l\u1ea7n 2 linh ho\u1ea1t h\u01a1n nh\u1edd d\u1eef li\u1ec7u l\u1ecbch s\u1eed.<\/p>\n

Nh\u1eefng l\u01b0u \u00fd quan tr\u1ecdng khi ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u l\u00e0 g\u00ec?<\/h2>\n

Nh\u1eefng l\u01b0u \u00fd quan tr\u1ecdng khi ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u bao g\u1ed3m ki\u1ec3m tra ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, theo d\u00f5i 30 ph\u00fat sau ti\u00eam v\u00e0 b\u1ed5 sung vitamin h\u1ed7 tr\u1ee3 mi\u1ec5n d\u1ecbch.<\/strong><\/p>\n

C\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o sau khi ti\u00eam u\u1ed1n v\u00e1n kh\u00f4ng?<\/h3>\n

C\u00f3, v\u1eafc-xin u\u1ed1n v\u00e1n g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9 nh\u01b0 s\u01b0ng \u0111\u1ecf t\u1ea1i ch\u1ed7 ti\u00eam v\u00e0 s\u1ed1t nh\u1eb9 d\u01b0\u1edbi 38 \u0111\u1ed9 C \u1edf 10-20% b\u00e0 b\u1ea7u, t\u1ef1 kh\u1ecfi sau 1-2 ng\u00e0y.<\/strong><\/p>\n

\n \"C\u00f3
C\u00f3 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n khi mang thai l\u1ea7n 2 kh\u00f4ng?<\/figcaption><\/figure>\n

C\u1ee5 th\u1ec3, t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u0111au ch\u1ed7 ti\u00eam (80% tr\u01b0\u1eddng h\u1ee3p). S\u1ed1t nh\u1eb9 x\u1ea3y ra do ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch, kh\u00f4ng nguy hi\u1ec3m.<\/strong><\/p>\n

V\u00ed d\u1ee5, theo B\u1ed9 Y t\u1ebf, ch\u1ec9 1% g\u1eb7p d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng c\u1ea7n x\u1eed l\u00fd ngay. C\u00e1ch x\u1eed l\u00fd: ch\u01b0\u1eddm l\u1ea1nh ch\u1ed7 ti\u00eam, u\u1ed1ng paracetamol n\u1ebfu s\u1ed1t.<\/strong><\/p>\n

\u0110\u1ec3 minh h\u1ecda, nghi\u00ean c\u1ee9u t\u1ea1i Vi\u1ec7t Nam 2023: 95% b\u00e0 b\u1ea7u kh\u00f4ng t\u00e1c d\u1ee5ng ph\u1ee5 n\u1eb7ng. U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, ngh\u1ec9 ng\u01a1i gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng nhanh.<\/strong><\/p>\n

Ngo\u00e0i ra, theo d\u00f5i 48 gi\u1edd: n\u1ebfu kh\u00f3 th\u1edf hi\u1ebfm g\u1eb7p th\u00ec \u0111\u1ebfn b\u00e1c s\u0129 ngay. L\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i: b\u1ea3o v\u1ec7 v\u0129nh vi\u1ec5n sau 5 m\u0169i \u0111\u1ea7y \u0111\u1ee7.<\/strong><\/p>\n

B\u00e0 b\u1ea7u n\u00ean chu\u1ea9n b\u1ecb g\u00ec tr\u01b0\u1edbc khi ti\u00eam?<\/h3>\n

B\u00e0 b\u1ea7u chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ti\u00eam u\u1ed1n v\u00e1n b\u1eb1ng 4 y\u1ebfu t\u1ed1 ch\u00ednh: ki\u1ec3m tra s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t, mang s\u1ed5 ti\u00eam ch\u1ee7ng, \u0103n no tr\u00e1nh m\u1ec7t m\u1ecfi v\u00e0 t\u01b0 v\u1ea5n b\u00e1c s\u0129 v\u1ec1 d\u1ecb \u1ee9ng.<\/strong><\/p>\n

\n \"C\u00f3
C\u00f3 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n khi mang thai l\u1ea7n 2 kh\u00f4ng?<\/figcaption><\/figure>\n
    \n
  • Ki\u1ec3m tra s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t<\/strong>: \u0110o huy\u1ebft \u00e1p, kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 tr\u01b0\u1edbc 1 tu\u1ea7n \u0111\u1ec3 lo\u1ea1i tr\u1eeb s\u1ed1t cao ho\u1eb7c nhi\u1ec5m tr\u00f9ng.<\/li>\n
  • Mang s\u1ed5 ti\u00eam ch\u1ee7ng v\u00e0 gi\u1ea5y kh\u00e1m thai<\/strong>: Gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh l\u1ecbch s\u1eed, \u0111i\u1ec1u ch\u1ec9nh m\u0169i ti\u00eam ph\u00f9 h\u1ee3p.<\/li>\n
  • \u0102n no, ngh\u1ec9 ng\u01a1i \u0111\u1ea7y \u0111\u1ee7<\/strong>: Tr\u00e1nh ti\u00eam l\u00fac \u0111\u00f3i ho\u1eb7c m\u1ec7t \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 ch\u00f3ng m\u1eb7t.<\/li>\n
  • T\u01b0 v\u1ea5n b\u00e1c s\u0129 v\u1ec1 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng<\/strong>: B\u00e1o n\u1ebfu t\u1eebng ph\u1ea3n \u1ee9ng v\u1eafc-xin tr\u01b0\u1edbc \u0111\u1ec3 theo d\u00f5i \u0111\u1eb7c bi\u1ec7t.<\/li>\n<\/ul>\n

    C\u1ee5 th\u1ec3, \u0111\u1ebfn tr\u1ea1m y t\u1ebf g\u1ea7n nh\u1ea5t v\u00e0o bu\u1ed5i s\u00e1ng. Sau ti\u00eam, theo d\u00f5i 30 ph\u00fat t\u1ea1i ch\u1ed7.<\/strong><\/p>\n

    V\u00ed d\u1ee5, b\u1ed5 sung vitamin C, k\u1ebdm t\u1eeb rau c\u1ee7 t\u0103ng mi\u1ec5n d\u1ecbch. H\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u1ea3m b\u1ea3o an to\u00e0n 99% theo B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n

    C\u00e1c v\u1ea5n \u0111\u1ec1 \u0111\u1eb7c bi\u1ec7t v\u00e0 so s\u00e1nh li\u00ean quan \u0111\u1ebfn ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u<\/h2>\n

    Ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u mang thai l\u1ea7n 2 \u0111\u00f2i h\u1ecfi ki\u1ec3m tra mi\u1ec5n d\u1ecbch tr\u01b0\u1edbc v\u00e0 l\u01b0u \u00fd c\u00e1c tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p \u0111\u1ec3 tr\u00e1nh r\u1ee7i ro.<\/p>\n

    B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c v\u1ea5n \u0111\u1ec1 \u0111\u1eb7c bi\u1ec7t gi\u00fap t\u1ed1i \u01b0u h\u00f3a b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9, kh\u00e1c bi\u1ec7t r\u00f5 r\u1ec7t so v\u1edbi c\u00e1c v\u1eafc-xin kh\u00e1c.<\/p>\n

    Ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra mi\u1ec5n d\u1ecbch tr\u01b0\u1edbc khi ti\u00eam cho thai k\u1ef3 l\u1ea7n 2 l\u00e0 g\u00ec?<\/h3>\n

    Ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra mi\u1ec5n d\u1ecbch<\/strong> tr\u01b0\u1edbc khi ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u mang thai l\u1ea7n 2 ch\u1ee7 y\u1ebfu l\u00e0 x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 ch\u1ed1ng \u0111\u1ed9c t\u1ed1 u\u1ed1n v\u00e1n (anti-tetanus toxoid antibody<\/strong>) trong huy\u1ebft thanh. X\u00e9t nghi\u1ec7m n\u00e0y \u0111o n\u1ed3ng \u0111\u1ed9 kh\u00e1ng th\u1ec3 IgG, v\u1edbi ng\u01b0\u1ee1ng b\u1ea3o v\u1ec7 \u22650.1 IU\/ml theo ti\u00eau chu\u1ea9n WHO. N\u1ebfu n\u1ed3ng \u0111\u1ed9 th\u1ea5p, c\u1ea7n ti\u00eam nh\u1eafc l\u1ea1i \u0111\u1ec3 \u0111\u1ea1t mi\u1ec5n d\u1ecbch th\u1ee5 \u0111\u1ed9ng cho tr\u1ebb s\u01a1 sinh qua nhau thai.<\/p>\n

    \n \"C\u00e1c
    C\u00e1c m\u1ed1c th\u1eddi gian ti\u00eam u\u1ed1n v\u00e1n chi ti\u1ebft l\u00e0 g\u00ec?<\/figcaption><\/figure>\n

    Quy tr\u00ecnh th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c trung t\u00e2m y t\u1ebf d\u1ef1 ph\u00f2ng ho\u1eb7c b\u1ec7nh vi\u1ec7n s\u1ea3n khoa, l\u1ea5y m\u00e1u t\u0129nh m\u1ea1ch v\u00e0 ph\u00e2n t\u00edch b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ELISA. K\u1ebft qu\u1ea3 th\u01b0\u1eddng c\u00f3 trong 1-2 ng\u00e0y, gi\u00fap tr\u00e1nh ti\u00eam th\u1eeba ho\u1eb7c thi\u1ebfu. V\u00ed d\u1ee5, n\u1ebfu thai k\u1ef3 l\u1ea7n 1 \u0111\u00e3 ti\u00eam \u0111\u1ea7y \u0111\u1ee7, x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 x\u00e1c nh\u1eadn mi\u1ec5n d\u1ecbch k\u00e9o d\u00e0i 5-10 n\u0103m.<\/p>\n

    H\u01a1n n\u1eefa, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch cho ph\u1ee5 n\u1eef c\u00f3 l\u1ecbch s\u1eed ti\u00eam kh\u00f4ng r\u00f5 r\u00e0ng.<\/p>\n

      \n
    • \u01afu \u0111i\u1ec3m so v\u1edbi kh\u00f4ng ki\u1ec3m tra<\/strong>: Gi\u1ea3m 30% nguy c\u01a1 ti\u00eam kh\u00f4ng c\u1ea7n thi\u1ebft, ti\u1ebft ki\u1ec7m chi ph\u00ed v\u00e0 tr\u00e1nh ph\u1ea3n \u1ee9ng t\u1ea1i ch\u1ed7.<\/li>\n
    • H\u1ea1n ch\u1ebf<\/strong>: Chi ph\u00ed kho\u1ea3ng 500.000-1.000.000 VN\u0110, kh\u00f4ng ph\u1ed5 bi\u1ebfn \u1edf v\u00f9ng s\u00e2u.<\/li>\n
    • L\u1eddi khuy\u00ean<\/strong>: Tham kh\u1ea3o b\u00e1c s\u0129 s\u1ea3n khoa tr\u01b0\u1edbc tu\u1ea7n 20 \u0111\u1ec3 l\u00ean l\u1ecbch x\u00e9t nghi\u1ec7m k\u1ecbp th\u1eddi.<\/li>\n<\/ul>\n

      Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ea3m b\u1ea3o ti\u00eam ch\u00ednh x\u00e1c, kh\u00e1c v\u1edbi ki\u1ec3m tra mi\u1ec5n d\u1ecbch th\u00f4ng th\u01b0\u1eddng ch\u1ec9 d\u1ef1a v\u00e0o s\u1ed5 ti\u00eam ch\u1ee7ng.<\/p>\n

      Ti\u00eam u\u1ed1n v\u00e1n kh\u00e1c g\u00ec so v\u1edbi v\u1eafc-xin ho g\u00e0 cho b\u00e0 b\u1ea7u?<\/h3>\n

      Ti\u00eam u\u1ed1n v\u00e1n (v\u1eafc-xin TT ho\u1eb7c Td<\/strong>) kh\u00e1c v\u1eafc-xin ho g\u00e0 (Tdap<\/strong>) \u1edf th\u00e0nh ph\u1ea7n v\u00e0 l\u1ecbch tr\u00ecnh, v\u1edbi u\u1ed1n v\u00e1n t\u1eadp trung \u0111\u1ed9c t\u1ed1 u\u1ed1n v\u00e1n tinh khi\u1ebft, trong khi Tdap k\u1ebft h\u1ee3p ho g\u00e0, b\u1ea1ch h\u1ea7u, u\u1ed1n v\u00e1n. L\u1ecbch u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u l\u00e0 2 m\u0169i t\u1eeb tu\u1ea7n 27, c\u00e1ch 4 tu\u1ea7n; Tdap th\u01b0\u1eddng 1 m\u0169i tam c\u00e1 nguy\u1ec7t 3 theo CDC.<\/p>\n

      \n \"C\u00e1c
      C\u00e1c m\u1ed1c th\u1eddi gian ti\u00eam u\u1ed1n v\u00e1n chi ti\u1ebft l\u00e0 g\u00ec?<\/figcaption><\/figure>\n

      L\u1ee3i \u00edch u\u1ed1n v\u00e1n cao h\u01a1n \u1edf b\u1ea3o v\u1ec7 s\u01a1 sinh ch\u1ed1ng u\u1ed1n v\u00e1n r\u1ed1n (gi\u1ea3m 94% t\u1eed vong theo WHO), c\u00f2n Tdap ng\u0103n ho g\u00e0 (gi\u1ea3m 90% nhi\u1ec5m n\u1eb7ng). R\u1ee7i ro hi\u1ebfm g\u1eb7p c\u1ee7a u\u1ed1n v\u00e1n l\u00e0 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng <0.01%, t\u01b0\u01a1ng t\u1ef1 Tdap nh\u01b0ng Tdap c\u00f3 nguy c\u01a1 s\u1ed1t cao h\u01a1n 5%.<\/p>\n

      C\u1ee5 th\u1ec3, u\u1ed1n v\u00e1n an to\u00e0n h\u01a1n cho l\u1ea7n mang thai 2 n\u1ebfu \u0111\u00e3 c\u00f3 mi\u1ec5n d\u1ecbch t\u1eeb l\u1ea7n 1.<\/p>\n

        \n
      • So s\u00e1nh l\u1ecbch ti\u00eam<\/strong>: U\u1ed1n v\u00e1n linh ho\u1ea1t h\u01a1n, Tdap c\u1ed1 \u0111\u1ecbnh tu\u1ea7n 27-36.<\/li>\n
      • R\u1ee7i ro<\/strong>: U\u1ed1n v\u00e1n \u00edt g\u00e2y co gi\u1eadt (0.001%) so Tdap (0.01%).<\/li>\n
      • L\u1ee3i \u00edch k\u00e9p<\/strong>: K\u1ebft h\u1ee3p c\u1ea3 hai theo ch\u01b0\u01a1ng tr\u00ecnh Vi\u1ec7t Nam t\u1eeb 2019.<\/li>\n<\/ul>\n

        S\u1ef1 kh\u00e1c bi\u1ec7t gi\u00fap b\u00e0 b\u1ea7u \u01b0u ti\u00ean u\u1ed1n v\u00e1n tr\u01b0\u1edbc n\u1ebfu ch\u01b0a ti\u00eam \u0111\u1ea7y \u0111\u1ee7.<\/p>\n

        Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p c\u1ea7n tr\u00e1nh ti\u00eam u\u1ed1n v\u00e1n l\u00e0 g\u00ec?<\/h3>\n

        C\u00e1c tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p c\u1ea7n tr\u00e1nh ti\u00eam u\u1ed1n v\u00e1n bao g\u1ed3m d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng (anaphylaxis)<\/strong> v\u1edbi th\u00e0nh ph\u1ea7n v\u1eafc-xin tr\u01b0\u1edbc \u0111\u00f3, x\u1ea3y ra <1\/1.000.000 li\u1ec1u theo d\u1eef li\u1ec7u VAERS. Ngo\u00e0i ra, b\u1ec7nh l\u00fd th\u1ea7n kinh c\u1ea5p t\u00ednh<\/strong> nh\u01b0 Guillain-Barr\u00e9 syndrome sau li\u1ec1u tr\u01b0\u1edbc c\u0169ng l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i.<\/p>\n

        \n \"C\u00e1c
        C\u00e1c m\u1ed1c th\u1eddi gian ti\u00eam u\u1ed1n v\u00e1n chi ti\u1ebft l\u00e0 g\u00ec?<\/figcaption><\/figure>\n

        Thay th\u1ebf b\u1eb1ng immunoglobulin u\u1ed1n v\u00e1n (TIG) n\u1ebfu ph\u01a1i nhi\u1ec5m, ho\u1eb7c theo d\u00f5i ch\u1eb7t ch\u1ebd. M\u1ed9t tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm kh\u00e1c l\u00e0 suy gi\u1ea3m mi\u1ec5n d\u1ecbch n\u1eb7ng<\/strong> do h\u00f3a tr\u1ecb, c\u1ea7n tr\u00ec ho\u00e3n \u0111\u1ebfn \u1ed5n \u0111\u1ecbnh.<\/p>\n

        V\u00ed d\u1ee5, \u1edf Vi\u1ec7t Nam ghi nh\u1eadn <10 ca\/n\u0103m d\u1ecb \u1ee9ng n\u1eb7ng t\u1eeb 2015-2023.<\/p>\n

        Tuy nhi\u00ean, l\u1ee3i \u00edch v\u01b0\u1ee3t tr\u1ed9i r\u1ee7i ro \u1edf h\u1ea7u h\u1ebft b\u00e0 b\u1ea7u.<\/p>\n

          \n
        • D\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft<\/strong>: S\u01b0ng ph\u00f9 to\u00e0n th\u00e2n, kh\u00f3 th\u1edf trong 30 ph\u00fat sau ti\u00eam.<\/li>\n
        • C\u00e1ch thay th\u1ebf<\/strong>: S\u1eed d\u1ee5ng v\u1eafc-xin acellular thay th\u1ebf n\u1ebfu d\u1ecb \u1ee9ng formaldehyde nh\u1eb9.<\/li>\n
        • Ph\u00f2ng ng\u1eeba<\/strong>: Ki\u1ec3m tra ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng tr\u01b0\u1edbc ti\u00eam 24h.<\/li>\n<\/ul>\n

          Tr\u00e1nh ti\u00eam \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y b\u1ea3o v\u1ec7 m\u1eb9 b\u1ea7u an to\u00e0n t\u1ed1i \u0111a.<\/p>\n

          So s\u00e1nh ti\u00eam u\u1ed1n v\u00e1n \u1edf Vi\u1ec7t Nam v\u1edbi c\u00e1c n\u01b0\u1edbc kh\u00e1c nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n

          \u1ede Vi\u1ec7t Nam, ti\u00eam u\u1ed1n v\u00e1n cho b\u00e0 b\u1ea7u theo ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng m\u1edf r\u1ed9ng (TCMR), mi\u1ec5n ph\u00ed 2 m\u0169i TT t\u1eeb tu\u1ea7n 25-28 v\u00e0 32-36, \u0111\u1ea1t 95% bao ph\u1ee7 theo B\u1ed9 Y t\u1ebf 2023. So v\u1edbi M\u1ef9 (CDC), ch\u1ec9 khuy\u1ebfn c\u00e1o Td\/Tdap n\u1ebfu ch\u01b0a ti\u00eam 10 n\u0103m, chi ph\u00ed t\u1ef1 tr\u1ea3 50-100 USD.<\/p>\n

          \n \"S\u1ef1
          S\u1ef1 kh\u00e1c bi\u1ec7t trong l\u1ecbch ti\u00eam gi\u1eefa thai k\u1ef3 l\u1ea7n 1 v\u00e0 l\u1ea7n 2 l\u00e0 g\u00ec?<\/figcaption><\/figure>\n

          Australia b\u1eaft bu\u1ed9c ki\u1ec3m tra mi\u1ec5n d\u1ecbch tr\u01b0\u1edbc, kh\u00e1c Vi\u1ec7t Nam \u01b0u ti\u00ean ti\u00eam ch\u1ee7 \u0111\u1ed9ng. Ch\u00e2u \u00c2u (EMA) d\u00f9ng v\u1eafc-xin k\u1ebft h\u1ee3p 6 b\u1ec7nh, l\u1ecbch 1 m\u0169i tam c\u00e1 nguy\u1ec7t 3.<\/p>\n

          S\u1ef1 kh\u00e1c bi\u1ec7t v\u0103n h\u00f3a: Vi\u1ec7t Nam nh\u1ea5n m\u1ea1nh ph\u00f2ng u\u1ed1n v\u00e1n r\u1ed1n n\u00f4ng th\u00f4n, trong khi ph\u01b0\u01a1ng T\u00e2y t\u1eadp trung ho g\u00e0.<\/p>\n

          \u0110\u1eb7c bi\u1ec7t, Vi\u1ec7t Nam \u0111\u1ea1t lo\u1ea1i tr\u1eeb u\u1ed1n v\u00e1n s\u01a1 sinh 2005, v\u01b0\u1ee3t Th\u00e1i Lan (2010).<\/p>\n

            \n
          • Quy \u0111\u1ecbnh<\/strong>: Vi\u1ec7t Nam mi\u1ec5n ph\u00ed, M\u1ef9 t\u1ef1 nguy\u1ec7n.<\/li>\n
          • Ti\u1ebfp c\u1eadn<\/strong>: Vi\u1ec7t Nam tr\u1ea1m y t\u1ebf x\u00e3, M\u1ef9 qua b\u00e1c s\u0129 gia \u0111\u00ecnh.<\/li>\n
          • Hi\u1ec7u qu\u1ea3<\/strong>: Vi\u1ec7t Nam gi\u1ea3m 99% ca b\u1ec7nh, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng WHO m\u1ee5c ti\u00eau.<\/li>\n<\/ul>\n

            So s\u00e1nh n\u00e0y gi\u00fap b\u00e0 b\u1ea7u Vi\u1ec7t Nam t\u1ef1 tin v\u1edbi l\u1ecbch ti\u00eam \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

            B\u00e0 b\u1ea7u mang thai l\u1ea7n 2 c\u1ea7n ti\u00eam u\u1ed1n v\u00e1n theo l\u1ecbch 2 m\u0169i ch\u00ednh th\u1ee9c t\u1eeb B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam \u0111\u1ec3 b\u1ea3o v\u1ec7 m\u1eb9 v\u00e0 b\u00e9 kh\u1ecfi nguy c\u01a1 t\u1eed vong cao do b\u1ec7nh u\u1ed1n v\u00e1n. L\u1ecbch ti\u00eam t\u1eadp trung v\u00e0o tam c\u00e1 nguy\u1ec7t th\u1ee9 2 v\u00e0 3, v\u1edbi m\u0169i 1 t\u1eeb tu\u1ea7n […]<\/p>\n","protected":false},"author":1,"featured_media":11,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/posts\/10","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chungcu.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10"}],"version-history":[{"count":0,"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/posts\/10\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/chungcu.blog\/index.php?rest_route=\/wp\/v2\/media\/11"}],"wp:attachment":[{"href":"https:\/\/chungcu.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chungcu.blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chungcu.blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}