{"id":2130,"date":"2023-04-09T12:40:26","date_gmt":"2023-04-09T05:40:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2130"},"modified":"2023-04-17T14:46:36","modified_gmt":"2023-04-17T07:46:36","slug":"ky-thuat-boc-tach-niem-mac-mang-xuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ky-thuat-boc-tach-niem-mac-mang-xuong\/","title":{"rendered":"K\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng."},"content":{"rendered":"

Khi ti\u1ebfn h\u00e0nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt trong mi\u1ec7ng, th\u1ee7 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn. C\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng c\u00e2y b\u00f3c t\u00e1ch c\u00f3 \u0111\u1ea7u tr\u00f2n m\u1ea3nh \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c tr\u00ean m\u00f4 m\u1ec1m v\u00e0 gi\u00fap gi\u1ea3i ph\u00f3ng m\u00e0ng x\u01b0\u01a1ng m\u1ed9t c\u00e1ch d\u1ee9t kho\u00e1t v\u00e0 hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n

1. M\u1ee5c \u0111\u00edch c\u1ee7a k\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng?<\/h2>\n

B\u00f3c t\u00e1ch v\u1ea1t ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c nhau, bao g\u1ed3m nh\u1ed5 r\u0103ng ng\u1ea7m v\u00e0 ph\u1eabu thu\u1eadt c\u1eafm implant. Qu\u00e1 tr\u00ecnh b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y gi\u00fap t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i \u0111\u1ec3 d\u1ec5 d\u00e0ng ti\u1ebfp c\u1eadn v\u00f9ng x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi h\u01a1n.<\/p>\n

Trong ph\u1eabu thu\u1eadt nh\u1ed5 r\u0103ng ng\u1ea7m, qu\u00e1 tr\u00ecnh b\u00f3c t\u00e1ch v\u1ea1t ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 b\u1ed9c l\u1ed9 m\u00f4 m\u1ec1m v\u00e0 m\u00f4 ni\u00eam m\u1ea1c xung quanh r\u0103ng tr\u01b0\u1edbc khi r\u0103ng \u0111\u01b0\u1ee3c nh\u1ed5. Vi\u1ec7c n\u00e0y gi\u00fap ti\u1ebfp c\u1eadn th\u00e2n r\u0103ng d\u1ec5 d\u00e0ng h\u01a1n v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho nh\u1ed5 r\u0103ng h\u01a1n. Sau khi r\u0103ng \u0111\u01b0\u1ee3c nh\u1ed5, c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m ph\u00eda d\u01b0\u1edbi s\u1ebd \u0111\u01b0\u1ee3c cung c\u1ea5p m\u00e1u \u0111\u1ea7y \u0111\u1ee7 do b\u1ea3n ch\u1ea5t ni\u00eam m\u1ea1c l\u1ee3i v\u00e0 m\u00e0ng x\u01b0\u01a1ng v\u1eabn c\u00f2n, \u0111\u1ed3ng th\u1eddi t\u1ea1o \u0111i\u1ec1u ki\u1ec7n \u0111\u1ea3m b\u1ea3o v\u00f9ng \u0111\u00f3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n

Trong ph\u1eabu thu\u1eadt c\u1eafm implant, b\u00f3c t\u00e1ch v\u1ea1t ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 c\u1ea3i thi\u1ec7n ph\u1eabu tr\u01b0\u1eddng, cho ph\u00e9p vi\u1ec7c ti\u1ebfp c\u1eadn x\u01b0\u01a1ng, c\u1eafm implant \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng. Vi\u1ec7c b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng gi\u00fap lo\u1ea1i b\u1ecf c\u00e1c t\u1ebf b\u00e0o m\u00f4 m\u1ec1m xung quanh v\u00f9ng x\u01b0\u01a1ng, gi\u00fap ti\u1ebfp c\u1eadn v\u1edbi x\u01b0\u01a1ng v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i \u0111\u1ec3 c\u1eafm implant. Vi\u1ec7c n\u00e0y gi\u00fap \u0111\u1ea3m b\u1ea3o r\u1eb1ng implant \u0111\u01b0\u1ee3c c\u1eafm v\u00e0o v\u1ecb tr\u00ed \u0111\u00fang v\u00e0 \u1ed5n \u0111\u1ecbnh h\u01a1n.<\/p>\n

2. Giai \u0111o\u1ea1n I c\u1ee7a k\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch<\/h2>\n

Tr\u01b0\u1edbc ti\u00ean, b\u00f3c t\u00e1ch gai n\u01b0\u1edbu b\u1eb1ng c\u00e2y b\u00f3c t\u00e1ch \u0111\u1ea7u nh\u1ecdn m\u1ea3nh hay dao Ward\u2019s (Ward\u2019s spatula). M\u00f4 n\u01b0\u1edbu th\u01b0\u1eddng b\u00e1m kh\u00e1 d\u00ednh v\u00e0o x\u01b0\u01a1ng \u1edf ng\u01b0\u1eddi tr\u1ebb, c\u1ea7n c\u1eaft \u0111\u1ee9t v\u00e0 t\u00e1ch kh\u1ecfi v\u00f9ng khe gi\u1eefa hai r\u0103ng, d\u1ecdc theo n\u01b0\u1edbu d\u00ednh (H\u00ecnh 1).<\/p>\n

\"ky-thuat-boc-tach-niem-mac-mang-xuong\"
H\u00ecnh 1: B\u00f3c t\u00e1ch gai n\u01b0\u1edbu b\u1eb1ng c\u00e2y b\u00f3c t\u00e1ch \u0111\u1ea7u nh\u1ecdn m\u1ea3nh hay dao<\/figcaption><\/figure>\n

3. Giai \u0111o\u1ea1n II\u00a0c\u1ee7a k\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch<\/h2>\n

B\u00f3c t\u00e1ch ni\u00eam m\u1ea1c n\u01b0\u1edbu bao ph\u1ee7 v\u00f9ng tam gi\u00e1c h\u1eadu h\u00e0m- th\u01b0\u1eddng b\u00e1m kh\u00e1 d\u00ednh ch\u1eafc v\u00e0o x\u01b0\u01a1ng b\u00ean d\u01b0\u1edbi. C\u1ea7n b\u00f3c t\u00e1ch c\u1ea9n th\u1eadn ni\u00eam m\u1ea1c v\u00f9ng giao nhau gi\u1eefa n\u01b0\u1edbu v\u00e0 m\u00e1 v\u00ec r\u1ea5t d\u1ec5 r\u00e1ch. \u0110i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 b\u1ea3o t\u1ed3n ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a m\u00f4 nh\u1eb1m kh\u00e2u l\u1ea1i theo v\u1ecb tr\u00ed c\u0169 c\u1ee7a n\u00f3 sau ph\u1eabu thu\u1eadt. Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 r\u1ea1ch ni\u00eam m\u1ea1c, d\u00f9ng l\u01b0\u1ee1i dao 12 c\u1eaft d\u1ecdc ph\u00eda xa r\u0103ng c\u1ed1i v\u00e0 trong khe n\u01b0\u1edbu, d\u1ecdc theo m\u1eb7t xa c\u1ee7a R7. L\u01b0u \u00fd, \u0111\u1ed1i v\u1edbi r\u0103ng c\u00f3 th\u00e2n n\u1eb1m d\u01b0\u1edbi ni\u00eam m\u1ea1c, bao m\u1ea7m r\u0103ng th\u1ec9nh tho\u1ea3ng d\u00ednh ch\u1eb7t v\u1edbi v\u1ea1t ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng v\u00e0 b\u1ecb \u0111\u1ee9t, d\u00ednh theo v\u1ea1t trong qu\u00e1 tr\u00ecnh b\u00f3c t\u00e1ch.<\/p>\n

4. Giai \u0111o\u1ea1n III c\u1ee7a k\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch<\/h2>\n

K\u00e9o ni\u00eam m\u1ea1c m\u00e1 ra sau, d\u00f9ng c\u00e2y b\u00f3c t\u00e1ch \u0111\u1ea7u nh\u1ecdn t\u00ec s\u00e1t x\u01b0\u01a1ng \u0111\u1ec3 t\u00e1ch v\u1ea1t. C\u1ea7n c\u1ea9n th\u1eadn t\u00e1ch \u0111\u1ea7u c\u01a1 m\u00fat- b\u00e1m kh\u00e1 ch\u1eb7t v\u00e0o x\u01b0\u01a1ng- ra kh\u1ecfi x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi. K\u00e9o v\u1ea1t b\u1eb1ng d\u1ee5ng c\u1ee5 banh nh\u1ecf kh\u00f4ng sang ch\u1ea5n, do ph\u1eabu thu\u1eadt vi\u00ean quy\u1ebft \u0111\u1ecbnh l\u1ef1c v\u00e0 h\u01b0\u1edbng k\u00e9o. Kh\u00f4ng c\u1ea7n k\u00e9o c\u00e2y banh qu\u00e1 qu\u00e1 m\u1ea1nh, ch\u1ec9 c\u1ea7n \u0111\u01b0a \u0111\u1ea7u t\u1eadn c\u00f9ng c\u1ee7a n\u00f3 n\u1eb1m tr\u00ean ph\u1ea7n m\u00e0ng x\u01b0\u01a1ng t\u01b0\u01a1ng \u1ee9ng l\u00e0 \u0111\u1ee7 (H\u00ecnh 2).<\/p>\n

\"\"
H\u00ecnh 2: C\u1ea9n th\u1eadn t\u00e1ch \u0111\u1ea7u c\u01a1 m\u00fat- b\u00e1m kh\u00e1 ch\u1eb7t v\u00e0o x\u01b0\u01a1ng<\/figcaption><\/figure>\n

5. Giai \u0111o\u1ea1n IV c\u1ee7a k\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch<\/h2>\n

B\u00f3c t\u00e1ch ni\u00eam m\u1ea1c n\u01b0\u1edbu v\u00f9ng tam gi\u00e1c h\u1eadu h\u00e0m ph\u00eda l\u01b0\u1ee1i. Giai \u0111o\u1ea1n n\u00e0y c\u1ea7n c\u1ea9n th\u1eadn b\u1ea3o v\u1ec7 th\u1ea7n kinh l\u01b0\u1ee1i khi b\u1ed9c l\u1ed9 x\u01b0\u01a1ng m\u1eb7t xa v\u1ec1 ph\u00eda l\u01b0\u1ee1i. D\u00f9ng dao s\u1ed1 12 r\u1ea1ch ni\u00eam m\u1ea1c ph\u00eda xa R7, sau \u0111\u00f3 t\u00e1ch s\u00e1t x\u01b0\u01a1ng. D\u00e2y th\u1ea7n kinh l\u01b0\u1ee1i n\u1eb1m trong v\u1ea1t m\u1edbi v\u1eeba b\u00f3c t\u00e1ch, c\u1ea7n b\u1ea3o v\u1ec7 v\u1ea1t t\u1ed1i \u0111a trong su\u1ed1t qu\u00e1 tr\u00ecnh c\u1eaft x\u01b0\u01a1ng, c\u1eaft r\u0103ng v\u00e0 n\u1ea1y. Kh\u00e2u b\u1edd v\u1ea1t ph\u00eda l\u01b0\u1ee1i gi\u00fap banh k\u00e9o d\u1ec5 d\u00e0ng. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ch\u1ec9 c\u1ea7n kh\u00e2u tr\u00ean m\u00e9p v\u1ea1t nh\u1eb1m gi\u1ea3m nguy c\u01a1 sang ch\u1ea5n th\u1ea7n kinh l\u01b0\u1ee1i.<\/p>\n

Ngu\u1ed3n: T\u1ed5ng h\u1ee3p<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Khi ti\u1ebfn h\u00e0nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt trong mi\u1ec7ng, th\u1ee7 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn. C\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng c\u00e2y b\u00f3c t\u00e1ch c\u00f3 \u0111\u1ea7u tr\u00f2n m\u1ea3nh \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c tr\u00ean m\u00f4 m\u1ec1m v\u00e0 gi\u00fap gi\u1ea3i ph\u00f3ng m\u00e0ng x\u01b0\u01a1ng […]<\/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":"\nK\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng.<\/title>\n<meta name=\"description\" content=\"K\u1ef9 thu\u1eadt b\u00f3c t\u00e1ch ni\u00eam m\u1ea1c m\u00e0ng x\u01b0\u01a1ng l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt trong mi\u1ec7ng. 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