{"id":1406,"date":"2023-04-06T22:10:14","date_gmt":"2023-04-06T15:10:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1406"},"modified":"2023-04-14T15:32:29","modified_gmt":"2023-04-14T08:32:29","slug":"thoat-vi-ben-tai-phat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/thoat-vi-ben-tai-phat\/","title":{"rendered":"Tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t: y\u1ebfu t\u1ed1 g\u00e2y t\u00e1i ph\u00e1t v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 do b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu, m\u00f4 b\u1ea9m sinh ho\u1eb7c b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n ho\u1eb7c b\u1ea5t th\u01b0\u1eddng m\u1eafc ph\u1ea3i (v\u00ed d\u1ee5: ch\u1ea5n th\u01b0\u01a1ng).\u00a0Tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t<\/a> l\u00e0 m\u1ed9t trong \u0111\u00f3 c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn vi\u1ec7c ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

1. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t<\/h2>\n

T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t sau khi s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t dao \u0111\u1ed9ng t\u1eeb 0,5 \u0111\u1ebfn 15% t\u00f9y thu\u1ed9c v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 bao g\u1ed3m v\u1ecb tr\u00ed tho\u00e1t v\u1ecb (tr\u1ef1c ti\u1ebfp, gi\u00e1n ti\u1ebfp, \u0111\u00f9i), lo\u1ea1i ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb (l\u01b0\u1edbi, kh\u00f4ng c\u00f3 l\u01b0\u1edbi, m\u1edf, n\u1ed9i soi, robot) v\u00e0 t\u00ednh ch\u1ea5t cu\u1ed9c m\u1ed5 (ch\u01b0\u01a1ng tr\u00ecnh, c\u1ea5p c\u1ee9u). Tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n so v\u1edbi tho\u00e1t v\u1ecb do t\u1ef7 l\u1ec7 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u v\u00e0 bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn tho\u00e1t v\u1ecb\u00a0 \u0111\u00f9i cao h\u01a1n.<\/p>\n

\u0110\u1eb7t l\u01b0\u1edbi gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao h\u01a1n trong ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t (t\u1ee9c l\u00e0 t\u00e1i ph\u00e1t) so v\u1edbi ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t li\u00ean quan \u0111\u1ebfn t\u0103ng \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a ph\u1eabu thu\u1eadt c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n.<\/p>\n

2. \u0110\u1eb7c \u0111i\u1ec3m t\u00e1i ph\u00e1t<\/h2>\n

T\u00e1i ph\u00e1t s\u1edbm th\u01b0\u1eddng do c\u00e1c y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt, trong khi t\u00e1i ph\u00e1t mu\u1ed9n l\u00e0 do y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n. S\u1ef1 t\u00e1i ph\u00e1t ph\u1ed5 bi\u1ebfn nh\u1ea5t sau khi ph\u1eabu thu\u1eadt m\u1edf l\u00e0 \u1edf tho\u00e1t v\u1ecb tr\u1ef1c ti\u1ebfp, trong khi t\u00e1i ph\u00e1t gi\u00e1n ti\u1ebfp l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t sau khi ph\u1eabu thu\u1eadt n\u1ed9i soi.<\/p>\n

2.1. Th\u1eddi gian t\u00e1i ph\u00e1t<\/h3>\n

T\u00e1i ph\u00e1t ngay l\u1eadp t\u1ee9c th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 k\u1ef9 thu\u1eadt nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 do tho\u00e1t v\u1ecb kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u1ea1i th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt ho\u1eb7c t\u0103ng qu\u00e1 m\u1ee9c \u00e1p l\u1ef1c trong \u1ed5 b\u1ee5ng ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp. Vi\u1ec7c s\u1eed d\u1ee5ng t\u1ea5m l\u01b0\u1edbi \u0111\u00e3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u00e1c l\u1ea7n t\u00e1i ph\u00e1t ngay l\u1eadp t\u1ee9c li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt.<\/p>\n

T\u00e1i ph\u00e1t s\u1edbm th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt (b\u00e1c s\u0129 ph\u1eabu thu\u1eadt). T\u1ef7 l\u1ec7 tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t s\u1edbm c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u b\u1eb1ng c\u00e1ch \u0111\u1ea3m b\u1ea3o b\u00f3c t\u00e1ch ho\u00e0n to\u00e0n t\u1ea5t c\u1ea3 c\u00e1c t\u00fai tho\u00e1t v\u1ecb, tr\u00e1nh c\u0103ng qu\u00e1 m\u1ee9c v\u1edbi s\u1ef1 t\u0103ng c\u01b0\u1eddng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c l\u1edbp, x\u1eed l\u00fd m\u00f4 nh\u1eb9 nh\u00e0ng \u0111\u1ec3 ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng m\u00f4, m\u1ea1ch m\u00e1u v\u00e0 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/p>\n

T\u00e1i ph\u00e1t mu\u1ed9n c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 sinh h\u1ecdc, l\u00e3o h\u00f3a v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh nh\u00e2n kh\u00e1c. T\u00e1i ph\u00e1t mu\u1ed9n ti\u1ebfp t\u1ee5c x\u1ea3y ra, nh\u01b0ng v\u1edbi t\u1ef7 l\u1ec7 gi\u1ea3m nh\u1eb9. C\u00e1c khuy\u1ebfn ngh\u1ecb c\u1ee5 th\u1ec3 nh\u01b0 gi\u1ea3m c\u00e2n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u00e9o ph\u00ec, ng\u1eebng h\u00fat thu\u1ed1c v\u00e0 ng\u1eebng \u0111i\u1ec1u tr\u1ecb glucocorticoid, n\u1ebfu c\u00f3 th\u1ec3, c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t tho\u00e1t v\u1ecb.<\/p>\n

Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00e1i ph\u00e1t x\u1ea3y ra trong v\u00f2ng ba n\u0103m \u0111\u1ea7u sau khi s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb.<\/p>\n

2.2. V\u1ecb tr\u00ed t\u00e1i ph\u00e1t<\/h3>\n

Sau khi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb, v\u1ecb tr\u00ed t\u00e1i ph\u00e1t \u0111\u1ed1i v\u1edbi: tr\u1ef1c ti\u1ebfp (gi\u1eefa m\u1ea1ch m\u00e1u th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi trong tam gi\u00e1c Hesselbach), gi\u00e1n ti\u1ebfp (b\u00ean c\u1ea1nh c\u00e1c m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi) ho\u1eb7c \u0111\u00f9i (d\u01b0\u1edbi d\u00e2y ch\u1eb1ng b\u1eb9n). link sai<\/p>\n

Sau khi m\u1ed5 m\u1edf, v\u1ecb tr\u00ed t\u00e1i ph\u00e1t gi\u1ea3i ph\u1eabu th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 tho\u00e1t v\u1ecb tr\u1ef1c ti\u1ebfp. Sau khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i soi, v\u1ecb tr\u00ed t\u00e1i ph\u00e1t gi\u00e1n ti\u1ebfp l\u00e0 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu ph\u1ed5 bi\u1ebfn nh\u1ea5t. C\u01a1 ch\u1ebf kh\u00f4ng r\u00f5 r\u00e0ng nh\u01b0ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c b\u00f3c t\u00e1ch d\u00e2y tinh tr\u00f9ng kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c, c\u00e1ch kh\u00e1c, tho\u00e1t v\u1ecb t\u00fai b\u00ean d\u01b0\u1edbi l\u01b0\u1edbi do di chuy\u1ec3n l\u01b0\u1edbi, k\u00edch th\u01b0\u1edbc l\u01b0\u1edbi kh\u00f4ng \u0111\u1ee7, c\u1ed1 \u0111\u1ecbnh l\u01b0\u1edbi kh\u00f4ng \u0111\u1ee7 ho\u1eb7c co r\u00fat l\u01b0\u1edbi sau \u0111\u00f3.<\/p>\n

2.3. Y\u1ebfu t\u1ed1 nguy c\u01a1<\/h3>\n

Li\u00ean quan \u0111\u1ebfn lo\u1ea1i tho\u00e1t v\u1ecb tr\u01b0\u1edbc \u0111\u00f3, lo\u1ea1i ph\u1eabu thu\u1eadt, k\u1ef9 thu\u1eadt th\u1ef1c hi\u1ec7n v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

2.4. Y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt<\/h3>\n

Y\u1ebfu t\u1ed1 k\u1ef9 thu\u1eadt ch\u00ednh li\u00ean quan \u0111\u1ebfn tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t bao g\u1ed3m: c\u0103ng, kh\u00f4ng \u0111\u1eb7t l\u01b0\u1edbi, k\u00edch th\u01b0\u1edbc l\u01b0\u1edbi kh\u00f4ng \u0111\u1ee7 ho\u1eb7c c\u1ed1 \u0111\u1ecbnh kh\u00f4ng \u0111\u00fang, c\u00f2n s\u00f3t d\u00e2y m\u1ee1 ho\u1eb7c ph\u1eabu thu\u1eadt vi\u00ean thi\u1ebfu kinh nghi\u1ec7m. Ngo\u00e0i ra, b\u00f3c t\u00e1ch v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u qu\u00e1 nhi\u1ec1u c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t.<\/p>\n

2.5. Y\u1ebfu t\u1ed1 b\u1ec7nh nh\u00e2n<\/h3>\n

C\u00e1c y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn s\u1ef1 l\u00e0nh v\u1ebft th\u01b0\u01a1ng:<\/p>\n

    \n
  • \u0110i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb tr\u01b0\u1edbc \u0111\u00f3<\/li>\n
  • H\u00fat thu\u1ed1c l\u00e1<\/li>\n
  • Tu\u1ed5i cao<\/li>\n
  • \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/li>\n
  • B\u00e9o ph\u00ec<\/li>\n
  • Suy th\u1eadn<\/li>\n
  • Thi\u1ebfu y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u VIII ho\u1eb7c vitamin C<\/li>\n
  • L<\/span>i\u1ec7u ph\u00e1p glucocorticoid<\/li>\n
  • T\u0103ng \u00e1p l\u1ef1c trong \u1ed5 b\u1ee5ng (v\u00ed d\u1ee5:, ho m\u00e3n t\u00ednh, t\u00e1o b\u00f3n, t\u0103ng s\u1ea3n tuy\u1ebfn ti\u1ec1n li\u1ec7t, v\u00e0 c\u1ed5 tr\u01b0\u1edbng)<\/li>\n<\/ul>\n

    2.6. Ti\u1ec1n s\u1eed gia \u0111\u00ecnh<\/h3>\n

    Y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng xu h\u01b0\u1edbng tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t. Trong m\u1ed9t \u0111\u00e1nh gi\u00e1 tr\u00ean 75 b\u1ec7nh nh\u00e2n b\u1ecb t\u00e1i ph\u00e1t tho\u00e1t v\u1ecb b\u1eb9n t\u1eeb hai l\u1ea7n tr\u1edf l\u00ean, 44% c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh d\u01b0\u01a1ng t\u00ednh v\u1edbi tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t. C\u00e1c c\u01a1 ch\u1ebf c\u00f3 th\u1ec3 bao g\u1ed3m gi\u1ea3m t\u1ef7 l\u1ec7 collagen lo\u1ea1i I \/ lo\u1ea1i III v\u00e0 m\u1ee9c \u0111\u1ed9 metalloproteinase cao h\u01a1n.<\/p>\n

    3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

    C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tho\u00e1t v\u1ecb b\u1eb9n nguy\u00ean ph\u00e1t. Kh\u00e1m l\u00e2m s\u00e0ng b\u1edfi m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f3 kinh nghi\u1ec7m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 th\u01b0\u1eddng \u0111\u1ee7 \u0111\u1ec3 ph\u00e1t hi\u1ec7n tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t. Tuy nhi\u00ean, kh\u00e1m l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e1t hi\u1ec7n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec ho\u1eb7c \u0111\u1eb7t l\u01b0\u1edbi tr\u01b0\u1edbc \u0111\u00f3; Sau khi s\u1eeda ch\u1eefa l\u01b0\u1edbi l\u1edbp ph\u1ee7, t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 x\u1ea3y ra ph\u00eda sau l\u01b0\u1edbi m\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ec9 b\u1eb1ng c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 c\u1ea7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh.<\/p>\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n nh\u01b0 s\u1ed1t, \u1edbn l\u1ea1nh, kh\u00f3 ch\u1ecbu, c\u00e1c bi\u1ec3u hi\u1ec7n \u0111au t\u1ea1i ch\u1ed7 khi s\u1edd n\u1eafn, ban \u0111\u1ecf, \u1ea5m, s\u01b0ng ho\u1eb7c d\u1eabn l\u01b0u s\u1ebd l\u00e0m t\u0103ng nghi ng\u1edd v\u1ec1 c\u00e1c bi\u1ebfn ch\u1ee9ng, bao g\u1ed3m tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t c\u1ea5p t\u00ednh ho\u1eb7c ngh\u1eb9t, nhi\u1ec5m tr\u00f9ng l\u01b0\u1edbi.<\/p>\n

    4. Qu\u1ea3n l\u00fd<\/h2>\n

    K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u ch\u1edd \u0111\u1ee3i th\u1eadn tr\u1ecdng (Watchful waiting) \u1edf 720 ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng t\u1ed1i thi\u1ec3u ch\u1edd \u0111\u1ee3i, cho th\u1ea5y t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng li\u00ean quan c\u1ef1c k\u1ef3 th\u1ea5p (1.8 tr\u00ean 1000 b\u1ec7nh nh\u00e2n-n\u0103m).\u00a0Tuy nhi\u00ean, h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n cu\u1ed1i c\u00f9ng s\u1ebd ph\u1ea3i ph\u1eabu thu\u1eadt do \u0111au ho\u1eb7c kh\u00f3 ch\u1ecbu (23% sau 2 n\u0103m v\u00e0 72% sau 7,5 n\u0103m).<\/p>\n

    Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb: c\u1ea5p c\u1ee9u khi bi\u1ebfn ch\u1ee9ng li\u00ean quan tho\u00e1t v\u1ecb (ngh\u1eb9t, t\u1eafc, th\u1ee7ng). \u1ede b\u1ec7nh nh\u00e2n kh\u00f4ng bi\u1ebfn ch\u1ee9ng nh\u01b0ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00ean m\u1ed5 ch\u01b0\u01a1ng tr\u00ecnh.<\/p>\n

    5. Ph\u1eabu thu\u1eadt<\/h2>\n

    C\u00e1c k\u1ef9 thu\u1eadt t\u01b0\u01a1ng t\u1ef1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t nh\u01b0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n nguy\u00ean ph\u00e1t; Tuy nhi\u00ean, vi\u1ec7c s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 kh\u00f3 kh\u0103n h\u01a1n v\u00e0 c\u00f3 nguy c\u01a1 bi\u1ebfn ch\u1ee9ng cao h\u01a1n.<\/p>\n

    C\u00e1c k\u1ef9 thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t l\u00e0 n\u1ed9i soi ho\u00e0n to\u00e0n ngo\u00e0i ph\u00fac m\u1ea1c (TEP), trong \u1ed5 b\u1ee5ng (TAPP), m\u1ed5 m\u1edf Lichtenstein, ph\u1eabu thu\u1eadt c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a robot. link sai<\/p>\n

    \u0110\u1ed1i v\u1edbi ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t, t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t m\u1ed5 m\u1edf so v\u1edbi n\u1ed9i soi l\u00e0 t\u01b0\u01a1ng t\u1ef1 nhau trong tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7t l\u01b0\u1edbi.<\/p>\n

    5.1. K\u1ef9 thu\u1eadt th\u1ef1c hi\u1ec7n<\/h3>\n

    M\u1ee5c ti\u00eau tr\u00e1nh c\u00e1c m\u1eb7t ph\u1eb3ng m\u00f4 b\u1ecb m\u1ed5 x\u1ebb tr\u01b0\u1edbc \u0111\u00f3. Ph\u1eabu thu\u1eadt t\u00e1i ph\u00e1t l\u1ed1i sau n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 m\u1ed5 l\u1ed1i tr\u01b0\u1edbc v\u00e0 ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n

    Ph\u1eabu thu\u1eadt l\u1ed1i sau kh\u00f4ng th\u00e0nh c\u00f4ng (v\u00ed d\u1ee5: n\u1ed9i soi tr\u01b0\u1edbc ph\u00fac m\u1ea1c), b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea1i theo ph\u01b0\u01a1ng ph\u00e1p Lichtenstein. Tuy nhi\u00ean, Lichtenstein ti\u00eau chu\u1ea9n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c tho\u00e1t v\u1ecb \u0111\u00f9i t\u00e1i ph\u00e1t. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, Lichtenstein c\u1ea3i bi\u00ean ho\u1eb7c \u0111\u1eb7t n\u00fat mesh v\u00e0o v\u1ecb tr\u00ed tho\u00e1t v\u1ecb c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng.<\/p>\n

    \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u1eb7t l\u01b0\u1edbi tr\u01b0\u1edbc th\u1ea5t b\u1ea1i (v\u00ed d\u1ee5: Lichtenstein), \u00a0n\u00ean \u01b0u ti\u00ean s\u1eed d\u1ee5ng s\u1eeda ch\u1eefa TEP ho\u1eb7c TAPP n\u1ed9i soi h\u01a1n ph\u01b0\u01a1ng ph\u00e1p tr\u01b0\u1edbc ph\u00fac m\u1ea1c m\u1edf v\u00ec s\u1eeda ch\u1eefa n\u1ed9i soi c\u00f3 li\u00ean quan \u0111\u1ebfn \u00edt bi\u1ebfn ch\u1ee9ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt h\u01a1n v\u00e0 \u00edt \u0111au sau ph\u1eabu thu\u1eadt h\u01a1n.<\/p>\n

    \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n m\u1ed5 l\u1ed1i tr\u01b0\u1edbc kh\u00f4ng th\u00e0nh c\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u00e0 kh\u00f4ng c\u00f3 l\u01b0\u1edbi, ph\u1eabu thu\u1eadt l\u1ea1i l\u1ed1i tr\u01b0\u1edbc (v\u00ed d\u1ee5: Lichtenstein) c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, do nh\u1eefng th\u00e1ch th\u1ee9c c\u1ee7a vi\u1ec7c b\u00f3c t\u00e1ch trong l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt, h\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt th\u00edch c\u00e1ch ti\u1ebfp c\u1eadn n\u1ed9i soi (sau).<\/p>\n

    Th\u1ea5t b\u1ea1i c\u1ea3 s\u1eeda ch\u1eefa tr\u01b0\u1edbc v\u00e0 sau. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3 s\u1eeda ch\u1eefa tr\u01b0\u1edbc v\u00e0 sau th\u1ea5t b\u1ea1i, ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi c\u00f3 l\u01b0\u1edbi \u1edf c\u1ea3 hai m\u1eb7t ph\u1eb3ng m\u00f4 tr\u01b0\u1edbc v\u00e0 sau (v\u00ed d\u1ee5: l\u01b0\u1edbi H\u1ec7 th\u1ed1ng tho\u00e1t v\u1ecb Prolene), vi\u1ec7c l\u1ef1a ch\u1ecdn th\u1ee7 t\u1ee5c ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed tho\u00e1t v\u1ecb. V\u00ed d\u1ee5, \u0111\u1ed1i v\u1edbi t\u00e1i ph\u00e1t tho\u00e1t v\u1ecb tr\u1ef1c ti\u1ebfp nh\u1ecf, trung gian, s\u1eeda ch\u1eefa v\u1edbi b\u00f3c t\u00e1ch t\u1ed1i thi\u1ec3u b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn tr\u01b0\u1edbc m\u1edf v\u1edbi v\u1ecb tr\u00ed c\u1eafm l\u01b0\u1edbi trong khuy\u1ebft t\u1eadt l\u00e0 m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn r\u1ee7i ro th\u1ea5p hi\u1ec7u qu\u1ea3.<\/p>\n

    Tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t v\u00e0 \u0111au h\u00e1ng m\u00e3n t\u00ednh. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb tho\u00e1t v\u1ecb h\u00e1ng t\u00e1i ph\u00e1t v\u00e0 \u0111au h\u00e1ng m\u00e3n t\u00ednh<\/strong> t\u1eeb vi\u1ec7c s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb ban \u0111\u1ea7u, m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn ph\u00f9 h\u1ee3p, t\u00f9y thu\u1ed9c v\u00e0o c\u00e1c can thi\u1ec7p tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a s\u1ef1 t\u00e1i ph\u00e1t, \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t v\u00e0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ed1t nh\u1ea5t b\u1edfi m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb chuy\u00ean gia. M\u1eb7c d\u00f9 m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn tr\u01b0\u1edbc s\u1ebd cho ph\u00e9p c\u1eaft b\u1ecf d\u00e2y th\u1ea7n kinh v\u00e0 c\u1eaft b\u1ecf l\u01b0\u1edbi t\u1ea1i th\u1eddi \u0111i\u1ec3m s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb, c\u00f3 nguy c\u01a1 ti\u1ec1m \u1ea9n c\u00e1c bi\u1ebfn ch\u1ee9ng tinh ho\u00e0n.<\/p>\n

    5.2. L\u01b0\u1edbi<\/h3>\n

    Tho\u00e1t v\u1ecb b\u1eb9n n\u00ean \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng s\u1eeda ch\u1eefa l\u01b0\u1edbi kh\u00f4ng c\u0103ng b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 th\u1ec3. Vi\u1ec7c s\u1eed d\u1ee5ng l\u01b0\u1edbi \u0111\u1ec3 cung c\u1ea5p h\u1ed7 tr\u1ee3 m\u00f4 b\u1ed5 sung.<\/p>\n

    Vi\u1ec7c s\u1eed d\u1ee5ng l\u01b0\u1edbi d\u01b0\u1eddng nh\u01b0 c\u0169ng quan tr\u1ecdng kh\u00f4ng k\u00e9m \u0111\u1ed1i v\u1edbi vi\u1ec7c s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t.\u00a0Sau khi s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t b\u1eb1ng k\u1ef9 thu\u1eadt Lichtenstein, t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ea3i qua s\u1eeda ch\u1eefa l\u01b0\u1edbi ti\u1ebfp theo so v\u1edbi s\u1eeda ch\u1eefa kh\u00f4ng l\u01b0\u1edbi. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t nh\u01b0 sau:<\/p>\n

    \u25cf<\/span>\u00a0N\u1ed9i soi (l\u01b0\u1edbi): 1,3%<\/p>\n

    \u25cf<\/span>\u00a0Mesh (kh\u00f4ng ph\u1ea3i Lichtenstein): 7,2%<\/p>\n

    \u25cf<\/span>\u00a0Lichtenstein: 11,3%<\/p>\n

    \u25cf<\/span>\u00a0Kh\u00f4ng l\u01b0\u1edbi: 19,2%<\/p>\n

    L\u01b0\u1edbi tr\u01b0\u1edbc \u0111\u00f3 n\u00ean \u0111\u01b0\u1ee3c gi\u1eef nguy\u00ean v\u1ecb tr\u00ed, mi\u1ec5n l\u00e0 n\u00f3 \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p t\u1ed1t, kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u00f4ng l\u00e0 ngu\u1ed3n g\u00e2y \u0111au h\u00e1ng m\u00e3n t\u00ednh.<\/p>\n

    K\u1ebft lu\u1eadn: <\/strong>Ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c v\u00e0 t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n so v\u1edbi tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t. T\u00e1i ph\u00e1t sau khi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 cao t\u1edbi 20%.<\/p>\n

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

    Tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 do b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu, m\u00f4 b\u1ea9m sinh ho\u1eb7c b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n ho\u1eb7c b\u1ea5t th\u01b0\u1eddng m\u1eafc ph\u1ea3i (v\u00ed d\u1ee5: ch\u1ea5n th\u01b0\u01a1ng).\u00a0Tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t l\u00e0 m\u1ed9t trong \u0111\u00f3 c\u00f3 li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn vi\u1ec7c ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t tr\u01b0\u1edbc \u0111\u00f3. 1. 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