{"id":23809,"date":"2023-04-18T12:43:08","date_gmt":"2023-04-18T05:43:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23809"},"modified":"2023-04-18T14:37:35","modified_gmt":"2023-04-18T07:37:35","slug":"phuong-phap-dieu-tri-soi-tui-mat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/phuong-phap-dieu-tri-soi-tui-mat\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt"},"content":{"rendered":"<p><strong>S\u1ecfi m\u1eadt l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1o th\u00e0nh c\u00e1c h\u1ea1t kho\u00e1ng ch\u1ea5t trong t\u00fai m\u1eadt ho\u1eb7c \u0111\u01b0\u1eddng m\u1eadt. S\u1ecfi t\u00fai m\u1eadt c\u00f3 th\u1ec3 g\u00e2y \u0111au, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, &#8230;v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c <a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/bien-chung-va-tien-trien-cua-soi-tui-mat\/\">bi\u1ebfn ch\u1ee9ng<\/a> nh\u01b0 vi\u00eam t\u00fai m\u1eadt, nhi\u1ec5m tr\u00f9ng v\u00e0 ho\u1ea1i t\u1eed t\u00fai m\u1eadt, &#8230; \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi m\u1eadt, c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau t\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a s\u1ecfi.\u00a0<\/strong><\/p>\n<figure id=\"attachment_24019\" aria-describedby=\"caption-attachment-24019\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-24019 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1-300x220.jpg\" alt=\"S\u1ecfi t\u00fai m\u1eadt n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m\" width=\"300\" height=\"220\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1-300x220.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-499566163-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-24019\" class=\"wp-caption-text\">S\u1ecfi t\u00fai m\u1eadt n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m<\/figcaption><\/figure>\n<h2>1.Bi\u1ebfn ch\u1ee9ng c\u1ee7a s\u1ecfi t\u00fai m\u1eadt<\/h2>\n<p>S\u1ecfi t\u00fai m\u1eadt c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. Vi\u00eam t\u00fai m\u1eadt c\u1ea5p v\u00e0 vi\u00eam t\u00fai m\u1eadt m\u1ea1n t\u00ednh: Do s\u1ecfi l\u1ea5p \u0111\u1ea7y b\u00ean trong t\u00fai m\u1eadt d\u1eabn \u0111\u1ebfn vi\u00eam t\u00fai m\u1eadt. Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam t\u00fai m\u1eadt bao g\u1ed3m \u0111au v\u00f9ng b\u1ee5ng ph\u00eda tr\u00ean b\u00ean ph\u1ea3i v\u1ecb tr\u00ed t\u00fai m\u1eadt, s\u1ed1t, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, v\u00e0ng da v\u00e0 ni\u00eam m\u1ea1c.<\/li>\n<li>2. Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt: N\u1ebfu s\u1ecfi t\u00fai m\u1eadt g\u00e2y t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn m\u1eadt trong th\u1eddi gian d\u00e0i, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi khu\u1ea9n x\u00e2m nh\u1eadp v\u00e0 g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m s\u1ed1t cao, \u0111au v\u00e0 s\u01b0ng v\u00f9ng b\u1ee5ng ph\u00eda tr\u00ean b\u00ean ph\u1ea3i, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 m\u1ec7t m\u1ecfi.<\/li>\n<li>3. Ho\u1ea1i t\u1eed t\u00fai m\u1eadt: N\u1ebfu s\u1ecfi t\u00fai m\u1eadt g\u00e2y t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn m\u1eadt trong th\u1eddi gian d\u00e0i, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed t\u00fai m\u1eadt, t\u00ecnh tr\u1ea1ng n\u00e0y r\u1ea5t nguy hi\u1ec3m v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c.<\/li>\n<li>4. S\u1ecfi di chuy\u1ec3n v\u00e0 g\u00e2y t\u1eafc \u1ed1ng d\u1eabn m\u1eadt: S\u1ecfi t\u00fai m\u1eadt c\u00f3 th\u1ec3 di chuy\u1ec3n v\u00e0 g\u00e2y t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn m\u1eadt, g\u00e2y \u0111au v\u00e0 kh\u00f3 ch\u1ecbu.<\/li>\n<li>5. Vi\u00eam t\u1ee5y c\u1ea5p<\/li>\n<li>6. H\u1ed9i ch\u1ee9ng Mirizzi<\/li>\n<li>7. Ung th\u01b0 t\u00fai m\u1eadt: M\u1eb7c d\u00f9 r\u1ea5t hi\u1ebfm, nh\u01b0ng s\u1ecfi t\u00fai m\u1eadt c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 t\u00fai m\u1eadt.<\/li>\n<\/ul>\n<p>Vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt \u0111\u00fang c\u00e1ch r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 gi\u1ea3m thi\u1ec3u tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n<h2>2. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt<\/h2>\n<h3>2.1. Ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i v\u00e0 theo d\u00f5i chuy\u00ean m\u00f4n<\/h3>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1ecfi t\u00fai m\u1eadt nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t theo d\u00f5i v\u00e0 theo d\u00f5i chuy\u00ean m\u00f4n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng si\u00eau \u00e2m ho\u1eb7c ch\u1ee5p X-quang \u0111\u1ecbnh k\u1ef3.<\/p>\n<h3>2.2. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/h3>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a s\u1ecfi t\u00fai m\u1eadt. Tuy nhi\u00ean, thu\u1ed1c kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi.<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt bao g\u1ed3m:<\/p>\n<ul>\n<li>1. Ursodeoxycholic acid (UDCA): \u0110\u00e2y l\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m s\u1ea3n xu\u1ea5t ch\u1ea5t g\u00e2y s\u1ecfi v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t s\u1ecfi. UDCA c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt nh\u1ecf h\u01a1n 1cm.<\/li>\n<li>2. Chenodeoxycholic acid (CDCA): T\u01b0\u01a1ng t\u1ef1 nh\u01b0 UDCA, CDCA c\u0169ng gi\u00fap gi\u1ea3m s\u1ef1 s\u1ea3n xu\u1ea5t ch\u1ea5t g\u00e2y s\u1ecfi v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t s\u1ecfi.<\/li>\n<li>3. Kh\u00e1ng sinh: Khi s\u1ecfi t\u00fai m\u1eadt g\u00e2y ra vi\u00eam nhi\u1ec5m, b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam nhi\u1ec5m v\u00e0 ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t.<\/li>\n<li>4. Thu\u1ed1c gi\u1ea3m \u0111au: Nh\u1eefng lo\u1ea1i thu\u1ed1c nh\u01b0 Paracetamol, Ibuprofen, Diclofenac c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9c n\u0103ng gan v\u00e0 \u0111i\u1ec1u ti\u1ebft d\u1ecbch m\u1eadt c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt, t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a m\u1ed7i ng\u01b0\u1eddi v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u00e0 n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa. \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi t\u00fai m\u1eadt l\u1edbn h\u01a1n ho\u1eb7c g\u00e2y ra tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 n\u1ed9i soi ho\u1eb7c ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi.<\/p>\n<h2>2.4. Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi t\u00fai m\u1eadt qua da b\u1eb1ng laser<\/h2>\n<div class=\"ChatMessage_messageRow__7yIr2\">\n<div class=\"ChatMessage_messageWrapper__Zf87D\">\n<div class=\"Message_row___ur0Y\">\n<div class=\"Message_botMessageBubble__CPGMI \">\n<div class=\"Markdown_markdownContainer__UyYrv\">\n<p>Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi t\u00fai m\u1eadt qua da b\u1eb1ng laser (laser lithotripsy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi t\u00fai m\u1eadt. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ecfi t\u00fai m\u1eadt l\u1edbn ho\u1eb7c kh\u00f4ng th\u1ec3 lo\u1ea1i b\u1ecf b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 n\u1ed9i soi ho\u1eb7c ph\u1eabu thu\u1eadt.<\/p>\n<p>Qu\u00e1 tr\u00ecnh \u0111\u01b0a laser v\u00e0o t\u00fai m\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua m\u1ed9t \u1ed1ng m\u1ecfng \u0111\u01b0\u1ee3c \u0111\u01b0a qua da. Sau \u0111\u00f3, laser s\u1ebd t\u1ea1o ra c\u00e1c xung \u0111i\u1ec7n \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi th\u00e0nh c\u00e1c m\u1ea3nh nh\u1ecf h\u01a1n.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi t\u00fai m\u1eadt qua da b\u1eb1ng laser c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n<ul>\n<li>Kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng.<\/li>\n<li>Kh\u00f4ng c\u1ea7n \u0111\u01b0a d\u1ee5ng c\u1ee5 qua \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi, gi\u1ea3m nguy c\u01a1 vi\u00eam nhi\u1ec5m v\u00e0 \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/li>\n<li>Th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng ng\u1eafn h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng.<\/li>\n<li>\u0110\u1ed9 an to\u00e0n cao v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n<ul>\n<li>Chi ph\u00ed cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/li>\n<li>Kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi t\u00fai m\u1eadt nh\u1ecf ho\u1eb7c m\u1ec1m, v\u00ec laser c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn m\u00f4 xung quanh.<\/li>\n<li>Kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ecfi t\u00fai m\u1eadt n\u1eb1m \u1edf v\u1ecb tr\u00ed kh\u00f3 ti\u1ebfp c\u1eadn c\u1ee7a \u1ed1ng d\u1eabn.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2>2.5. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu n\u1ed9i soi c\u1eaft t\u00fai m\u1eadt<\/h2>\n<p>Ph\u1eabu n\u1ed9i soi c\u1eaft t\u00fai m\u1eadt (laparoscopic cholecystectomy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u01b0a qua c\u00e1c \u1ed1ng d\u1eabn qua da \u0111\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu n\u1ed9i soi c\u1eaft t\u00fai m\u1eadt c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. Kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng, gi\u1ea3m \u0111au \u0111\u1edbn v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt.<\/li>\n<li>2. Th\u1eddi gian ph\u1eabu thu\u1eadt ng\u1eafn h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng.<\/li>\n<li>3. T\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean kh\u00f4ng c\u1ea7n thi\u1ebft, gi\u1ea3m chi ph\u00ed.<\/li>\n<li>4. T\u1ef7 l\u1ec7 ph\u1ee5c h\u1ed3i t\u1ed1t v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. C\u1ea7n c\u00f3 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt cao v\u00e0 kinh nghi\u1ec7m \u0111\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u00e0y.<\/li>\n<li>2. Kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00fai m\u1eadt b\u1ecb vi\u00eam nhi\u1ec5m n\u1eb7ng ho\u1eb7c c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/li>\n<li>3. Kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00fai m\u1eadt qu\u00e1 l\u1edbn ho\u1eb7c b\u1ecb nang.<\/li>\n<li>4. T\u1ef7 l\u1ec7 chuy\u1ec3n sang ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng c\u00f3 th\u1ec3 cao h\u01a1n \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/li>\n<\/ul>\n<h2>2.6. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf c\u1eaft t\u00fai m\u1eadt<\/h2>\n<p>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf c\u1eaft t\u00fai m\u1eadt (open cholecystectomy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt b\u1eb1ng c\u00e1ch t\u1ea1o m\u1ed9t v\u1ebft m\u1ed5 l\u1edbn tr\u00ean b\u1ee5ng \u0111\u1ec3 ti\u1ebfp c\u1eadn v\u00e0 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt.<\/p>\n<p>Qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt b\u1eaft \u0111\u1ea7u b\u1eb1ng vi\u1ec7c t\u1ea1o m\u1ed9t v\u1ebft m\u1ed5 m\u1edf b\u1ee5ng l\u1edbn tr\u00ean b\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt. Trong qu\u00e1 tr\u00ecnh n\u00e0y, c\u00e1c d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u1ec3 c\u1eaft v\u00e0 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt. Sau \u0111\u00f3, v\u1ebft m\u1ed5 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00f3ng l\u1ea1i b\u1eb1ng c\u00e1c m\u0169i kh\u00e2u.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. Ph\u00f9 h\u1ee3p cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00fai m\u1eadt qu\u00e1 l\u1edbn.<\/li>\n<li>2. D\u1ec5 ti\u1ebfp c\u1eadn v\u00e0 lo\u1ea1i b\u1ecf t\u00fai m\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u1ee9c t\u1ea1p.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. V\u1ebft m\u1ed5 l\u1edbn tr\u00ean b\u1ee5ng sau ph\u1eabu thu\u1eadt, g\u00e2y \u0111au \u0111\u1edbn v\u00e0 th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i.<\/li>\n<li>2. T\u00e1i kh\u00e1m th\u01b0\u1eddng xuy\u00ean c\u1ea7n thi\u1ebft \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c bi\u1ebfn ch\u1ee9ng ph\u00e1t sinh.<\/li>\n<li>3. T\u1ef7 l\u1ec7 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 nhi\u1ec5m tr\u00f9ng, xu\u1ea5t huy\u1ebft v\u00e0 \u0111au sau ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c.<\/li>\n<\/ul>\n<p>Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf c\u1eaft t\u00fai m\u1eadt, b\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c v\u00e0 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p nh\u1ea5t cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n<p>T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a s\u1ecfi, b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t. Vi\u1ec7c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1ecfi m\u1eadt \u0111\u00fang c\u00e1ch l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 gi\u1ea3m thi\u1ec3u tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n<p><iframe loading=\"lazy\" title=\"C\u1eaft t\u00fai m\u1eadt c\u00f3 \u1ea3nh h\u01b0\u1edfng s\u1ee9c kh\u1ecfe kh\u00f4ng? BS V\u0169 V\u0103n Qu\u00e2n, BV Vinmec H\u1ea3i Ph\u00f2ng\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/4unxSerR1fs?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ecfi m\u1eadt l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1o th\u00e0nh c\u00e1c h\u1ea1t kho\u00e1ng ch\u1ea5t trong t\u00fai m\u1eadt ho\u1eb7c \u0111\u01b0\u1eddng m\u1eadt. S\u1ecfi t\u00fai m\u1eadt c\u00f3 th\u1ec3 g\u00e2y \u0111au, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, &#8230;v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam t\u00fai m\u1eadt, nhi\u1ec5m tr\u00f9ng v\u00e0 ho\u1ea1i t\u1eed t\u00fai m\u1eadt, &#8230; \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi m\u1eadt, c\u00f3 [&hellip;]<\/p>\n","protected":false},"author":5,"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>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ecfi t\u00fai m\u1eadt - Vinmec<\/title>\n<meta name=\"description\" content=\"S\u1ecfi t\u00fai m\u1eadt n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1ebd g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, th\u1eadm ch\u00ed ung th\u01b0 t\u00fai m\u1eadt. 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