{"id":20575,"date":"2023-04-14T12:49:23","date_gmt":"2023-04-14T05:49:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20575"},"modified":"2023-05-02T16:03:39","modified_gmt":"2023-05-02T09:03:39","slug":"benh-nhan-nho-rang-quan-ly-va-cham-soc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/benh-nhan-nho-rang-quan-ly-va-cham-soc\/","title":{"rendered":"B\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng &#8211; Qu\u1ea3n l\u00fd v\u00e0 ch\u0103m s\u00f3c."},"content":{"rendered":"<p><strong>\u0110\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng s\u1ef1 th\u00e0nh c\u00f4ng tr\u01b0\u1edbc, trong v\u00e0 sau qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng s\u1ed1 8, Nha s\u0129 c\u1ea7n ch\u00fa \u00fd nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m v\u00e0 hi\u1ec3u r\u00f5 b\u1ea3n ch\u1ea5t c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng. C\u00f9ng t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft n\u00e0y.<\/strong><\/p>\n<figure id=\"attachment_20630\" aria-describedby=\"caption-attachment-20630\" style=\"width: 948px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-20630\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/nho-rang-khon-nieng-rang-1-1.jpg\" alt=\"benh-nhan-nho-rang-khon\" width=\"948\" height=\"640\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/nho-rang-khon-nieng-rang-1-1.jpg 948w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/nho-rang-khon-nieng-rang-1-1-300x203.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/nho-rang-khon-nieng-rang-1-1-768x518.jpg 768w\" sizes=\"(max-width: 948px) 100vw, 948px\" \/><figcaption id=\"caption-attachment-20630\" class=\"wp-caption-text\">Nh\u1eefng l\u01b0u \u00fd trong v\u1ea5n \u0111\u1ec1 nh\u1ed5 r\u0103ng kh\u00f4n<\/figcaption><\/figure>\n<h2>1. Nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m trong l\u1ea7n h\u1eb9n b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng \u0111\u1ea7u ti\u00ean<\/h2>\n<p><strong>H\u1ecfi b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<p><em>Nh\u1eefng c\u00e2u h\u1ecfi v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd y khoa n\u00f3i chung c\u1ea7n \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n \u0111\u1ecdc k\u1ef9 v\u00e0 tr\u1ea3 l\u1eddi \u0111\u1ea7y \u0111\u1ee7. Ph\u1eabu thu\u1eadt vi\u00ean n\u00ean h\u1ecfi:<\/em><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 kh\u00f4ng?<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 u\u1ed1ng thu\u1ed1c g\u00ec sau nh\u1eefng l\u1ea7n ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 kh\u00f4ng?<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 u\u1ed1ng Aspirin kh\u00f4ng?<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 th\u01b0\u1eddng b\u1ecb d\u1ecb \u1ee9ng hay b\u1ecb d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c g\u00ec kh\u00f4ng?<\/li>\n<li>B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh g\u00ec kh\u00e1c kh\u00f4ng?<\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh nh\u1ed5 r\u0103ng v\u00e0 cho thu\u1ed1c tr\u01b0\u1edbc b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng; trong ph\u1ea7n b\u1ec7nh s\u1eed, c\u1ea7n ki\u1ec3m tra b\u1ec7nh nh\u00e2n c\u00f3 bao gi\u1edd b\u1ecb vi\u00eam l\u1ee3i tr\u00f9m hay ch\u01b0a.<\/p>\n<p><strong>Kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>Sau khi kh\u00e1m trong v\u00e0 ngo\u00e0i mi\u1ec7ng, ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 h\u1ebft th\u00f4ng tin \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt hay kh\u00f4ng. C\u1ea7n cho b\u1ec7nh nh\u00e2n bi\u1ebft v\u1ec1 nh\u1eefng nguy c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 nh\u1eefng tai bi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra khi ph\u1eabu thu\u1eadt. Cung c\u1ea5p cho b\u1ec7nh nh\u00e2n t\u1edd cam \u0111oan ph\u1eabu thu\u1eadt \u0111\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u00e3 r\u00f5 nh\u1eefng t\u1ea1i bi\u1ebfn trong v\u00e0 sau ph\u1eabu thu\u1eadt v\u00e0 \u0111\u00e3 \u0111\u1ed3ng \u00fd ph\u1eabu thu\u1eadt. T\u1edd cam \u0111oan ph\u1eabu thu\u1eadt n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 lo\u1ea1i b\u1ecf h\u1ebft tr\u00e1ch nhi\u1ec7m c\u1ee7a b\u00e1c s\u0129 trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/p>\n<p>Tuy nhi\u00ean khi x\u1ea3y ra ki\u1ec7n t\u1ee5ng, n\u00f3 ch\u1ee9ng minh r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin v\u1ec1 c\u00e1c nguy c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 \u0111\u00e2y l\u00e0 c\u01a1 s\u1edf ph\u00e1p l\u00fd khi gi\u1ea3i quy\u1ebft tranh ch\u1ea5p.<\/p>\n<p><strong>Nh\u1eefng h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt trong mi\u1ec7ng<\/strong><\/p>\n<p>Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ea3i cung c\u1ea5p cho b\u1ec7nh nh\u00e2n nh\u1eefng h\u01b0\u1edbng d\u1eabn c\u1ea7n thi\u1ebft. N\u00f3 g\u1ed3m t\u00f3m t\u1eafc nh\u1eefng l\u01b0u \u00fd tr\u01b0\u1edbc c\u0169ng nh\u01b0 sau ph\u1eabu thu\u1eadt nh\u1eb1m gi\u1ea3m ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n<p><span style=\"text-decoration: underline;\"><em>Tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/em><\/span><\/p>\n<p>\u0110\u1ec3 cho cu\u1ed9c ph\u1eabu thu\u1eadt (b\u1eb1ng g\u00e2y t\u00ea) c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh v\u1edbi \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u; b\u1ec7nh nh\u00e2n ph\u1ea3i th\u1ef1c hi\u1ec7n nh\u1eefng y\u00eau c\u1ea7u sau:<\/p>\n<ul>\n<li>D\u00f9ng thu\u1ed1c theo toa.<\/li>\n<li>Kh\u00f4ng \u0111\u01b0\u1ee3c u\u1ed1ng Aspirin hay thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb salicylic acid trong 10 ng\u00e0y tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n<li>Tr\u00e1nh h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u bia trong 12 gi\u1edd tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n<li>\u0102n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<p><em><span style=\"text-decoration: underline;\">Sau ph\u1eabu thu\u1eadt<\/span><\/em><\/p>\n<p>\u0110\u1ec3 v\u1ebft th\u01b0\u01a1ng l\u00e0nh t\u1ed1t v\u00e0 tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n th\u1ef1c hi\u1ec7n nh\u1eefng y\u00eau c\u1ea7u sau:<\/p>\n<ul>\n<li>Trong 24 gi\u1edd sau ph\u1eabu thu\u1eadt:\n<ul>\n<li>C\u1eafn ch\u1eb7t g\u1ea1c li\u00ean t\u1ee5c ngay t\u1ea1i v\u1ecb tr\u00ed v\u1eeba nh\u1ed5 r\u0103ng, thay g\u00f2n 3 l\u1ea7n n\u1ebfu c\u1ea7n.<\/li>\n<li>Ch\u01b0\u1eddm l\u1ea1nh ngay sau m\u1ed5 trong 15 ph\u00fat, c\u00e1ch nhau m\u1ed7i 30 ph\u00fat trong v\u00f2ng 4 gi\u1edd. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m s\u01b0ng v\u00e0 ch\u1ea3y m\u00e1u.<\/li>\n<li>U\u1ed1ng thu\u1ed1c theo toa ngay c\u1ea3 khi kh\u00f4ng th\u1ea5y d\u1ea5u hi\u1ec7n s\u01b0ng \u0111au trong nh\u1eefng gi\u1edd \u0111\u1ea7u sau ph\u1eabu thu\u1eadt.<\/li>\n<li>Tr\u00e1nh \u0103n u\u1ed1ng th\u1ee9c \u0103n n\u00f3ng.<\/li>\n<li>Kh\u00f4ng h\u00fat thu\u1ed1c.<\/li>\n<li>Tr\u00e1nh s\u00fac mi\u1ec7ng. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 ch\u1ea3y \u00edt m\u00e1u, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u00fac mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc l\u1ea1nh v\u00e0 c\u1eafn ch\u1eb7t g\u1ea1c l\u1ea1i ngay t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt.<\/li>\n<li>N\u1eb1m t\u01b0 th\u1ebf \u0111\u1ea7u cao n\u1ebfu n\u1eb1m xu\u1ed1ng.<\/li>\n<\/ul>\n<\/li>\n<li>Trong tu\u1ea7n \u0111\u1ea7u ti\u00ean sau m\u1ed5:\n<ul>\n<li>S\u00fac mi\u1ec7ng b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch, l\u1ea1nh, c\u1eafn g\u1ea1c ngay t\u1ea1i v\u1ebft th\u01b0\u01a1ng; g\u1ea1c n\u00ean thay sau m\u1ed7i 10 ph\u00fat n\u1ebfu c\u00f3 ch\u1ea3y m\u00e1u. Li\u00ean h\u1ec7 ngay b\u00e1c s\u0129 ph\u1eabu thu\u1eadt.<\/li>\n<li>\u0110\u00e1nh r\u0103ng b\u1eb1ng n\u01b0\u1edbc l\u1ea1nh, tr\u00e1nh v\u00f9ng m\u1ed5.<\/li>\n<li>D\u00f9ng thu\u1ed1c theo \u0111\u00fang h\u01b0\u1edbng d\u1eabn tr\u00ean toa v\u00e0 \u0111\u00fang th\u1eddi gian.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>\u0110\u00e1nh gi\u00e1 tia X<\/strong><\/p>\n<p>\u0110\u00e1nh gi\u00e1 phim tia X b\u1eb1ng phim th\u01b0\u1eddng quy nh\u01b0ng t\u1ed1t nh\u1ea5t l\u00e0 kh\u1ea3o s\u00e1t b\u1eb1ng CT- scanning tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n<p><strong>Thu\u1ed1c tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n<p><em><span style=\"text-decoration: underline;\">Gi\u1ea3m \u0111au<\/span><\/em><\/p>\n<p>D\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb salicylic acid 30 ph\u00fat tr\u01b0\u1edbc m\u1ed5.<\/p>\n<p><em><span style=\"text-decoration: underline;\">Kh\u00e1ng sinh:<\/span> <\/em>D\u00f9ng kh\u00e1ng sinh cho b\u1ec7nh nh\u00e2n trong t\u1ea5t c\u1ea3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3:<\/p>\n<ul>\n<li>B\u1ec7nh l\u00fd valve tim, ti\u1ec3u \u0111\u01b0\u1eddng, th\u1eadn hay b\u1ec7nh c\u00f3 li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch.<\/li>\n<li>Ti\u1ec1n s\u1eed vi\u00eam l\u1ee3i tr\u00f9m hay h\u00ecnh \u1ea3nh th\u1ea5u quang trong x\u01b0\u01a1ng t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt ngh\u0129 nhi\u1ec1u do vi\u00eam nhi\u1ec5m.<\/li>\n<\/ul>\n<p><em><span style=\"text-decoration: underline;\">Thu\u1ed1c an th\u1ea7n:<\/span> <\/em>M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thu\u1ed1c an th\u1ea7n, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111i ti\u1ec3u tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 c\u00f3 hai ng\u01b0\u1eddi theo d\u00f5i li\u00ean t\u1ee5c sau ph\u1eabu thu\u1eadt \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh.<\/p>\n<p><strong>C\u00e1c giai \u0111o\u1ea1n ph\u1eabu thu\u1eadt<\/strong><\/p>\n<p><em><span style=\"text-decoration: underline;\">Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n<\/span><\/em><\/p>\n<p>Nh\u00f3m m\u1ed5 c\u1ea7n th\u1ed1ng nh\u1ea5t v\u00e0 ch\u1eafn ch\u1eafn r\u1eb1ng cu\u1ed9c m\u1ed5 di\u1ec5n ra th\u00e0nh c\u00f4ng, ngo\u00e0i b\u1ea3o \u0111\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a cu\u1ed9c m\u1ed5, c\u00f2n c\u1ea7n ph\u1ea3i l\u01b0u \u00fd r\u1eb1ng:<\/p>\n<ul>\n<li>Tr\u01b0\u1edbc ph\u1eabu thu\u1eadt: ch\u1eafc ch\u1eafn r\u1eb1ng b\u1ec7nh nh\u00e2n (ng\u01b0\u1eddi l\u1edbn) \u0111\u00e3 tin t\u01b0\u1edfng \u0111i\u1ec1u tr\u1ecb. S\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a ph\u1eabu thu\u1eadt, \u0111\u1eb7c bi\u1ec7t d\u01b0\u1edbi g\u00e2y t\u00ea, t\u00f9y v\u00e0o m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n \u1edf l\u1ea7n h\u1eb9n \u0111\u1ea7u ti\u00ean.<\/li>\n<li>Trong su\u1ed1t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt: b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i li\u00ean t\u1ee5c, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ec7nh nh\u00e2n x\u1ec9u.<\/li>\n<li>Sau ph\u1eabu thu\u1eadt: c\u00e1c h\u01b0\u1edbng d\u1eabn \u0111\u00e3 \u0111\u01b0\u1ee3c n\u00f3i \u1edf l\u1ea7n g\u1eb7p \u0111\u1ea7u ti\u00ean c\u1ea7n nh\u1eafc l\u1ea1i, gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n r\u00f5.<\/li>\n<\/ul>\n<p><strong>C\u00e1c giai \u0111o\u1ea1n sau ph\u1eabu thu\u1eadt<\/strong><\/p>\n<p><em><span style=\"text-decoration: underline;\">Thu\u1ed1c sau ph\u1eabu thu\u1eadt<\/span><\/em><\/p>\n<ul>\n<li>Gi\u1ea3m \u0111au: Trong 24 gi\u1edd \u0111\u1ea7u c\u1ea7n ph\u1ea3i u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au, sau 24 gi\u1edd ti\u1ebfp theo th\u00ec ch\u1ec9 u\u1ed1ng khi c\u1ea7n.<\/li>\n<li>Kh\u00e1ng sinh: Kh\u00e1ng sinh to\u00e0n th\u00e2n c\u1ea7n thi\u1ebft khi b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd to\u00e0n th\u00e2n nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, x\u01b0\u01a1ng b\u1ed9c l\u1ed9 nhi\u1ec1u trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/li>\n<li>Kh\u00e1ng vi\u00eam: C\u00f9ng v\u1edbi kh\u00e1ng sinh, thu\u1ed1c kh\u00e1ng vi\u00eam steroid hay non-steroid c\u1ea7n cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>S\u00fac mi\u1ec7ng: S\u00fac mi\u1ec7ng trong 24 gi\u1edd sau ph\u1eabu thu\u1eadt.<\/li>\n<li>Theo d\u00f5i: Nh\u1eefng l\u1ea7n h\u1eb9n theo d\u00f5i sau ph\u1eabu thu\u1eadt l\u00e0 l\u1ea7n h\u1eb9n \u0111\u1ea7u ti\u00ean sau 7 ng\u00e0y m\u1ed5. V\u1edbi nh\u1eefng l\u1ea7n h\u1eb9n n\u00e0y, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 h\u01b0\u1edbng d\u1eabn sau m\u1ed5 gi\u00fap tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u1eabu thu\u1eadt v\u00e0 l\u00e0nh th\u01b0\u01a1ng.<\/li>\n<li>C\u1eaft ch\u1ec9\n<ul>\n<li>\u1ede b\u1ec7nh nh\u00e2n hay lo l\u1eafng, t\u1ed1t nh\u1ea5t l\u00e0 d\u00f9ng ch\u1ec9 ti\u00eau trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p kh\u00e2u b\u1eb1ng ch\u1ec9 kh\u00f4ng ti\u00eau, c\u1eaft ch\u1ec9 l\u00e0 th\u1ee7 thu\u1eadt nh\u1eb9 nh\u00e0ng, h\u1ea7u nh\u01b0 kh\u00f4ng \u0111au. D\u00f9ng k\u00e9o \u0111\u1ea7u nh\u1ecdn v\u00e0 ch\u1eafc ch\u1eafn r\u1eb1ng ch\u1ec9 \u0111\u01b0\u1ee3c c\u1eaft v\u00e0 l\u1ea5y ra ho\u00e0n to\u00e0n. B\u1ea5t c\u1ee9 nh\u1eefng \u0111o\u1ea1n ch\u1ec9 n\u00e0o d\u00f9 nh\u1ecf c\u00f2n l\u1ea1i c\u0169ng \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>Th\u1eddi gian l\u00e0nh th\u01b0\u01a1ng kh\u00e1c nhau \u0111\u1ed1i v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n, v\u00ec th\u1ebf c\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1eaft ch\u1ec9 tr\u1ec5 sau 8 ng\u00e0y m\u1ed5.<\/li>\n<\/ul>\n<\/li>\n<li>V\u1ec7 sinh r\u0103ng mi\u1ec7ng:\n<ul>\n<li>Sau khi c\u1eaft ch\u1ec9, b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n khi s\u00fac mi\u1ec7ng v\u00e0 \u0111\u01b0a b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng v\u00e0o v\u00f9ng m\u1ed5. Trong su\u1ed1t nh\u1eefng tu\u1ea7n ti\u1ebfp theo, n\u00ean s\u00fac mi\u1ec7ng b\u1eb1ng dung d\u1ecbch 0.2% chlohexidine gluconate nh\u1eb1m gi\u00fap v\u1ebft th\u01b0\u01a1ng l\u00e0nh nhanh h\u01a1n.<\/li>\n<li>D\u00f9 c\u00f3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n ng\u01b0ng h\u00fat thu\u1ed1c sau ph\u1eabu thu\u1eadt, ph\u1eabu thu\u1eadt vi\u00ean n\u00ean nh\u1ea5n m\u1ea1nh l\u1ea1i nh\u1eefng t\u00e1c h\u1ea1i c\u1ee7a thu\u1ed1c l\u00e1 l\u00ean qu\u00e1 tr\u00ecnh l\u00e0nh m\u00f4 m\u1ec1m sau m\u1ed7i l\u1ea7n h\u1eb9n.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Theo d\u00f5i s\u1ef1 l\u00e0nh th\u01b0\u01a1ng<\/strong><\/p>\n<p><span style=\"text-decoration: underline;\">\u0110\u00f3ng v\u1ebft m\u1ed5:<\/span> Ph\u1eabu thu\u1eadt vi\u00ean n\u00ean l\u01b0u \u00fd 3 tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<ul>\n<li>V\u1edbi r\u0103ng ng\u1ea7m: Sau khi b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng v\u00e0 x\u01b0\u01a1ng \u1ed5 r\u0103ng c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch, c\u1ea7n \u0111\u1eb7t v\u1ea1t l\u1ea1i \u0111\u00fang v\u1ecb tr\u00ed ban \u0111\u1ea7u c\u1ee7a n\u00f3. M\u00f4 m\u1ec1m v\u00e0 nu\u1edbu v\u00f9ng l\u1ed3i c\u1ee7 x\u01b0\u01a1ng h\u00e0m tr\u00ean kh\u00e2u l\u1ea1i c\u1ea9n th\u1eadn, ch\u1ec9 kh\u00e2u n\u00ean c\u1eaft sau 1 tu\u1ea7n. Ph\u1eabu thu\u1eadt n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i.<\/li>\n<li>R\u0103ng m\u1ecdc ng\u1ea7m m\u1ed9t ph\u1ea7n: Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p r\u0103ng m\u1ecdc k\u1eb9t m\u1ed9t ph\u1ea7n, th\u01b0\u1eddng kh\u00f4ng th\u1ec3 kh\u00e2u k\u00edn sau khi ph\u1eabu thu\u1eadt. Ph\u1ea7n ni\u00eam m\u1ea1c c\u1ee7a \u0111\u01b0\u1eddng r\u1ea1ch \u0111\u01b0\u1ee3c kh\u00e2u l\u1ea1i theo b\u1edd-b\u1edd. B\u1edd x\u01b0\u01a1ng \u1ed5 r\u0103ng \u0111\u01b0\u1ee3c g\u1ecdt d\u0169a k\u1ef9 \u0111\u1ed3ng th\u1eddi kh\u00e2u l\u1ea1i hai m\u00e9p v\u1ebft th\u01b0\u01a1ng b\u1eb1ng m\u0169i gi\u1ea3m c\u0103ng tr\u00ean \u1ed5 r\u0103ng. M\u0169i kh\u00e2u ph\u00eda xa R7 c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 kh\u1ed1i x\u01b0\u01a1ng \u1ed5 v\u00e0 ch\u00e2n R7 (c\u00f3 th\u1ec3 l\u1ed9 trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt).<\/li>\n<li>M\u1ea5t b\u00e1m d\u00ednh:\n<ul>\n<li>Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 vi\u00eam l\u1ee3i tr\u00f9m, c\u1ea7n l\u00e0m s\u1ea1ch \u1ed5 r\u0103ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh t\u00edch \u0111\u1ed3ng th\u1eddi x\u1eed l\u00fd m\u1eb7t ch\u00e2n R7 n\u1ebfu c\u00f3 l\u1ed9 ra. \u0110i\u1ec1u n\u00e0y gi\u00fap k\u00edch th\u00edch t\u00e1i b\u00e1m d\u00ednh cho R7.<\/li>\n<li>Trong 3 tr\u01b0\u1eddng h\u1ee3p tr\u00ean, c\u1ea7n ti\u1ebfn h\u00e0nh ki\u1ec3m tra m\u00f4 nha chu c\u1ee7a r\u0103ng c\u1ed1i k\u1ebf c\u1ea1nh trong su\u1ed1t qu\u00e1 tr\u00ecnh li\u1ec1n th\u01b0\u01a1ng.<\/li>\n<li>Sau ph\u1eabu thu\u1eadt, m\u00f4 ni\u00eam m\u1ea1c c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u1ea1i v\u1ecb tr\u00ed c\u0169. S\u1ef1 s\u1eeda ch\u1eefa sinh h\u1ecdc s\u1ebd t\u00e1i t\u1ea1o l\u1ea1i nh\u1eefng c\u1ea5u tr\u00fac v\u00e0 ph\u1ee5c h\u1ed3i l\u1ea1i nh\u1eefng ch\u1ee9c n\u0103ng v\u1ed1n c\u00f3 c\u1ee7a m\u00f4 m\u1ec1m tr\u01b0\u1edbc \u0111\u00f3. L\u1edbp th\u01b0\u1ee3ng m\u00f4 b\u1eaft \u0111\u1ea7u t\u00e1i sinh, b\u1eaft \u0111\u1ea7u t\u1eeb l\u1edbp t\u1ebf b\u00e0o \u0111\u00e1y trong v\u00f2ng 5 ng\u00e0y sau m\u1ed5. V\u00f9ng \u0111\u1ec9nh x\u01b0\u01a1ng \u1ed5 r\u0103ng, m\u1eb7t ch\u00e2n r\u0103ng \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1edfi nh\u1eefng l\u1edbp m\u00f4 s\u1ee3i collagen. M\u00f4 c\u00f2n l\u1ea1i n\u00e0y gi\u00fap h\u1ec7 th\u1ed1ng m\u00f4 s\u1ee3i t\u00e1i b\u00e1m d\u00ednh tr\u00ean R7 sau n\u00e0y (Schroeder). \u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch t\u1ea1i sao v\u1ea1t bao ph\u00eda tr\u01b0\u1edbc c\u1ea7n \u0111\u01b0\u1ee3c b\u0103ng \u00e9p b\u1eb1ng g\u1ea1c sau ph\u1eabu thu\u1eadt t\u1ea1i gai n\u01b0\u1edbu. Gi\u1ea3m \u0111\u1ebfn m\u1ee9c t\u1ed1i thi\u1ec3u c\u1ee5c m\u00e1u \u0111\u00f4ng t\u1ea1i v\u00f9ng n\u00e0y nh\u1eb1m gi\u00fap s\u1ef1 l\u00e0nh th\u01b0\u01a1ng nguy\u00ean ph\u00e1t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>S\u1ef1 l\u00e0nh th\u01b0\u01a1ng t\u1ea1i g\u1edd x\u01b0\u01a1ng \u1ed5 r\u0103ng<\/strong><\/p>\n<p>Trong tu\u1ea7n \u0111\u1ea7u ti\u00ean, m\u00f4 h\u1ea1t thay th\u1ebf c\u1ee5c m\u00e1u \u0111\u00f4ng. V\u00e0o tu\u1ea7n th\u1ee9 hai, m\u00f4 li\u00ean k\u1ebft v\u00e0 c\u00e1c b\u00e8 x\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u00e1y \u1ed5 r\u0103ng, b\u1eaft \u0111\u1ea7u t\u1eeb th\u00e0nh \u1ed5 r\u0103ng. Sau 4-5 tu\u1ea7n, l\u1edbp lamina dura bi\u1ebfn m\u1ea5t tr\u00ean phim tia X.<\/p>\n<p>G\u1edd x\u01b0\u01a1ng \u1ed5 r\u0103ng (ph\u00eda l\u01b0\u1ee1i v\u00e0 ph\u00eda m\u00e1) c\u1ee7a \u1ed5 r\u0103ng s\u1ebd t\u00e1i t\u1ea1o l\u1ea1i h\u00ecnh th\u1ec3 v\u00e0 tr\u1edf n\u00ean tr\u00f2n h\u01a1n. Tuy nhi\u00ean, ph\u00eda xa ch\u00e2n R7 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u00f4 m\u1edbi nh\u01b0ng \u1edf nh\u1eefng m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau trong \u1ed5 r\u0103ng. Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00e1c v\u1ea5n \u0111\u1ec1 l\u00e0nh th\u01b0\u01a1ng v\u00f9ng n\u00e0y. K\u1ebft lu\u1eadn c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u n\u00e0y l\u00e0:<\/p>\n<ul>\n<li>Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng tr\u01b0\u1edbc 25 tu\u1ed5i s\u1ebd kh\u00f4ng x\u1ea3y ra hi\u1ec7n t\u01b0\u1ee3ng ti\u00eau x\u01b0\u01a1ng sau 2 n\u0103m theo d\u00f5i (Marmary et al; Kugelberg et al)<\/li>\n<li>Ng\u01b0\u1ee3c l\u1ea1i, th\u00e0nh l\u1eadp t\u00fai b\u00ean trong x\u01b0\u01a1ng l\u00e0 b\u00ecnh th\u01b0\u1eddng \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i (tr\u00ean 25 tu\u1ed5i). V\u00ec th\u1ebf, tu\u1ed5i b\u1ec7nh nh\u00e2n l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng.<\/li>\n<li>Khi R8 k\u1eb9t, nh\u1eefng v\u00f9ng quanh th\u00e2n v\u00e0 ch\u00e2n R7 kh\u00f4ng ph\u1ea3i l\u00e0 y\u1ebfu t\u1ed1 g\u00e2y b\u1ec7nh v\u00e0 kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ti\u00eau ch\u00e2n x\u1ea3y ra. N\u1ebfu R8 k\u1eb9t v\u00e0o R7, b\u1ec1 m\u1eb7t ch\u00e2n R7 c\u00f3 th\u1ec3 b\u1ecb ti\u1ebfp x\u00fac v\u1edbi R8, nh\u01b0ng kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng nhi\u1ec5m tr\u00f9ng x\u1ea3y ra. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, l\u00fac m\u1ed5 c\u1ea7n ph\u1ea3i b\u1ea3o v\u1ec7 b\u1ec1 m\u1eb7t ch\u00e2n r\u0103ng n\u00e0y v\u00e0 ph\u1ea7n x\u01b0\u01a1ng \u1ed5 gi\u1eefa R8 &amp; R7.<\/li>\n<li>Tuy nhi\u00ean, \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p R8 kh\u00f4ng m\u1ecdc ng\u1ea7m, bao m\u1ea7m r\u0103ng th\u00f4ng v\u1edbi m\u00f4i tr\u01b0\u1eddng mi\u1ec7ng trong nhi\u1ec1u n\u0103m c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn ti\u00eau ch\u00e2n R7 v\u00e0 v\u00e1ch x\u01b0\u01a1ng gi\u1eefa R7 v\u00e0 R8.<\/li>\n<li>Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, theo d\u00f5i h\u1eadu ph\u1eabu v\u00e0 v\u1ec7 sinh r\u0103ng mi\u1ec7ng th\u1eadt k\u1ef9 l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft gi\u00fap l\u00e0nh th\u01b0\u01a1ng t\u1ed1t. X\u01b0\u01a1ng quanh \u1ed5 R8 th\u01b0\u1eddng b\u1ecb ti\u00eau trong nh\u1eefng ng\u00e0y \u0111\u1ea7u ti\u00ean sau m\u1ed5. Tuy nhi\u00ean, n\u00f3 c\u00f3 th\u1ec3 t\u00e1i sinh b\u1eb1ng v\u1ecb tr\u00ed l\u00fac \u0111\u1ea7u sau 10 tu\u1ea7n \u1edf b\u1ec7nh nh\u00e2n tr\u1ebb h\u01a1n 25 tu\u1ed5i.<\/li>\n<\/ul>\n<p>Theo Korbendau, J. M., &amp; Korbendau, X. (2019).\u00a0<i>Clinical success in impacted third molar extraction<\/i>. Quintessence International Editeur.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng s\u1ef1 th\u00e0nh c\u00f4ng tr\u01b0\u1edbc, trong v\u00e0 sau qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng s\u1ed1 8, Nha s\u0129 c\u1ea7n ch\u00fa \u00fd nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m v\u00e0 hi\u1ec3u r\u00f5 b\u1ea3n ch\u1ea5t c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng. C\u00f9ng t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft n\u00e0y. 1. Nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m trong l\u1ea7n h\u1eb9n [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng - Qu\u1ea3n l\u00fd v\u00e0 ch\u0103m s\u00f3c. - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00e0nh c\u00f4ng khi b\u1ec7nh nh\u00e2n nh\u1ed5 r\u0103ng kh\u00f4n, Nha s\u0129 ch\u00fa \u00fd nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m v\u00e0 hi\u1ec3u r\u00f5 b\u1ea3n ch\u1ea5t qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng. 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