{"id":22713,"date":"2023-04-18T10:04:04","date_gmt":"2023-04-18T03:04:04","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22713"},"modified":"2023-04-18T10:54:30","modified_gmt":"2023-04-18T03:54:30","slug":"huong-dan-chan-doan-va-dieu-tri-tao-bon","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/huong-dan-chan-doan-va-dieu-tri-tao-bon\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n"},"content":{"rendered":"<p><strong>T\u00e1o b\u00f3n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 g\u00e2y kh\u00f3 ch\u1ecbu cho nhi\u1ec1u ng\u01b0\u1eddi. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, t\u00e1o b\u00f3n c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c h\u1ea1i cho s\u1ee9c kh\u1ecfe. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cung c\u1ea5p m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 c\u00e1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n.<\/strong><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 t\u00e1o b\u00f3n<\/h2>\n<p>\u0110\u1ecbnh ngh\u0129a: T\u00e1o b\u00f3n \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng ph\u00e2n c\u1ee9ng v\u00e0 kh\u00f4, kh\u00f3 \u0111i qua \u0111\u01b0\u1eddng ru\u1ed9t, s\u1ed1 l\u1ea7n \u0111\u1ea1i ti\u1ec7n &lt;3 l\u1ea7n\/tu\u1ea7n. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m: \u0103n u\u1ed1ng kh\u00f4ng \u0111\u1ee7 ch\u1ea5t x\u01a1, thi\u1ebfu n\u01b0\u1edbc, \u00edt v\u1eadn \u0111\u1ed9ng, s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ho\u1eb7c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ru\u1ed9t. T\u00e1o b\u00f3n c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, kh\u00f3 ch\u1ecbu, bu\u1ed3n n\u00f4n v\u00e0 th\u1eadm ch\u00ed l\u00e0 tr\u00e0n d\u1ecbch d\u1ea1 d\u00e0y.<\/p>\n<figure id=\"attachment_22736\" aria-describedby=\"caption-attachment-22736\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-22736\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200914_031404_746876_thuc-an-tri-tao-bon.max-1800x1800-1-300x200.jpg\" alt=\"minh-hoa-che-do-an-thieu-chat-xo-dan-den-tao-bon\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200914_031404_746876_thuc-an-tri-tao-bon.max-1800x1800-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200914_031404_746876_thuc-an-tri-tao-bon.max-1800x1800-1.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22736\" class=\"wp-caption-text\">Ch\u1ebf \u0111\u1ed9 \u0103n thi\u1ebfu ch\u1ea5t x\u01a1 th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00e1o b\u00f3n<\/figcaption><\/figure>\n<h2>2. Ph\u00e2n lo\u1ea1i t\u00e1o b\u00f3n<\/h2>\n<p>T\u00e1o b\u00f3n nguy\u00ean ph\u00e1t (t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng):<\/p>\n<ul>\n<li>\u0110\u1ea1i ti\u1ec7n t\u1eafc ngh\u1ebdn (Sa tr\u1ef1c tr\u00e0ng, l\u1ed3ng tr\u1ef1c tr\u00e0ng, co th\u1eaft ngh\u1ecbch l\u00fd c\u01a1 mu- tr\u1ef1c tr\u00e0ng)<\/li>\n<li>Gi\u1ea3m nhu \u0111\u1ed9ng \u0111\u1ea1i tr\u00e0ng (Hirschsprung, thi\u1ebfu t\u1ebf b\u00e0o Cajal, kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n)<\/li>\n<li>L\u01b0u th\u00f4ng \u0111\u1ea1i tr\u00e0ng b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n<p>T\u00e1o b\u00f3n th\u1ee9 ph\u00e1t:<\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a (t\u0103ng canxi m\u00e1u, suy gi\u00e1p)<\/li>\n<li>D\u00f9ng thu\u1ed1c (opioat, thu\u1ed1c ch\u1eb9n k\u00eanh canxi, thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n)<\/li>\n<li>B\u1ec7nh l\u00fd th\u1ea7n kinh (Parkinson, t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng)<\/li>\n<li>B\u1ec7nh nguy\u00ean ph\u00e1t \u1edf \u0111\u1ea1i tr\u00e0ng (h\u1eb9p, ung th\u01b0&#8230;)<\/li>\n<\/ul>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n t\u00e1o b\u00f3n<\/h2>\n<h3>3.1. Ti\u1ec1n s\u1eed<\/h3>\n<ul>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 sinh ho\u1ea1t: \u0103n \u00edt ch\u1ea5t x\u01a1 (&lt;30g\/ ng\u00e0y), u\u1ed1ng \u00edt n\u01b0\u1edbc (&lt;3L\/ng\u00e0y), \u00edt v\u1eadn \u0111\u1ed9ng.<\/li>\n<li>B\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy gi\u00e1p, t\u0103ng canxi m\u00e1u, suy tuy\u1ebfn y\u00ean,&#8230;<\/li>\n<li>B\u1ec7nh l\u00fd h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng: r\u00f2 h\u1eadu m\u00f4n, h\u1eb9p h\u1eadu m\u00f4n.<\/li>\n<li>R\u1ed1i lo\u1ea1n th\u1ea7n kinh: t\u1ed5n th\u01b0\u01a1ng r\u1ec5, Parkinson, x\u01a1 c\u1ee9ng t\u1ee7y r\u1ea3i r\u00e1c.<\/li>\n<li>Thu\u1ed1c: thu\u1ed1c tr\u1ea7m c\u1ea3m, thu\u1ed1c \u0111i\u1ec1u tr\u1ecb Parkinson, co gi\u1eadt,&#8230;<\/li>\n<li>Ti\u1ec1n s\u1eed thai s\u1ea3n (BN n\u1eef): s\u1ed1 con, \u0111\u1ebb th\u01b0\u1eddng hay \u0111\u1ebb m\u1ed5.<\/li>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh: c\u00f3 ng\u01b0\u1eddi ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/li>\n<\/ul>\n<h3>3.2. B\u1ec7nh s\u1eed<\/h3>\n<ul>\n<li>Th\u1eddi gian kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng, th\u1eddi gian m\u1ed7i l\u1ea7n \u0111\u1ea1i ti\u1ec7n<\/li>\n<li>S\u1ed1 l\u1ea7n \u0111\u1ea1i ti\u1ec7n trong 1 tu\u1ea7n.<\/li>\n<li>R\u1eb7n, g\u1eafng s\u1ee9c khi \u0111\u1ea1i ti\u1ec7n.<\/li>\n<li>\u0110\u1eb7c \u0111i\u1ec3m ph\u00e2n: \u0111\u00e1nh gi\u00e1 theo thang \u0111i\u1ec3m Bristol.<\/li>\n<li>C\u1ea3m gi\u00e1c \u0111\u1ea1i ti\u1ec7n kh\u00f4ng h\u1ebft ph\u00e2n. C\u1ea3m gi\u00e1c t\u1eafc ngh\u1ebdn \u1edf h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng.<\/li>\n<li>C\u1ea7n tr\u1ee3 gi\u00fap khi \u0111\u1ea1i ti\u1ec7n m\u00f3c ph\u00e2n ho\u1eb7c \u1ea5n v\u00e0o quanh h\u1eadu m\u00f4n ho\u1eb7c \u00e2m \u0111\u1ea1o.<\/li>\n<li>S\u1eed d\u1ee5ng thu\u1ed1c th\u1ee5t ho\u1eb7c thu\u1ed1c nhu\u1eadn tr\u00e0ng.<\/li>\n<li>\u0110au ho\u1eb7c kh\u00f3 ch\u1ecbu b\u1ee5ng khi \u0111\u1ea1i ti\u1ec7n.<\/li>\n<li>Tr\u1ef1c tr\u00e0ng sa ra ngo\u00e0i khi \u0111i \u0111\u1ea1i ti\u1ec7n.<\/li>\n<\/ul>\n<h3>3.3. Kh\u00e1m l\u00e2m s\u00e0ng<\/h3>\n<p>\u0110\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd t\u00e1o b\u00f3n th\u1ee9 ph\u00e1t:<\/p>\n<ul>\n<li>Kh\u00e1m ph\u00e1t hi\u1ec7n thi\u1ebfu m\u00e1u: da xanh, ni\u00eam m\u1ea1c nh\u1ee3t<\/li>\n<li>Kh\u00e1m ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u suy gi\u00e1p.<\/li>\n<li>Kh\u00e1m b\u1ee5ng: ph\u00e1t hi\u1ec7n \u0111au b\u1ee5ng, kh\u1ed1i u b\u1ee5ng.<\/li>\n<li>Th\u0103m kh\u00e1m b\u1ee5ng: th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng v\u00e0 ch\u01b0\u1edbng b\u1ee5ng<\/li>\n<\/ul>\n<figure id=\"attachment_23804\" aria-describedby=\"caption-attachment-23804\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-23804\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210416_074234_537166_chuong-bung.max-1800x1800-1-300x169.jpg\" alt=\"minh-hoa-trieu-chung-chuong-bung\" width=\"300\" height=\"169\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210416_074234_537166_chuong-bung.max-1800x1800-1-300x169.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210416_074234_537166_chuong-bung.max-1800x1800-1-1024x576.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210416_074234_537166_chuong-bung.max-1800x1800-1-768x432.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20210416_074234_537166_chuong-bung.max-1800x1800-1.jpg 1280w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-23804\" class=\"wp-caption-text\">\u0110au hay ch\u01b0\u1edbng b\u1ee5ng l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n t\u00e1o b\u00f3n.<\/figcaption><\/figure>\n<h3>3.4. C\u1eadn l\u00e2m s\u00e0ng<\/h3>\n<ul>\n<li>Si\u00eau \u00e2m ho\u1eb7c CT \u1ed5 b\u1ee5ng: lo\u1ea1i tr\u1eeb c\u00e1c kh\u1ed1i u trong \u1ed5 b\u1ee5ng (\u0111\u1ea1i tr\u00e0ng, ti\u1ec1n li\u1ec7t tuy\u1ebfn, bu\u1ed3ng tr\u1ee9ng)<\/li>\n<li>N\u1ed9i soi \u0111\u1ea1i tr\u1ef1c tr\u00e0ng:\u00a0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0, polyp, tr\u0129, n\u1ee9t k\u1ebd h\u1eadu m\u00f4, melanosis coli.<\/li>\n<li>Ch\u1ee5p l\u01b0u th\u00f4ng \u0111\u1ea1i tr\u00e0ng (Sitzmarks): ch\u1ea9n \u0111o\u00e1n \u0111\u1edd \u0111\u1ea1i tr\u00e0ng, gi\u1ea3m nhu \u0111\u1ed9ng \u0111\u1ea1i tr\u00e0ng, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra.<\/li>\n<li>C\u1ed9ng h\u01b0\u1edfng t\u1eeb t\u1ed1ng ph\u00e2n (MRI defecography): lo\u1ea1i tr\u1eeb b\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n t\u1ed1ng ph\u00e2n, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng s\u00e0n ch\u1eadu, sa t\u1ea1ng ch\u1eadu.<\/li>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 ph\u00e2n: C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y t\u00e1o b\u00f3n, ch\u1eb3ng h\u1ea1n nh\u01b0 thi\u1ebfu ch\u1ea5t x\u01a1 ho\u1eb7c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng<\/li>\n<li>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p (FT4 v\u00e0 TSH): X\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng suy gi\u00e1p d\u1eabn \u0111\u1ebfn gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t.<\/li>\n<\/ul>\n<h2>4. \u0110i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n<\/h2>\n<p>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng:<\/p>\n<ul>\n<li>T\u0103ng l\u01b0\u1ee3ng ch\u1ea5t x\u01a1 trong th\u1ef1c \u0111\u01a1n b\u1eb1ng c\u00e1ch b\u1ed5 sung tr\u00e1i c\u00e2y, rau c\u1ee7 v\u00e0 ng\u0169 c\u1ed1c nguy\u00ean c\u00e1m<\/li>\n<li>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc<\/li>\n<li>T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean<\/li>\n<li>T\u1eadp th\u00f3i quen \u0111i \u0111\u1ea1i ti\u1ec7n v\u00e0o m\u1ed9t khung gi\u1edd c\u1ed1 \u0111\u1ecbnh h\u1eb1ng ng\u00e0y<\/li>\n<\/ul>\n<p>C\u00e1c nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/thuoc-nhuan-trang-khi-nao-nen-dung\/\">Nhu\u1eadn tr\u00e0ng<\/a> t\u0103ng t\u1ea1o kh\u1ed1i l\u01b0\u1ee3ng ph\u00e2n: Psyllium, Polycarbophil, Methylcellulose. Ch\u1ec9 dung khi kh\u00f4ng th\u1ec3 t\u0103ng kh\u1ea9u ph\u1ea7n ch\u1ea5t x\u01a1 trong b\u1eefa \u0103n. T\u00e1c d\u1ee5ng gi\u1eef n\u01b0\u1edbc l\u1ea1i l\u00e0m t\u0103ng kh\u1ed1i l\u01b0\u1ee3ng ph\u00e2n. Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ea7y h\u01a1i v\u00e0 ch\u01b0\u1edbng b\u1ee5ng nh\u01b0ng kh\u00e1 an to\u00e0n khi dung l\u00e2u d\u00e0i. Ch\u00fa \u00fd duy nh\u1ea5t l\u00e0 c\u1ea7n cung c\u1ea5p n\u01b0\u1edbc \u0111\u1ea7y \u0111\u1ee7.<\/li>\n<li>Nh\u00f3m b\u00f4i tr\u01a1n: d\u1ea7u paraphin, glycerin<\/li>\n<li>Nhu\u1eadn tr\u00e0ng k\u00edch th\u00edch: t\u00e1c d\u1ee5ng b\u1eb1ng c\u00e1ch k\u00edch th\u00edch tr\u1ef1c ti\u1ebfp v\u00e0o h\u1ec7 th\u1ed1ng th\u1ea7n kinh \u0111\u1ea1i tr\u00e0ng. T\u00e1c d\u1ee5ng th\u01b0\u1eddng x\u1ea3y ra trong v\u00f2ng 8-12 gi\u1edd, vi\u00ean \u0111\u1eb7t t\u00e1c d\u1ee5ng nhanh h\u01a1n 20-60 ph\u00fat. Kh\u00f4ng n\u00ean dung d\u00e0i nh\u00f3m n\u00e0y v\u00ec c\u00f3 nguy c\u01a1 g\u00e2y ung th\u01b0.<\/li>\n<\/ul>\n<p>+ T\u00e1c \u0111\u1ed9ng tr\u00ean b\u1ec1 m\u1eb7t: Ducusate, acid m\u1eadt<\/p>\n<p>+ D\u1eabn xu\u1ea5t Diphenylmethan: Phenolphtalein, Bisacodyl, Picosulfat mu\u1ed1i<\/p>\n<p>+ Ricinoleic acid<\/p>\n<p>+ Anthraquinones: Sena, cascara sagrada, aloe, rhubard<\/p>\n<ul>\n<li>Nhu\u1eadn tr\u00e0ng th\u1ea9m th\u1ea5u: mu\u1ed1i magne v\u00e0 phosphat 5-10 g\/ng\u00e0y t\u00e1c d\u1ee5ng nhanh c\u00f3 nguy c\u01a1 ti\u00eau ch\u1ea3y, \u0111\u01b0\u1eddng lactulose 20-40 g\/ ng\u00e0y, sorbitol 10-20 g\/ng\u00e0y, polyethylene glycol. T\u00e1c d\u1ee5ng gi\u1eef n\u01b0\u1edbc l\u1ea1i theo c\u01a1 ch\u1ebf th\u1ea9m th\u1ea5u<\/li>\n<li>Glycerin \u0111\u1eb7t h\u1eadu m\u00f4n<\/li>\n<li>Ion magie, k\u1ebdm, canxi gi\u00fap t\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng \u1ed1ng ti\u00eau h\u00f3a: Panangin 2 vi\u00ean\/ ng\u00e0y<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb th\u1ee7 thu\u1eadt:<\/p>\n<ul>\n<li>K\u00edch th\u00edch r\u1ec5 th\u1ea7n kinh S3 (Sacral Nerve Stimulation &#8211; Interstim): \u0111i\u1ec1u tr\u1ecb \u0111\u1edd \u0111\u1ea1i tr\u00e0ng<\/li>\n<li>\u0110\u1eb7t \u0111i\u1ec7n c\u1ef1c trong l\u00f2ng \u0110\u1ea1i tr\u00e0ng k\u00edch th\u00edch (Colonic pacing): \u0111i\u1ec1u tr\u1ecb \u0111\u1edd \u0111\u1ea1i tr\u00e0ng<\/li>\n<li>Ti\u00eam botox v\u00e0o c\u01a1 mu tr\u1ef1c tr\u00e0ng: \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u01b0\u1eddng co th\u1eaft c\u01a1 mu tr\u1ef1c tr\u00e0ng<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt:<\/p>\n<ul>\n<li>C\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng: \u0111i\u1ec1u tr\u1ecb \u0111\u1edd \u0111\u1ea1i tr\u1ea1ng. Tuy nhi\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t \u0111\u1ea1i ph\u1eabu v\u00e0 \u0111i k\u00e8m v\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng n\u00ean c\u1ea7n c\u00e2n nh\u1eafc k\u0129 l\u01b0\u1ee1ng.<\/li>\n<li>C\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u1ef1c tr\u00e0ng: \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Hirschiprung<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p Rectocele: kh\u00e2u b\u00edt hay c\u1eaft b\u1ecf t\u00fai sa tr\u1ef1c tr\u00e0ng<\/li>\n<\/ul>\n<h2>5. K\u1ebft lu\u1eadn<\/h2>\n<p>T\u00e1o b\u00f3n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng nh\u01b0 t\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng, \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1 v\u00e0 u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc c\u00f3 th\u1ec3 gi\u00fap d\u1ec5 \u0111i \u0111\u1ea1i ti\u1ec7n h\u01a1n. Ngo\u00e0i ra c\u00e1c thu\u1ed1c nhu\u1eadn tr\u00e0ng, b\u00f4i tr\u01a1n c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n.<\/p>\n<p>Tuy nhi\u00ean, tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c ph\u00f9 h\u1ee3p. N\u1ebfu t\u00ecnh tr\u1ea1ng t\u00e1o b\u00f3n k\u00e9o d\u00e0i ho\u1eb7c c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 \u0111au b\u1ee5ng, kh\u00f3 th\u1edf ho\u1eb7c ch\u1ea3y m\u00e1u, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n<div class=\"content-article\">\n<div class=\"long-content no-limit\">\n<div class=\"wti-clear\"><\/div>\n<\/div>\n<\/div>\n<div class=\"comment-post\">\n<div class=\"count-list\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>T\u00e1o b\u00f3n l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 g\u00e2y kh\u00f3 ch\u1ecbu cho nhi\u1ec1u ng\u01b0\u1eddi. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, t\u00e1o b\u00f3n c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c h\u1ea1i cho s\u1ee9c kh\u1ecfe. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cung c\u1ea5p m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 c\u00e1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb [&hellip;]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cung c\u1ea5p m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 c\u00e1ch ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n k\u1ecbp th\u1eddi nh\u1eb1m h\u1ea1n ch\u1ebf t\u00e1c h\u1ea1i g\u00e2y ra b\u1edfi t\u00e1o b\u00f3n.\" \/>\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=\"H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n - 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