{"id":214,"date":"2023-04-03T18:19:02","date_gmt":"2023-04-03T11:19:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=214"},"modified":"2023-04-05T11:27:19","modified_gmt":"2023-04-05T04:27:19","slug":"giai-phau-hoc-ung-dung-vung-truc-trang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/03\/giai-phau-hoc-ung-dung-vung-truc-trang\/","title":{"rendered":"Gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng v\u00e0 \u1ee9ng d\u1ee5ng"},"content":{"rendered":"

1. C\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu v\u00f9ng tr\u1ef1c tr\u00e0ng<\/h2>\n

V\u1ec1 gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng c\u00f3 chi\u1ec1u d\u00e0i 15-20 cm, k\u00e9o d\u00e0i t\u1eeb ch\u1ed7 n\u1ed1i \u0111\u1ea1i tr\u00e0ng sigma-tr\u1ef1c tr\u00e0ng \u0111\u1ebfn \u1ed1ng h\u1eadu m\u00f4n. \u1ede nam gi\u1edbi, tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng d\u00e0i h\u01a1n (18 cm) so v\u1edbi n\u1eef gi\u1edbi (15 cm).<\/p>\n

Tr\u1ef1c tr\u00e0ng chuy\u1ec3n t\u1eed trong ph\u00fac m\u1ea1c sang ho\u00e0n to\u00e0n ngo\u00e0i ph\u00fac m\u1ea1c \u1edf v\u1ecb tr\u00ed c\u00e1ch r\u00eca h\u1eadu m\u00f4n 10 \u0111\u1ebfn 12 cm v\u00e0 g\u1ed1c c\u1ee7a m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng sigma c\u00e1ch r\u00eca h\u1eadu m\u00f4n kho\u1ea3ng 19 cm tr\u00ean n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng sigma b\u1eb1ng \u1ed1ng c\u1ee9ng.<\/p>\n

Tr\u1ef1c tr\u00e0ng \u0111\u01b0\u1ee3c “c\u1ed1 \u0111\u1ecbnh” \u1edf ph\u00eda sau b\u1edfi c\u00e2n Waldeyer v\u00e0 hai b\u00ean b\u1edfi c\u00e1c cu\u1ed1ng b\u00ean. \u1ede b\u1ec7nh nh\u00e2n nam, tr\u1ef1c tr\u00e0ng ph\u00eda tr\u01b0\u1edbc \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh v\u1edbi c\u00e2n Denonvilliers, m\u1ed9t n\u1ebfp g\u1ea5p c\u1ee7a hai l\u1edbp ph\u00fac m\u1ea1c ng\u0103n c\u00e1ch tr\u1ef1c tr\u00e0ng v\u1edbi ph\u00eda sau tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 t\u00fai tinh. \u1ede b\u1ec7nh nh\u00e2n n\u1eef, khoang ph\u00fac m\u1ea1c \u0111i xu\u1ed1ng t\u00fai c\u00f9ng Douglas, v\u1edbi \u0111i\u1ec3m th\u1ea5p nh\u1ea5t c\u1ee7a n\u00f3 l\u00e0 ti\u1ebfp gi\u00e1p v\u1edbi c\u1ed5 t\u1eed cung \u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 tr\u1ef1c tr\u00e0ng gi\u1eefa \u1edf ph\u00eda sau. Khi nh\u00ecn qua n\u1ed9i soi, tr\u1ef1c tr\u00e0ng c\u00f3 ba van Houston, van gi\u1eefa t\u01b0\u01a1ng \u1ee9ng v\u1edbi n\u1ebfp qu\u1eb7t ng\u01b0\u1ee3c – ph\u00fac m\u1ea1c ph\u00eda tr\u01b0\u1edbc.<\/p>\n

2. Cung c\u1ea5p m\u1ea1ch m\u00e1u<\/h2>\n

\u0110\u1ed9ng m\u1ea1ch tr\u1ef1c tr\u00e0ng tr\u00ean b\u1eaft ngu\u1ed3n t\u1eeb \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi v\u00e0 \u0111i xu\u1ed1ng trong m\u1ea1c treo tr\u1ef1c tr\u00e0ng \u0111\u1ec3 cung c\u1ea5p cho tr\u1ef1c tr\u00e0ng tr\u00ean v\u00e0 gi\u1eefa. C\u00e1c \u0111\u1ed9ng m\u1ea1ch tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi, c\u00e1c nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch th\u1eb9n trong, \u0111i v\u00e0o sau b\u00ean v\u00e0 cung c\u1ea5p m\u00e1u cho c\u00e1c c\u01a1 v\u00f2ng v\u00e0 bi\u1ec3u m\u00f4 h\u1eadu m\u00f4n. \u0110\u1ed9ng m\u1ea1ch tr\u1ef1c tr\u00e0ng gi\u1eefa, th\u01b0\u1edfng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong c\u00e1c h\u00ecnh v\u1ec1 gi\u1ea3i ph\u1eabu nh\u01b0 m\u1ed9t \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 quan tr\u1ecdng ph\u00e2n nh\u00e1nh t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1eadu trong \u1edf m\u1ed7i b\u00ean, \u00edt khi c\u00f3 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn h\u01a1n 1 mm. Khi xu\u1ea5t hi\u1ec7n, \u0111\u1ed9ng m\u1ea1ch tr\u1ef1c tr\u00e0ng gi\u1eefa n\u1eb1m g\u1ea7n cu\u1ed1ng ph\u00fa tr\u1ef1c tr\u00e0ng b\u00ean.<\/p>\n

T\u0129nh m\u1ea1ch tr\u1ef1c tr\u00e0ng tr\u00ean d\u1eabn l\u01b0u 1\/3 tr\u00ean v\u00e0 1\/3 gi\u1eefa c\u1ee7a tr\u1ef1c tr\u00e0ng v\u00e0 \u0111\u00f4 v\u00e0o h\u1ec7 th\u1ed1ng c\u1ee7a qua t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi. C\u00e1c t\u0129nh m\u1ea1ch tr\u1ef1c tr\u00e0ng gi\u1eefa d\u1eabn l\u01b0u ph\u1ea7n tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi v\u00e0 ph\u1ea7n tr\u00ean \u1ed1ng h\u1eadu m\u00f4n v\u00e0o c\u00e1c t\u0129nh m\u1ea1ch ch\u1eadu trong. C\u00e1c t\u0129nh m\u1ea1ch tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi d\u1eabn l\u01b0u ph\u1ea7n d\u01b0\u1edbi \u1ed1ng h\u1eadu m\u00f4n, \u0111\u1ed5 v\u00e0o c\u00e1c t\u0129nh m\u1ea1ch ch\u1eadu trong qua c\u00e1c t\u0129nh m\u1ea1ch th\u1eb9n. B\u1edfi v\u00ec h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch th\u00f4ng nhau, ung th\u01b0 tr\u1ef1c tr\u00e0ng th\u1ea5p c\u00f3 th\u1ec3 lan qua h\u1ec7 c\u1eeda v\u00e0 h\u1ec7 \u0111\u1ea1i tu\u1ea7n ho\u00e0n.<\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng-\u1ed1ng h\u1eadu m\u00f4n<\/figcaption><\/figure>\n

3. H\u1ec7 th\u1ed1ng d\u1eabn l\u01b0u b\u1ea1ch huy\u1ebft<\/h2>\n

T\u00e1i ph\u00e1t t\u1ea1i ch\u1ed7 sau m\u1ed5\u00a0 th\u01b0\u1eddng g\u1eb7p.<\/p>\n

B\u1ea1ch huy\u1ebft t\u1eeb tr\u1ef1c tr\u00e0ng tr\u00ean v\u00e0 gi\u1eefa d\u1eabn l\u01b0u v\u00e0o c\u00e1c h\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi, tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi, c\u00f3 th\u1ec3 ch\u1ea3y v\u00e0o h\u1ec7 th\u1ed1ng h\u1ea1ch m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi ho\u1eb7c v\u00e0o m\u1ea1ng l\u01b0\u1edbi d\u1ecdc theo \u0111\u1ed9ng m\u1ea1ch tr\u1ef1c tr\u00e0ng gi\u1eefa v\u00e0 d\u01b0\u1edbi, \u1edf ph\u00eda sau, d\u1ecdc theo \u0111\u1ed9ng m\u1ea1ch x\u01b0\u01a1ng c\u00f9ng gi\u1eefa, v\u00e0 \u1edf ph\u00eda tr\u01b0\u1edbc, qua c\u00e1c k\u00eanh d\u1eabn t\u1edbi v\u00e1ch sau b\u00e0ng quang ho\u1eb7c v\u00e1ch tr\u1ef1c tr\u00e0ng \u00e2m \u0111\u1ea1o, \u0111\u1ebfn c\u00e1c h\u1ea1ch ch\u1eadu, v\u00e0 cu\u1ed1i c\u00f9ng, \u0111\u1ebfn c\u00e1c h\u1ea1ch quanh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n

B\u1ea1ch huy\u1ebft t\u1eeb \u1ed1ng h\u1eadu m\u00f4n ph\u00eda tr\u00ean \u0111\u01b0\u1eddng l\u01b0\u1ee3c tho\u00e1t qua \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft tr\u1ef1c tr\u00e0ng tr\u00ean \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi v\u00e0 sau \u0111\u00f3 \u0111\u1ebfn h\u1ea1ch b\u1ecbt v\u00e0o c\u00e1c h\u1ea1ch ch\u1eadu trong.<\/p>\n

B\u00ean d\u01b0\u1edbi \u0111\u01b0\u1eddng l\u01b0\u1ee3c, b\u1ea1ch huy\u1ebft ch\u1ee7 y\u1ebfu ch\u1ea3y \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1eb9n nh\u01b0ng c\u00f3 th\u1ec3 \u0111\u1ec3 v\u00e0o c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi ho\u1eb7c tr\u00ean. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 tr\u1ef1c tr\u00e0ng, di c\u0103n \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1eb9n n\u00ean \u0111\u01b0\u1ee3c coi l\u00e0 giai \u0111o\u1ea1n IV. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ung th\u01b0 tr\u1ef1c tr\u00e0ng d\u01b0\u1edbi x\u00e2m l\u1ea5n v\u00e0o \u1ed1ng h\u1eadu m\u00f4n c\u00f3 th\u1ec3 c\u00f3 h\u1ea1ch v\u00f9ng lan r\u1ed9ng \u0111\u1ebfn c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft \u1edf b\u1eb9n.<\/p>\n

4. Ph\u00e2n b\u1ed1 th\u1ea7n kinh<\/h2>\n

D\u00e2y th\u1ea7n kinh t\u1ef1 ch\u1ee7 v\u00f9ng ch\u1eadu bao g\u1ed3m c\u00e1c th\u1ea7n kinh h\u1ea1 v\u1ecb (giao c\u1ea3m), c\u00f9ng (ph\u00f3 giao c\u1ea3m) v\u00e0 th\u1ea7n kinh h\u1ea1 v\u1ecb d\u01b0\u1edbi . \u0110\u00e1m r\u1ed1i m\u1ea1c treo tr\u00e0ng d\u01b0\u1edbi t\u1ea1o b\u1edbi c\u00e1c d\u00e2y t\u1eeb L1 \u0111\u1ebfn L3, \u0111i qua \u0111\u00e1m r\u1ed1i h\u1ea1 v\u1ecb tr\u00ean \u0111\u1ebfn \u0111\u00e1m r\u1ed1i ch\u1eadu. C\u00e1c d\u00e2y th\u1ea7n kinh ph\u00f3 giao c\u1ea3m ph\u00e1t sinh t\u1eeb S2 \u0111\u1ebfn S4 v\u00e0 k\u1ebft h\u1ee3p th\u1ea7n kinh h\u1ea1 v\u1ecb tr\u01b0\u1edbc, b\u00ean t\u1edbi tr\u1ef1c tr\u00e0ng \u0111\u1ec3 t\u1ea1o th\u00e0nh \u0111\u00e1m r\u1ed1i v\u00f9ng ch\u1eadu, \u0111\u00e1m r\u1ed1i quanh ti\u1ec1n li\u1ec7t tuy\u1ebfn. \u0110\u00e1m r\u1ed1i th\u1ea7n kinh h\u1ea1 v\u1ecb d\u01b0\u1edbi t\u1ea1o b\u1edfi c\u00e1c th\u1ea7n kinh giao c\u1ea3m v\u00e0 ph\u00f3 giao c\u1ea3m, bao b\u1ecdc b\u00ean trong tr\u1ef1c tr\u00e0ng, b\u00e0ng quang, ni\u1ec7u qu\u1ea3n, tuy\u1ebfn ti\u1ec1n li\u1ec7t, t\u00fai tinh, ni\u1ec7u \u0111\u1ea1o m\u00e0ng v\u00e0 th\u1ec3 hang. Do \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn li\u1ec7t d\u01b0\u01a1ng, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng b\u00e0ng quang v\u00e0 \u0111\u1ea1i ti\u1ec7n b\u1ea5t th\u01b0\u1eddng.<\/p>\n

5. M\u1eb7t ph\u1eb3ng m\u1ea1c<\/h2>\n

C\u00e1c th\u00e0nh v\u00e0 s\u00e0n c\u1ee7a khung ch\u1eadu \u0111\u01b0\u1ee3c bao ph\u1ee7 b\u1edfi m\u1ea1c n\u1ed9i ch\u1eadu (m\u1ea1c th\u00e0nh ch\u1eadu). M\u1ea1c ri\u00eang tr\u1ef1c tr\u00e0ng, m\u1ed9t ph\u1ea7n m\u1edf r\u1ed9ng c\u1ee7a m\u1ea1c n\u1ed9i ch\u1eadu, bao b\u1ecdc tr\u1ef1c tr\u00e0ng v\u00e0 m\u1ee1 c\u1ee7a m\u1ea1c treo tr\u1ef1c tr\u00e0ng, h\u1ec7 b\u1ea1ch huy\u1ebft v\u00e0 m\u1ea1ch m\u00e1u l\u00e0 m\u1ed9t \u0111\u01a1n v\u1ecb duy nh\u1ea5t; t\u1ea1o th\u00e0nh c\u00e1c cu\u1ed1ng b\u00ean c\u1ee7a tr\u1ef1c tr\u00e0ng; v\u00e0 n\u1ed1i v\u1edbi m\u1ea1c th\u00e0nh tr\u00ean v\u00e1ch ch\u1eadu. M\u1ea1c tr\u01b0\u1edbc x\u01b0\u01a1ng c\u00f9ng l\u00e0 m\u1ea1c th\u00e0nh, bao ph\u1ee7 x\u01b0\u01a1ng c\u00f9ng v\u00e0 x\u01b0\u01a1ng c\u1ee5t, \u0111\u00e1m r\u1ed1i tr\u01b0\u1edbc x\u01b0\u01a1ng c\u00f9ng, c\u00e1c d\u00e2y th\u1ea7n kinh t\u1ef1 ch\u1ee7 v\u00f9ng ch\u1eadu v\u00e0 \u0111\u1ed9ng m\u1ea1ch c\u00f9ng gi\u1eefa. \u1ede ph\u00eda sau, s\u1ef1 d\u00e0y l\u00ean c\u1ee7a m\u1ea1c n\u00e0y, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u1ea1c Waldeyer, l\u00e0 m\u1ea1c tr\u01b0\u1edbc x\u01b0\u01a1ng c\u00f9ng ngang \u0111\u1ed1t c\u00f9ng S4 qu\u1eb7t ng\u01b0\u1ee3c theo h\u01b0\u1edbng tr\u01b0\u1edbc d\u01b0\u1edbi. \u1ede ph\u00eda tr\u01b0\u1edbc, m\u1ea1c Denonvilliers ng\u0103n c\u00e1ch th\u00e0nh tr\u01b0\u1edbc tr\u1ef1c tr\u00e0ng v\u1edbi tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 t\u00fai tinh \u1edf nam.<\/p>\n","protected":false},"excerpt":{"rendered":"

1. C\u00e1c m\u1ed1c gi\u1ea3i ph\u1eabu v\u00f9ng tr\u1ef1c tr\u00e0ng V\u1ec1 gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng c\u00f3 chi\u1ec1u d\u00e0i 15-20 cm, k\u00e9o d\u00e0i t\u1eeb ch\u1ed7 n\u1ed1i \u0111\u1ea1i tr\u00e0ng sigma-tr\u1ef1c tr\u00e0ng \u0111\u1ebfn \u1ed1ng h\u1eadu m\u00f4n. \u1ede nam gi\u1edbi, tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng d\u00e0i h\u01a1n (18 cm) so v\u1edbi n\u1eef gi\u1edbi (15 cm). Tr\u1ef1c tr\u00e0ng chuy\u1ec3n t\u1eed trong ph\u00fac m\u1ea1c sang […]<\/p>\n","protected":false},"author":15,"featured_media":442,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,33],"tags":[3],"yoast_head":"\nGi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng v\u00e0 \u1ee9ng d\u1ee5ng - Vinmec<\/title>\n<meta name=\"description\" content=\"V\u1ec1 gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng l\u00e0 \u1ed1ng ti\u00eau ho\u00e1 n\u1ed1i gi\u1eefa \u0111\u1ea1i tr\u00e0ng sigma v\u00e0 \u1ed1ng h\u1eadu m\u00f4n, li\u00ean quan nhi\u1ec1u c\u1ea5u tr\u00fac, v\u1edbi ch\u1ee9c n\u0103ng quan tr\u1ecdng.\" \/>\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=\"Gi\u1ea3i ph\u1eabu tr\u1ef1c tr\u00e0ng v\u00e0 \u1ee9ng d\u1ee5ng - 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