{"id":1612,"date":"2023-04-07T10:12:10","date_gmt":"2023-04-07T03:12:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1612"},"modified":"2023-04-13T16:24:29","modified_gmt":"2023-04-13T09:24:29","slug":"bien-chung-phau-thuat-thoat-vi-ben-dui","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/bien-chung-phau-thuat-thoat-vi-ben-dui\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i"},"content":{"rendered":"<p id=\"H84860094\" class=\"headingAnchor\"><a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/cac-bien-chung-co-gap-sau-mo-thoat-vi-ben\/\">Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n<\/a> ho\u1eb7c \u0111\u00f9i l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn. C\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra trong giai \u0111o\u1ea1n chu ph\u1eabu bao g\u1ed3m u huy\u1ebft thanh, t\u1ee5 m\u00e1u v\u1ebft th\u01b0\u01a1ng, b\u00ed ti\u1ec3u v\u00e0 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 b\u1ec1 m\u1eb7t, trong khi c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra sau \u0111\u00f3 bao g\u1ed3m \u0111au h\u00e1ng dai d\u1eb3ng, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 s\u00e2u, l\u01b0\u1edbi, tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t, di chuy\u1ec3n l\u01b0\u1edbi.<\/p>\n<p>C\u00e1c k\u1ef9 thu\u1eadt <a href=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/thoat-vi-ben-tai-phat\/\">ph\u1eabu thu\u1eadt \u0111\u1ec3 s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n<\/a> v\u00e0 \u0111\u00f9i \u0111\u01b0\u1ee3c n\u00eau \u1edf m\u1ed9t b\u00e0i kh\u00e1c.<\/p>\n<h2 id=\"H84861144\" class=\"headingAnchor\"><span class=\"h1\">1. T\u1ef7 l\u1ec7 bi\u1ebfn<\/span><span class=\"headingEndMark\">\u00a0<\/span>ch\u1ee9ng<\/h2>\n<p class=\"headingAnchor\">Kho\u1ea3ng\u00a0 3-8%, v\u1edbi t\u1ef7 l\u1ec7 c\u1ee5 th\u1ec3 t\u00f9y thu\u1ed9c v\u00e0o ho\u00e0n c\u1ea3nh l\u00e2m s\u00e0ng m\u00e0 vi\u1ec7c s\u1eeda ch\u1eefa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u0169ng nh\u01b0 v\u1ecb tr\u00ed v\u00e0 lo\u1ea1i tho\u00e1t v\u1ecb.<\/p>\n<p>C\u00e1c ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u c\u00f3 t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng cao h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt theo ch\u01b0\u01a1ng tr\u00ecnh. T\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng cao h\u01a1n c\u0169ng tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t so v\u1edbi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb nguy\u00ean ph\u00e1t. Trong c\u00e1c nghi\u00ean c\u1ee9u so s\u00e1nh m\u1edf v\u00e0 n\u1ed9i soi, t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng t\u1ed5ng th\u1ec3 l\u00e0 t\u01b0\u01a1ng t\u1ef1 nhau; tuy nhi\u00ean, b\u1ea3n ch\u1ea5t c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c nhau.<\/p>\n<h2>2. C\u00e1c bi\u1ebfn ch\u1ee9ng<\/h2>\n<h3>2.1. T\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt<\/h3>\n<p>Nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, vi\u00eam m\u00f4 t\u1ebf b\u00e0o, v\u1ebft th\u01b0\u01a1ng kh\u00f4ng l\u00e0nh, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 da ho\u1eb7c m\u00f4 m\u1ec1m, ho\u1ea1i t\u1eed da ho\u1eb7c m\u00f4 m\u1ec1m, d\u1eabn l\u01b0u huy\u1ebft thanh v\u1ebft th\u01b0\u01a1ng ho\u1eb7c m\u1ee7, \u00e1p xe kh\u00e2u, huy\u1ebft thanh, t\u1ee5 m\u00e1u v\u00e0 l\u01b0\u1edbi b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c ph\u01a1i nhi\u1ec5m ngo\u00e0i, v\u1ebft th\u01b0\u01a1ng v\u00e0 l\u1ed7 r\u00f2 ru\u1ed9t.<\/p>\n<h4><strong>B\u1ea7m t\u00edm, t\u1ee5 m\u00e1u huy\u1ebft thanh:<\/strong><\/h4>\n<ul>\n<li>Bi\u1ebfn ch\u1ee9ng ph\u1ed5 bi\u1ebfn. Ch\u00fang c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n d\u1ea1ng s\u01b0ng b\u00ecu ho\u1eb7c s\u01b0ng b\u1eb9n. H\u1ea7u h\u1ebft c\u00e1c t\u1ee5 d\u1ecbch t\u1ef1 h\u1ebft m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3.<\/li>\n<\/ul>\n<h4><strong><span class=\"h3\">Nhi\u1ec5m tr\u00f9ng <\/span>v\u1ebft m\u1ed5 n\u00f4ng:<\/strong><\/h4>\n<ul>\n<li>Sau khi ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n v\u00e0 \u0111\u00f9i t\u1ef1 ch\u1ecdn nh\u00ecn chung l\u00e0 th\u1ea5p. M\u1ed9t \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng v\u1ec1 s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n m\u1edf cho th\u1ea5y t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng t\u1eeb 3 \u0111\u1ebfn 5%. Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 cao h\u01a1n khi l\u01b0\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 s\u1eeda ch\u1eefa c\u00e1c khuy\u1ebft t\u1eadt l\u1edbn v\u00e0 \/ ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p m\u1eafc c\u00e1c b\u1ec7nh \u0111i k\u00e8m nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ho\u1eb7c b\u00e9o ph\u00ec.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 n\u00f4ng c\u1ea7n \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh, n\u00ean \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c trong 10 \u0111\u1ebfn 14 ng\u00e0y ho\u1eb7c cho \u0111\u1ebfn khi c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m tr\u00f9ng ho\u1ea1t \u0111\u1ed9ng \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft. Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng t\u00e1i ph\u00e1t. N\u1ebfu c\u00e1c d\u1ea5u hi\u1ec7u SSI v\u1ebft m\u1ed5 n\u00f4ng kh\u00f4ng c\u1ea3i thi\u1ec7n khi \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh, c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 s\u00e2u, v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt r\u1ea1ch v\u00e0 d\u1eabn l\u01b0u v\u1edbi c\u1eaft l\u1ecdc m\u00f4 b\u1ecb nhi\u1ec5m tr\u00f9ng ho\u1eb7c ho\u1ea1i t\u1eed.<\/li>\n<\/ul>\n<h4 id=\"H2983487139\" class=\"headingAnchor\"><strong><span class=\"h3\">Nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 s\u00e2u, nhi\u1ec5m tr\u00f9ng<\/span> l\u01b0\u1edbi:<\/strong><\/h4>\n<ul>\n<li class=\"headingAnchor\">C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong v\u00e0i tu\u1ea7n \u0111\u1ea7u sau ph\u1eabu thu\u1eadt ho\u1eb7c mu\u1ed9n h\u01a1n (v\u00e0i th\u00e1ng \u0111\u1ebfn nhi\u1ec1u n\u0103m sau ph\u1eabu thu\u1eadt), v\u1edbi t\u1ef7 l\u1ec7 0,1-0,2%. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m h\u00fat thu\u1ed1c, b\u00e9o ph\u00ec, ti\u1ec3u \u0111\u01b0\u1eddng, s\u1eed d\u1ee5ng glucocorticoid v\u00e0 ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<li>Khi c\u00f3 d\u1ea5u hi\u1ec7u s\u1ed1t, \u1edbn l\u1ea1nh, kh\u00e1m l\u00e2m s\u00e0ng: s\u01b0ng, n\u00f3ng, \u0111\u1ecf, \u0111au, r\u00f2 v\u1ebft m\u1ed5 c\u1ea7n ngh\u0129 \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng s\u00e2u. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p si\u00eau \u00e2m, CT \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh: t\u1ee5 d\u1ecbch (huy\u1ebft thanh, t\u1ee5 m\u00e1u, \u00e1p-xe), ph\u00f9 n\u1ec1 ho\u1eb7c m\u1eafc k\u1eb9t m\u1ee1 d\u01b0\u1edbi da quanh l\u01b0\u1edbi ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9\/ho\u1ea1i t\u1eed m\u00f4 kh\u00e1c.<\/li>\n<li>B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n n\u1eb7ng, c\u00f3 th\u1ec3 d\u1eabn l\u01b0u qua v\u1ebft m\u1ed5 v\u00e0 theo d\u00f5i s\u00e1t. B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n v\u00e0 d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng huy\u1ebft v\u00e0 b\u1eb1ng ch\u1ee9ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng t\u1ea1i ch\u1ed7 c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft l\u1ecdc ngay l\u1eadp t\u1ee9c b\u1ea5t k\u1ef3 m\u00f4 b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00e0\/ho\u1eb7c ho\u1ea1i t\u1eed n\u00e0o c\u0169ng nh\u01b0 c\u1eaft b\u1ecf l\u01b0\u1edbi n\u1ebfu kh\u1ea3 thi. C\u1ea7n g\u1eedi m\u00f4 c\u1eaft l\u1ecdc \u0111\u1ec3 nu\u00f4i c\u1ea5y v\u00e0 kh\u00e1ng sinh \u0111\u1ed3.<\/li>\n<\/ul>\n<h4 id=\"H185182786\" class=\"headingAnchor\"><strong>Di chuy\u1ec3n l\u01b0\u1edbi v\u00e0 \u0103n m\u00f2n: <\/strong><\/h4>\n<ul>\n<li class=\"headingAnchor\">Sau khi s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n v\u00e0 \u0111\u00f9i, <span class=\"h2\">x\u00f3i m\u00f2n<\/span>\u00a0l\u01b0\u1edbi th\u00e0nh c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn c\u00f3 th\u1ec3 x\u1ea3y ra, v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a c\u00e1c c\u1ea5u tr\u00fac li\u00ean quan, \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 y\u00eau c\u1ea7u lo\u1ea1i b\u1ecf l\u01b0\u1edbi.<\/li>\n<li>Di chuy\u1ec3n l\u01b0\u1edbi ph\u00e2n lo\u1ea1i: ch\u00ednh ho\u1eb7c ph\u1ee5. Di chuy\u1ec3n c\u01a1 h\u1ecdc ch\u00ednh l\u00e0 s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a l\u01b0\u1edbi d\u1ecdc theo c\u00e1c \u0111\u01b0\u1eddng d\u1eabn \u00edt kh\u00e1ng c\u1ef1 nh\u1ea5t do c\u1ed1 \u0111\u1ecbnh kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c ngo\u1ea1i l\u1ef1c. Di c\u01b0 th\u1ee9 c\u1ea5p l\u00e0 s\u1ef1 di chuy\u1ec3n ch\u1eadm v\u00e0 d\u1ea7n d\u1ea7n c\u1ee7a l\u01b0\u1edbi th\u00f4ng qua c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu li\u1ec1n k\u1ec1 do h\u1eadu qu\u1ea3 c\u1ee7a ph\u1ea3n \u1ee9ng c\u01a1 th\u1ec3 tr\u01b0\u1edbc d\u1ecb v\u1eadt m\u00e3n t\u00ednh. Do m\u1ed9t trong nh\u1eefng c\u01a1 ch\u1ebf n\u00e0y, \u0103n m\u00f2n l\u01b0\u1edbi v\u00e0o b\u00e0ng quang d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u t\u00e1i ph\u00e1t ho\u1eb7c ti\u1ec3u m\u00e1u, \u0103n m\u00f2n v\u00e0o d\u00e2y tinh tr\u00f9ng g\u00e2y t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u v\u00e0 \u0103n m\u00f2n v\u00e0o ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi khoang b\u1ee5ng g\u00e2y h\u00ecnh th\u00e0nh l\u1ed7 r\u00f2 ho\u1eb7c t\u1eafc ru\u1ed9t \u0111\u1ec1u \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li>\n<\/ul>\n<h3>2.2. Bi\u1ebfn ch\u1ee9ng ni\u1ec7u sinh d\u1ee5c<\/h3>\n<h4 id=\"H3914328268\" class=\"headingAnchor\"><span class=\"h2\">B\u00ed<\/span> ti\u1ec3u:<\/h4>\n<ul>\n<li class=\"headingAnchor\">T\u1ef7 l\u1ec7 b\u00ed ti\u1ec3u t\u1eeb 1-20%. Lo\u1ea1i g\u00e2y m\u00ea \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, th\u1eeba n\u01b0\u1edbc khi truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch, tho\u00e1t v\u1ecb hai b\u00ean, th\u1eeba c\u00e2n, thu\u1ed1c gi\u1ea3m \u0111au opioid, tu\u1ed5i gi\u00e0, tri\u1ec7u ch\u1ee9ng tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 th\u1eddi gian ph\u1eabu thu\u1eadt l\u00e2u l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng.<\/li>\n<li>\u0110\u1eb7t \u1ed1ng th\u00f4ng ti\u1ec3u d\u1ef1 ph\u00f2ng l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft tr\u01b0\u1edbc khi s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb m\u1edf ho\u1eb7c n\u1ed9i soi. Thay v\u00e0o \u0111\u00f3, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u l\u00e0m tr\u1ed1ng b\u00e0ng quang ngay tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. M\u1ed9t s\u1ed1 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt cho m\u1ed9t ch\u1ea5t \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 alpha-1 tr\u01b0\u1edbc ph\u1eabu thu\u1eadt (v\u00ed d\u1ee5:,\u00a0<a class=\"drug drug_general\" href=\"http:\/\/tamsulosin\" rel=\"external\" data-topicid=\"9654\">tamsulosin<\/a>) \u0111\u1ec3 ng\u0103n ng\u1eeba b\u00ed ti\u1ec3u sau ph\u1eabu thu\u1eadt.<\/li>\n<li>B\u00ed ti\u1ec3u sau tho\u00e1t v\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u0111\u1eb7t \u1ed1ng th\u00f4ng ng\u1eaft qu\u00e3ng ho\u1eb7c \u0111\u1eb7t \u1ed1ng th\u00f4ng t\u1ea1m th\u1eddi b\u00ean trong.<\/li>\n<\/ul>\n<h4 id=\"H3224782884\" class=\"headingAnchor\"><span class=\"h2\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c ho\u1eb7c \u0111au<\/span> khi ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c<\/h4>\n<ul>\n<li class=\"headingAnchor\">\u00a0\u0110au khi ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c x\u1ea3y ra t\u1eeb 25-30% tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 t\u1ed3n t\u1ea1i t\u1eeb 10-15% sau ph\u1eabu thu\u1eadt.<\/li>\n<li class=\"bulletIndent1\">Ch\u1ea5n th\u01b0\u01a1ng th\u1ea7n kinh c\u00f3 th\u1ec3 g\u00e2y \u0111au m\u00e3n t\u00ednh, do \u0111\u00f3 c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c.<\/li>\n<li class=\"bulletIndent1\">Gi\u00e1n \u0111o\u1ea1n cung c\u1ea5p m\u00e1u cho tinh ho\u00e0n, th\u01b0\u1eddng l\u00e0 do b\u00f3c t\u00e1ch tho\u00e1t v\u1ecb gi\u00e1n ti\u1ebfp kh\u1ecfi th\u1eebng tinh, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111au tinh ho\u00e0n, vi\u00eam tinh ho\u00e0n thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 teo tinh ho\u00e0n. T\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng tinh ho\u00e0n dao \u0111\u1ed9ng t\u1eeb 0,3 \u0111\u1ebfn 7,2%<\/li>\n<li class=\"bulletIndent1\">C\u00e1c bi\u1ebfn ch\u1ee9ng c\u0169ng c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp, ch\u00e8n \u00e9p c\u1ea5u tr\u00fac d\u00e2y b\u00ean ngo\u00e0i ho\u1eb7c ph\u1ea3n \u1ee9ng x\u01a1 h\u00f3a v\u1edbi l\u01b0\u1edbi polypropylen. C\u1eaft b\u1ecf ho\u1eb7c t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn tinh, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 xu\u1ea5t tinh, l\u00e0 m\u1ed1i quan t\u00e2m \u0111\u1eb7c bi\u1ec7t \u1edf nam gi\u1edbi tr\u1ebb.<\/li>\n<\/ul>\n<h4 id=\"H3158241471\" class=\"headingAnchor\">V\u00f4 sinh<\/h4>\n<ul>\n<li class=\"headingAnchor\">\u00a0<span class=\"h2\">V\u00f4 sinh<\/span> nam c\u00f3 th\u1ec3 do t\u1ed5n th\u01b0\u01a1ng \u1ed1ng d\u1eabn tinh trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb hai b\u00ean , t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn tinh do vi\u00eam li\u00ean quan \u0111\u1ebfn l\u01b0\u1edbi nghi\u00eam tr\u1ecdng \u00a0ho\u1eb7c \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch qua trung gian kh\u00e1ng th\u1ec3 \u0111\u1ed1i v\u1edbi tinh tr\u00f9ng.<\/li>\n<li>V\u00f4 sinh do gi\u00e1n \u0111o\u1ea1n \u1ed1ng d\u1eabn tinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ea3o ng\u01b0\u1ee3c b\u1eb1ng ph\u1eabu thu\u1eadt b\u1eb1ng ph\u1eabu thu\u1eadt c\u1eaft \u1ed1ng d\u1eabn tinh. Tuy nhi\u00ean, k\u1ef9 thu\u1eadt n\u00e0y th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi tr\u1ebb em; ch\u1ec9 m\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh b\u1ecb t\u1eafc \u1ed1ng d\u1eabn tinh li\u00ean quan \u0111\u1ebfn l\u01b0\u1edbi m\u1edbi hi\u1ec7u qu\u1ea3.<\/li>\n<\/ul>\n<h3>2.3. \u0110au dai d\u1eb3ng<\/h3>\n<ul>\n<li><span class=\"headingEndMark\">P<\/span>h\u1ed5 bi\u1ebfn, \u0111au sau ph\u1eabu thu\u1eadt m\u00e3n t\u00ednh ho\u1eb7c c\u00f2n s\u00f3t l\u1ea1i xu\u1ea5t hi\u1ec7n sau khi ph\u1eabu thu\u1eadt t\u1eeb 0,7 -43,3%. B\u1ea3n ch\u1ea5t c\u1ee7a c\u01a1n \u0111au c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo th\u1eddi gian. \u0110au sau ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb s\u1ebd gi\u1ea3m d\u1ea7n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u1ef1 ki\u1ebfn, nh\u01b0ng khi c\u01a1n \u0111au k\u00e9o d\u00e0i h\u01a1n ba th\u00e1ng v\u00e0 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 kh\u00f4ng li\u00ean quan \u0111\u1ebfn c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n gi\u1ea3 \u0111\u1ecbnh \u0111au <a href=\"http:\/\/d\u00e2y th\u1ea7n kinh sau tho\u00e1t v\u1ecb\">d\u00e2y th\u1ea7n kinh sau tho\u00e1t v\u1ecb<\/a>.<\/li>\n<\/ul>\n<h3><a href=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/thoat-vi-ben-tai-phat\/\">2.4. Tho\u00e1t v\u1ecb t\u00e1i ph\u00e1t<\/a><\/h3>\n<h2>3. Bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p nh\u01b0ng nghi\u00eam tr\u1ecdng<\/h2>\n<h3 id=\"H815998539\" class=\"headingAnchor\"><span class=\"h2\">3.1. T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng<\/span><\/h3>\n<ul>\n<li class=\"headingAnchor\"><span class=\"headingEndMark\">C<\/span>h\u1ea5n th\u01b0\u01a1ng ru\u1ed9t, m\u1ea1ch m\u00e1u ho\u1eb7c b\u00e0ng quang, r\u1ea5t hi\u1ebfm v\u00e0 x\u1ea3y ra 0,1-1,4%. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng n\u00e0y ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf n\u1ed9i soi so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf v\u00e0 ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf tr\u01b0\u1edbc ph\u00fac m\u1ea1c xuy\u00ean b\u1ee5ng (TAPP) so v\u1edbi s\u1eeda ch\u1eefa ho\u00e0n to\u00e0n ngo\u00e0i ph\u00fac m\u1ea1c (TEP). Ti\u1ec1n c\u0103n ph\u1eabu thu\u1eadt b\u1ee5ng d\u01b0\u1edbi c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng trong s\u1eeda ch\u1eefa n\u1ed9i soi.<\/li>\n<li class=\"bulletIndent1\">T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u: ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch ch\u1eadu ngo\u00e0i ho\u1eb7c t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh kh\u1ed1i m\u00e1u t\u1ee5.<\/li>\n<li class=\"bulletIndent1\">Trong TEP, ch\u1ea5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra trong kh\u00f4ng gian tr\u01b0\u1edbc ph\u00fac m\u1ea1c, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c c\u00e1c m\u1ea1ch t\u1eafc ngh\u1ebdn b\u1ea5t th\u01b0\u1eddng \u0111i qua d\u00e2y ch\u1eb1ng Cooper.<\/li>\n<\/ul>\n<h3 class=\"bulletIndent1\"><span class=\"glyph\">3.2. <\/span>Ch\u1ea5n th\u01b0\u01a1ng b\u00e0ng quang<\/h3>\n<ul>\n<li class=\"bulletIndent1\">Ch\u1ea5n th\u01b0\u01a1ng b\u00e0ng quang l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p trong qu\u00e1 tr\u00ecnh s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb m\u1edf v\u00e0 x\u1ea3y ra \u1edf \u00edt h\u01a1n 1% b\u1ec7nh nh\u00e2n tr\u1ea3i qua s\u1eeda ch\u1eefa tho\u00e1t v\u1ecb b\u1eb9n n\u1ed9i soi. B\u00e0ng quang c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng trong qu\u00e1 tr\u00ecnh ch\u00e8n trocar trong qu\u00e1 tr\u00ecnh ti\u1ebfp c\u1eadn b\u1ee5ng ban \u0111\u1ea7u ho\u1eb7c trong qu\u00e1 tr\u00ecnh m\u1edf r\u1ed9ng v\u1ea1t ph\u00fac m\u1ea1c.<\/li>\n<li class=\"bulletIndent1\">Ch\u1ea5n th\u01b0\u01a1ng b\u00e0ng quang c\u0169ng c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c di chuy\u1ec3n l\u01b0\u1edbi.<\/li>\n<\/ul>\n<h3 id=\"H1746298264\" class=\"headingAnchor\"><span class=\"h2\">3.3. Bi\u1ebfn c\u1ed1<\/span>\u00a0tim m\u1ea1ch<\/h3>\n<ul>\n<li class=\"headingAnchor\">\u00a0Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u1edbn x\u1ea3y ra \u1edf 0,4% b\u1ec7nh nh\u00e2n trong v\u00f2ng 30 ng\u00e0y, bao g\u1ed3m: nh\u1ed3i m\u00e1u c\u01a1 tim (0,1%), \u0111\u1ed9t qu\u1ef5 (0,3%) v\u00e0 thuy\u00ean t\u1eafc ph\u1ed5i (0,05%).<\/li>\n<\/ul>\n<h3>3.4. T\u1eed vong<\/h3>\n<ul>\n<li class=\"headingAnchor\">\u00a0T\u1eed vong ph\u1eabu thu\u1eadt l\u00e0 r\u1ea5t hi\u1ebfm 0,12-0,5%. Tuy nhi\u00ean, t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n khi ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u (4 \u0111\u1ebfn 5,8%), v\u1edbi ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb \u0111\u00f9i (3,1%) v\u00e0 \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i (t\u0103ng 8,7% t\u1ef7 l\u1ec7 t\u1eed vong ph\u1eabu thu\u1eadt cho m\u1ed7i l\u1ea7n t\u0103ng tu\u1ed5i m\u1ed9t n\u0103m).<\/li>\n<\/ul>\n<p>K\u1ebft lu\u1eadn: <a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/cac-bien-chung-co-gap-sau-mo-thoat-vi-ben\/\">Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n<\/a> ho\u1eb7c \u0111\u00f9i l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn, g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi b\u1ec7nh. V\u00ec v\u1eady \u0111\u1ebfn v\u1edbi H\u1ec7 th\u1ed1ng B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec l\u00e0 \u0111\u01a1n v\u1ecb \u0111i \u0111\u1ea7u trong <a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/cac-phuong-phap-dieu-tri-thoat-vi-ben-o-tre\/\"><b class=\"link-in-body\">\u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n<\/b><\/a>\u00a0v\u1edbi nhi\u1ec1u \u01b0u vi\u1ec7t:<\/p>\n<div class=\"rich-text\">\n<ul>\n<li>M\u00f4 h\u00ecnh ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n, t\u0103ng c\u01b0\u1eddng h\u1ed3i ph\u1ee5c b\u1ec7nh nh\u00e2n sau m\u1ed5, b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c nhanh, nhanh tr\u1edf l\u1ea1i v\u1edbi ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y: \u0102n u\u1ed1ng, \u0111i l\u1ea1i, v\u1eadn \u0111\u1ed9ng, gi\u1ea3m \u0111au sau m\u1ed5 t\u1ed1t, th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn (trong kho\u1ea3ng 1 ng\u00e0y).<\/li>\n<li>Ph\u00f2ng m\u1ed5 Hybrid c\u1ee7a Vinmec l\u00e0 h\u1ec7 th\u1ed1ng ph\u00f2ng m\u1ed5 hi\u1ec7n \u0111\u1ea1i nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi hi\u1ec7n nay, t\u00edch h\u1ee3p ph\u00f2ng m\u1ed5 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ti\u00ean ti\u1ebfn (ch\u1ee5p CT, ch\u1ee5p MRI, si\u00eau \u00e2m&#8230;) gi\u00fap gi\u1ea3m th\u1eddi gian ph\u1eabu thu\u1eadt v\u00e0 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 ph\u1eabu thu\u1eadt t\u1ed1t nh\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>Trong g\u00e2y m\u00ea h\u1ed3i s\u1ee9c, Vinmec tu\u00e2n th\u1ee7 c\u00e1c ph\u00e1c \u0111\u1ed3 g\u00e2y m\u00ea, c\u00e1c h\u01b0\u1edbng d\u1eabn an to\u00e0n g\u00e2y m\u00ea, b\u1ea3ng ki\u1ec3m g\u00e2y m\u00ea \u0111\u1ed1i v\u1edbi 100% ca ph\u1eabu thu\u1eadt nh\u1eb1m gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a s\u1ef1 c\u1ed1 v\u00e0 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/li>\n<\/ul>\n<\/div>\n<p class=\"\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/cac-bien-chung-co-gap-sau-mo-thoat-vi-ben\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/cac-bien-chung-co-gap-sau-mo-thoat-vi-ben\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n ho\u1eb7c \u0111\u00f9i l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn. C\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra trong giai \u0111o\u1ea1n chu ph\u1eabu bao g\u1ed3m u huy\u1ebft thanh, t\u1ee5 m\u00e1u v\u1ebft th\u01b0\u01a1ng, b\u00ed ti\u1ec3u v\u00e0 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 b\u1ec1 m\u1eb7t, trong khi c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra sau \u0111\u00f3 bao g\u1ed3m \u0111au [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i - Vinmec<\/title>\n<meta name=\"description\" content=\"Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 l\u00e0: t\u1ee5 m\u00e1u v\u1ebft th\u01b0\u01a1ng, b\u00ed ti\u1ec3u, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt tho\u00e1t v\u1ecb b\u1eb9n \u0111\u00f9i - 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