Xd hpi hpc so (127), 2014 53 NHAN THLTC, THl/C HANH KHAM SANG LOG TRU6C SINH vA S A N G L O G S O SINH CUA PHy NU" GO CHONG TRONG DO TUOI SINH BE Ci NONG THON HA N O I DOAN KIM THANG' Trong nhihig nam gan day, miic sinh d Viet Nam da giam va kha dn djnh d miic thay thi, cdng tac dan sd - kl hoach hda gia dinh (DS-KHHOD) bit diu dugc md rpng theo hudng nang cao chat lugng dan sd nham phuc vu cho muc tieu tang trudng va phat trien bSn vihig Theo Td chiic Y tS Thi gidi, md hinh benh tat dang cd xu hudng chuyen tir cac benh nhiem khuan sang tai nan thucmg tich, di truyin, va cac benh lien quan den rdi loan chuyen hda Phan Idn cac benh lien quan din rdi loan chuyin hda va di truyin cd anh hudng nghiem trgng din qua trinh phat triin thi chit, han chi kha nSng hgc tap va lao dgng Vdi xu hudng benh tat d Viet Nam hiSn nay, chuong trinh y tl khdng chi tiep tuc quan tam dieu trj cac benh nhiem khuan ma cdn can tap trung ban den cac benh cd nguyen nhan rdi loan chuyen hda, di truyen va tai nan thuong tich (Thien Lam, 2003) Hau bet cac benh ly rdi loan chuyen hda va di truyen deu tac ddng den qua trinh phat trien ciia co the, ca ve the luc va than kinh bing cac bieu hien nhu din ddn ve tri tue, c h ^ phat trien ve the chat Cac dj tat d thai nhi thudng dugc phat sinh bdi cac loi qua trinh hmh va phat trien ciia cac co quan chirc nang thdi ky thang diu thai ciia ba me Ddi vdi nhiing lo^ dj tat nay, ca dugc sinh ra, nhung hau qua cua dj tat cimg anh hudng nghiem trgng tdi cudc sdng ciia ban than tre va gia