04 dự phòng sớm các biến chứng thai kỳ chúng ta đang ở đâu (tiếng việt)

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DU PHONG CAC BIEN CHUNG THAI KY

~TRONG QUI:

CHUNG TADANG O'DAU?

BS, NGUYEN HOANG LONG

The Chinese University of Hong Kong

Hy no oT i \Su)
THEO MATIN ASSOLE FUTASOUND INN

_ eal ue ly, ach 809 204 “1N

TONG QUAN

WO HINH CHAM Sc THA KY

WO HNH TRUYEN THONG TON) + Lich bt

thoatt-uw | 2 + Tn sin git

WOHINHHIENDA + dy thal thal lou

* Thai cham tang trvdng
* Sinh non

* Thaito

gi; dung

TONG QUAN

DY BAO VA DYPHONG

Di idm ta phy Dusinnh hoe

"Ba`nh n.ha .....Ma.ch m.au ......lút

aS ily ‘gi a ŨMÔ
th Pris Siu Hay ip

II H ch

OT a D0 00Uủ

DU’ PHONG TIEN SAN GIAT

CAC PRUONG PHAP CAN THI DY PHONG

eu (tt) vn

Can td lng the

Aspirin (4l) | Thlpco chao T9u6, nTHA gthaly), FOR

Tha pty guy cola he dng bh 454) BC: Nga Cpl dng ud gm a

Hoc HP Ys) | hye, 400 BC: Hoperats lng bl nv dub dav st

thai FR)

Can td ing lng the

tiản (ab) psi dpm gy crag ‘M hm Bic a Nh cht tp

Vitamin vi clacdy uv gil san Lal ca cy i)

{0042-0 | Thalphy ob ng oT th tung a0 | 4945: Bayer dn ul in Ain

Magnesium (187 (0581.3) } Tha phv of guy co T9 bh hug ode cn 4.00 ntdng ml

ens nại 10108) |JNikdnyn]9l@

Vitamin vi calelum (067 (0314) | ThacdlguypcohT9yG ca

TÍthedllllny — |01(0049) | Thabdlo ppihtaycn

1. Mol BJ, Rebs C7, Thang, Mage, L.A, de nol J &Hofny 4206) Prehe e Lance,ce022) 9-1)

{Lobe jd, NeolaKH. Aap preven let rd preamp tien: tú ni nhanh J Ot Gyecl. 201M 18) 287 28.

LOW-DOSE ASPIRIN

WECHANISM

ASPIRIN ANEHTOAYOLK2

anụ NOAN GIN SY SA YUAT — ÚC0ÉŒMI

TOMES NGUYEN BAO Nud

(tywh TAGE lẾỮI — IWMAhl@lh\

Yay

(IGẾN iatít

vg \

+ oui ay le ụ‘NF

ATL asin iggeed Ipoh ‘NAB
NOs iveda
Pata gow it ự caer | cxdnondvnaia wv
FLT: slut fie rosin nag t
|

NT.

TN nr
TAR tommbowanAeZ
‘ALCAM: atvaled leuckal aodhecsioyn tleeu

1 Log, kd Part, a Vapi Cnty pete pec poh en Pan tr)

ASPIRIN LIEU THAP

Dy PHONTG96

WNEW ENGLAND | =— - =

JOURNAL y MEDICINE

' Wh

Asin mu nhưng athlgh WW hi

1W a

Nh

: SLO OL Nh

Mh

Asn 160g | 1W 1 i.

HH Gide jMUẹ — weeks H

HH | Ì

th :

<S7 weeks >z3/MME

1. Rank eta NEM. 2017

+ (0i An Obstet Gyncl 201?

ASPIRIN LIEU THAP NT Lo LU

KHANDAY NPHGONG patting —— §itlh

Systematic Revens «00mg i

lgitlthytellyltalln {¬ Mjtsw1 He
pensen aemai
I3/00441 Trude t6tuin
‘lan bs, man a, MO, kp i,
»lllnJ‡ HH
* S6thitngtiém lim sing
dmg
+ 18907 thal phy
Any dosey
Aspirin im nguy coTSG nn thang, nbung king 196

duthing

* Bedslbtun

* Ludin1g00»mg

1 fee jE, Nenad Yb pein oem aim eng ea eer amet Chere 8 )2 a,

ASPIRIN LIEU THAP

THOLDIEM

Wolo Ali >Am Obed Gal Ft 2) May 4 TSGRR 052 6101022111)
4 Tang huyb pd thai ROAD G0) 020-4.)
Does low-dose apiin initiated before 11 weeks I
4 Ting hut dpthal dy RR 0.89 (BHC 03104)
gestation reducthee ateof eclampsia
4 Thal chdm tng tring RR 4,10 @5%C1 058-207)
yn Chasatho Dana iene ome Mar Pan Mar GH Lon Poo 4 Sinh non RR 0.52 6941127497

+ Bthingiimésmng

{42t6hal phy

Aspirin tun king am gam guy 756 va ch bin ching ác

ASPIRIN LIEU THAP + hina

ANTOMN + 125th8al5phy

PU LÔ I

fit fate
my i vata nD
mM aan stun
Amen) TH tN ha
4Iith gd CÚ 48 aay AN +

MMỚU UUW WÚM yy Opa
iim AN AMA tna MAM N18 yy MU stl
ee aint 01 Mina

WMM 1 lth UN Sahta Wwe 1a pp

tht Hitt NL

MMM YN AHN

"Tot628 1t9 t Mu2 y P01

»ituh MMM — ĐI ĐỈM N - ĐUUA 1
NA. Mu
Gti Hii MM an 031 ‘wt 122 01 gy
ee ee
Cant 8) Wit nay >fbtdn
MAM JMU MN
KH» ỤU avin
WMUMI WUW lM VN 4M)WMỊ = yt 1M ĐA 1HRAAM
MMMjMl ỊÚM ME Worth (4N
MwnMl l Ah tna l1 lM IA
Cl rte
‘to rN TNL MM a ÚM
WÚM SN AUN - ĐMMUM
‘to4 1n0.nge y MMN —
Tard HP TƯ MU MU +
ww ion em Yh (NUMH
to91tny 2111) ny Lñ
fmf eH

Tp oa 100/411 MMU HỦU MU WN WM 10
AM ak1h eae froin Sons
antTe C

Tug ds Fp

He jd, att AR nt cea a pon ofp pc gn aan nar An Gl N25) 48,

ASPIRIN LIEU THAP

DE KHANG

UMJJ0 ộ
ew 5 TƯ")

ASPRE rll sk factors fo evelopmneof preterm pres li L

ag pew pes eae
4

Sy | pi yg Cee tin | HH '
Pao
dsl (784W) | U tpt dis

Asnl

Taman th 197 (0s-60n}) | tạg | Noh Ị
[+ fiiri rpts HH
ImltagiltvdTHAmm | 00((Â24W | 0M '
o_O Pir '

Đi lil (78MM | 0 Nrd'tiw ley
' |
hJMmụu | | | 1-4 '

{in5t tin 0 ham chy) { 1M 8 ik =

{intttotingo 2740 (1405-690) | 0U 10-IIIltll lị ai

121) 610624818883) | ‹)0M |

Cont nso ot015) | 4M N15

1. t1 ebook 0L voiLÝ 1A tú túbánh etre pt pce TT)

ip, aOta t Gc 4610

ASPIRIN LIEU THAP Tha Fatal Medicine

GIATHEMTOL Foundation

Won ich chuyé Asin gi a

rent wf thụ { sy,
1——-0\ \ ' Pe AT AY de

TTT Tố

'—" M86 9 9 90 M 9 9 190
0 ——0
0 —h\ OCT Estimate (96% crodibllty intorvl)

0——0
he tui a
0 +—*0
—+0 a SEH (487 6

0 —+ƒ

0=

is
len | mn túG1
a oy 2 Ww wo a

ovina age a diay with PE (wees)

4, Wight, NcldesKH Api del the evelopmentol recampi, NG 209 un22S080 (6S)86

ASPIRIN LIEU THAP

HAM TUOITHA! CHUYEN HOA

Density

1 Ube nan Sa, Spl Na Po fh gr ae ul i

‘ype, 201 Nv 8) 10H 1410 mn at Pn Tobdeitahaud)

ye eet ot of Cntr

ASPIRIN LIEU THAP MWÑAgi"nƒrtlte. Âteftetlipi0ftiwtelUn

CAC BIEN CHUNG THAIKY KHAC iin

eee A Nguy: " ¡_...... SPREE: Screening Program for Preeclampsia

M nercan journalof Obstetriacnsd Gynecology 16481 thai don thal

twink

Prevention of preeclampsia with aspirin

4 18G non thang RR 0.38 G54 0.20 072
4+ TSG kh ph som RR 0.20 (@5HC1 006-0.)
4 Can ning Oth RR 0.77 (6401 0.65 -091)
4 Cin ndng sth RR 0.73 @54C) 069 0.1)
‡ (ânni i07 (6148-18)
4 Cham se ich cue >44 ngdy RR144(4011-4173)

4 Tipvong chu sinh RR 0.26 (95%C! 0.11 «0.60

| abe eta Ura htc 28 Sig ath ter
‘Ttal aCet cd nb

ASPIRIN LIEU THAP TEU

SINH NON MT

Low doesforth prevofenetetr idoyn

‘uliparous women wthasinreglanet(oASnR)

void di dente THE [ ANCET

PSPS | 63).

|" 0/1/2140)

ST I]0Đ1I0)

STE

vss! mg/dén

ahr oun

ier Hes 6th

DAN thig10h

ASPIRIN LIEU THAP

SINH NON

Low-dose apn forth peverton of peter dle in Sinh non (1 (081-048) +

‘uliparos women wthasington regan (ASP) TH (J5 TH

aramidind place contd

‘ipiece platonic att Ramduim dao (187(073-104) 4

ye nin artoi i ‘iin thưire
ii rae ep aot
Ni oo uta in HN la
Chiymdusausith —- 13IJM4M >

Tiong ng INHHW ——————
Whimh — 0nem —¿|—

Sinh non sm+ 038 0.085),

THAltaik) 020 4

Tevongctusinh — 05 (061-043) ~

Sinh non sém 096 (074100) +4

Say thal 045(09- 4

Thaiohd

i ee ee ee

1 0106 04 1 H1 14 1ý 1g

Aspirin, placAR e8boCl)

ASPIRIN LIEU THAP

HOI CHDUA SNANGKHOA

7 T86

==eee¿ [ *TII(HMHTÄM@TRƯỜN Great

cy Obstetric| al

* SIH NON =3 Syndromes

MU

~~ NHAU BONG NON

Dy bao som GOS

ae
oda
4, rowan|, Ppt, VerranL, Romero, The eal Obi Syndromesre associ wh ira of dewppacntton, AmJ Obl 0/601 2011 May 2043) 108-201

ASPIRIN LIEU THAP

HODANN LAGW SANG

1) LluAgltMWnJnl DU) A

Yuh gn t-te

lpeerstnttyit SH | 222 | ned hop guy come cm MAP MAP, dith | WAh
AGE WU bài
*

{80g (-HuUù | S6hd

Wh Kt hp:ongy coma MAP
PAGE. va API

Willindgm Itiil)

enubltômooyad0Mes | 0Ĩ | Ư Yd ensign ty dit | hy bp
WWWmn
nmatonl Sooo Urscund Obs ESOESH | #4 {tb 150mg @uh | WAh
Jpn nym wap,
mm why ingly | ane
PLGva E

Willintn‡

mane yenW

Yuta tage

Yuin stone
Yin stage

Win

TƠNGIÍT

acme >100 mg tru1d6 tcudn
“8 Tiihodn tu thai et thd tha ky Kem 196

Hoi chDiai nsangkhoa

CHAN THANCAHM ON

U11

Facultoyf Medline

Tye oy

PREVENTION FOR PREGNANCY
COMPLICATIONS IN THE FIRST TRIMESTER:

WHERE ARE WE NOW?

LONG NGUYEN-HOANG

The Chinese University of Hong Kong

PREVENTION OF PE ™Coad
—
WETFORMIN
Teen re
NUM NOLAND JOURNAL of MEDICIN
3W113%
Medormin versus Placebo in Obese
APE ACD
Deaton without Diabet Melis
ln

DI TU MwUmh Phaạh 0b a0]
ou I40| s
USAIN

Metformin Placebo Mitel oeames Asian) BU - — 4M

(n=20)) (n=148) kn eh ity

* Dosage: 3g per day (whloilibdandllu pols) HỊUMM ĐỊẾMU HN

+ ‘Start: 12-18 weeks Prana) gmp) — asta} Naha) dt
Prune)
* End delivery ĐHỦỢU YS) ga) 09