{"id":1974,"date":"2023-04-08T11:02:05","date_gmt":"2023-04-08T04:02:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1974"},"modified":"2023-04-14T19:42:07","modified_gmt":"2023-04-14T12:42:07","slug":"so-luoc-ve-phau-thuat-dong-dinh-noi-tuy","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/so-luoc-ve-phau-thuat-dong-dinh-noi-tuy\/","title":{"rendered":"S\u01a1 l\u01b0\u1ee3c v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y"},"content":{"rendered":"<div class=\"Message_botMessageBubble__CPGMI \">\n<div class=\"Markdown_markdownContainer__UyYrv\">\n<p><strong>Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y (Intramedullary nail or IM nail) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i . Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m vi\u1ec7c \u0111\u01b0a m\u1ed9t \u0111inh th\u00e9p d\u00e0i v\u00e0o trong \u1ed1ng x\u01b0\u01a1ng \u0111\u1ec3 gi\u1eef cho x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh v\u00e0 ki\u1ec3m so\u00e1t vi\u1ec7c li\u1ec1n x\u01b0\u01a1ng. \u0110inh th\u00e9p n\u00e0y \u0111\u01b0\u1ee3c \u0111\u01b0a qua kh\u00e2u m\u1ed5 v\u00e0 \u0111\u01b0a v\u00e0o trong \u1ed1ng x\u01b0\u01a1ng th\u00f4ng qua m\u1ed9t \u0111i\u1ec3m c\u1eaft nh\u1ecf \u1edf \u0111\u1ea7u x\u01b0\u01a1ng. Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y l\u00e0 \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 gi\u1eef cho x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh, gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng di l\u1ec7ch so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng.<\/strong><\/p>\n<h1>1. Qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y:<\/h1>\n<h2>1.1. Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt:<\/h2>\n<ul>\n<li>Kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe: B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem li\u1ec7u ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi tr\u01b0\u1eddng h\u1ee3p c\u1ee7a h\u1ecd hay kh\u00f4ng. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c nh\u01b0 b\u1ec7nh tim , ti\u1ec3u \u0111\u01b0\u1eddng, ho\u1eb7c l\u1edbn tu\u1ed5i, c\u00e1c b\u00e1c s\u0129 s\u1ebd c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>C\u00e1c x\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu: Tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u ki\u1ec3m tra x\u00e9t nghi\u1ec7m m\u00e1u, n\u01b0\u1edbc ti\u1ec3u v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 gi\u00fap c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n hay tr\u00ec ho\u00e3n ph\u1eabu thu\u1eadt.<\/li>\n<li>Tr\u00e1nh \u0103n u\u1ed1ng tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt: B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u kh\u00f4ng \u0103n u\u1ed1ng trong kho\u1ea3ng 8 gi\u1edd tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o d\u1ea1 d\u00e0y tr\u1ed1ng r\u1ed7ng v\u00e0 gi\u1ea3m nguy c\u01a1 vi\u00eam ph\u1ed5i.<\/li>\n<li>Chu\u1ea9n b\u1ecb tinh th\u1ea7n: B\u1ec7nh nh\u00e2n c\u1ea7n chu\u1ea9n b\u1ecb tinh th\u1ea7n cho ph\u1eabu thu\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu \u0111\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean b\u1ec7nh nh\u00e2n ph\u1ea3i tr\u1ea3i qua ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<h2>1.2. Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y:<\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c g\u00e2y m\u00ea t\u00f9y tr\u01b0\u1eddng h\u1ee3p<\/li>\n<li>Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt: B\u00e1c s\u0129 s\u1ebd t\u1ea1o ra m\u1ed9t v\u1ebft c\u1eaft nh\u1ecf tr\u00ean da v\u00e0 s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 \u0111\u1ec3 \u0111\u01b0a \u0111inh n\u1ed9i t\u1ee7y v\u00e0o x\u01b0\u01a1ng. B\u00e1c s\u0129 c\u0169ng s\u1ebd s\u1eed d\u1ee5ng m\u00e1y X-quang ho\u1eb7c m\u00e1y si\u00eau \u00e2m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a \u0111inh n\u1ed9i t\u1ee7y.<\/li>\n<li>\u0110\u01b0a \u0111inh n\u1ed9i t\u1ee7y v\u00e0o x\u01b0\u01a1ng: B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a \u0111inh n\u1ed9i t\u1ee7y v\u00e0o x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 v\u00e0 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt.<\/li>\n<li>Ki\u1ec3m tra v\u1ecb tr\u00ed \u0111inh n\u1ed9i t\u1ee7y: Sau khi \u0111\u01b0a \u0111inh n\u1ed9i t\u1ee7y v\u00e0o x\u01b0\u01a1ng, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng m\u00e1y X-quang ho\u1eb7c m\u00e1y si\u00eau \u00e2m \u0111\u1ec3 ki\u1ec3m tra v\u1ecb tr\u00ed \u0111inh n\u1ed9i t\u1ee7y v\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed.<\/li>\n<li>\u0110\u00f3ng v\u1ebft th\u01b0\u01a1ng v\u00e0 chuy\u1ec3n b\u1ec7nh nh\u00e2n sang khu v\u1ef1c h\u1eadu ph\u1eabu \u0111\u1ec3 theo d\u00f5i<\/li>\n<\/ul>\n<h2>1.3.\u00a0 Theo d\u00f5i b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt:<\/h2>\n<p>B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t v\u00e0 theo d\u00f5i \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng x\u1ea3y ra. N\u1ebfu c\u1ea7n, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt v\u00e0 kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 h\u1ed3i ph\u1ee5c b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt.<\/p>\n<h1>2. \u01afu \u0111i\u1ec3m v\u00e0 r\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y:<\/h1>\n<p><strong>\u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y:<\/strong><\/p>\n<ul>\n<li>Ph\u1ee5c h\u1ed3i nhanh h\u01a1n: So v\u1edbi ph\u1eabu thu\u1eadt m\u1edf truy\u1ec1n th\u1ed1ng, ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u00edt \u0111au\u00a0h\u01a1n v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i nhanh h\u01a1n. Th\u1eddi gian ngh\u1ec9 ng\u01a1i v\u00e0 t\u1eadp luy\u1ec7n sau ph\u1eabu thu\u1eadt c\u0169ng ng\u1eafn h\u01a1n.<\/li>\n<li>Gi\u1ea3m thi\u1ec3u s\u1ef1 \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 m\u1ea5t m\u00e1u trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt do di\u1ec7n c\u1eaft nh\u1ecf tr\u00ean da.<\/li>\n<li>T\u00e1i t\u1ea1o s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a x\u01b0\u01a1ng: Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y gi\u00fap t\u00e1i t\u1ea1o s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a x\u01b0\u01a1ng v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn di l\u1ec7ch x\u01b0\u01a1ng.<\/li>\n<li>\u0110\u1ed9 an to\u00e0n cao: Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ed9 an to\u00e0n cao, v\u00ec n\u00f3 c\u00f3 \u00edt r\u1ee7i ro h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf truy\u1ec1n th\u1ed1ng.<\/li>\n<\/ul>\n<p><strong>R\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y:<\/strong><\/p>\n<ul>\n<li>Nhi\u1ec5m tr\u00f9ng: kh\u1ea3 n\u0103ng nhi\u1ec5m tr\u00f9ng l\u00e0 r\u1ea5t cao, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi v\u1ebft c\u1eaft l\u00e0 v\u1ebft c\u1eaft l\u1edbn. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>Bi\u1ebfn ch\u1ee9ng v\u1ec1 x\u01b0\u01a1ng: N\u1ebfu \u0111inh n\u1ed9i t\u1ee7y kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed ho\u1eb7c \u0111\u01b0a v\u00e0o b\u1ecb l\u1ec7ch, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn li\u1ec1n x\u01b0\u01a1ng.<\/li>\n<li>D\u1ecb \u1ee9ng v\u1edbi kim lo\u1ea1i: do \u0111inh n\u1ed9i t\u1ee7y \u0111\u01b0\u1ee3c \u0111\u01b0a xem nh\u01b0 l\u00e0 m\u1ed9t v\u1eadt l\u1ea1 \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 v\u00ec th\u1ebf c\u00f3 th\u1ec3 s\u1ebd x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch \u0111\u1ec3 ch\u1ed1ng l\u1ea1i v\u1eadt l\u1ea1.<\/li>\n<\/ul>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<b class=\"link-in-body\">HOTLINE<\/b>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/dangkykham\/\"><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<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y (Intramedullary nail or IM nail) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i . Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m vi\u1ec7c \u0111\u01b0a m\u1ed9t \u0111inh th\u00e9p d\u00e0i v\u00e0o trong \u1ed1ng x\u01b0\u01a1ng \u0111\u1ec3 gi\u1eef cho x\u01b0\u01a1ng \u1ed5n \u0111\u1ecbnh [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u01a1 l\u01b0\u1ee3c v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y - Vinmec<\/title>\n<meta name=\"description\" content=\"\u1ee8ng d\u1ee5ng c\u1ee7a ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y r\u1ea5t \u0111a d\u1ea1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 g\u00e3y th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i.\" \/>\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=\"S\u01a1 l\u01b0\u1ee3c v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111inh n\u1ed9i t\u1ee7y - 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