{"id":25359,"date":"2023-04-21T14:35:50","date_gmt":"2023-04-21T07:35:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25359"},"modified":"2023-04-21T18:04:01","modified_gmt":"2023-04-21T11:04:01","slug":"cap-nhap-phau-thuat-noi-day-than-kinh-ngoai-bien","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/cap-nhap-phau-thuat-noi-day-than-kinh-ngoai-bien\/","title":{"rendered":"C\u1eadp nh\u1eadp ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt<\/a> n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch n\u1ed1i l\u1ea1i c\u00e1c d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u1ee9t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng. Ph\u1eabu thu\u1eadt n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t c\u1ea3m gi\u00e1c, m\u1ea5t kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 \u0111au do t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt quan tr\u1ecdng gi\u00fap ph\u1ee5c h\u1ed3i c\u00e1c d\u00e2y th\u1ea7n kinh (TK) b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/strong><\/p>\n

\"Ph\u1eabu
Ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch n\u1ed1i l\u1ea1i d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u1ee9t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– Nh\u1eefng d\u00e2y TK ch\u00ednh c\u1ee7a chi th\u1ec3 khi b\u1ecb \u0111\u1ee9t \u0111\u1ec1u c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e2u n\u1ed1i l\u1ea1i<\/p>\n

– Khuy\u1ebft \u0111o\u1ea1n TK < 2,5cm v\u00e0 khi kh\u00e2u n\u1ed1i kh\u00e2u n\u1ed1i kh\u00f4ng c\u00f3 s\u1ee9c c\u0103ng. Khi c\u00f3 khuy\u1ebft \u0111o\u1ea1n > 2,5cm th\u00ec n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gh\u00e9p d\u00e2y th\u1ea7n kinh.<\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– To\u00e0n th\u00e2n: ch\u01b0a tho\u00e1t s\u1ed1c, c\u00f3 c\u00e1c b\u1ec7nh nh\u01b0 b\u1ec7nh lao, giang mai, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n ph\u1ed1i h\u1ee3p ho\u1eb7c gi\u00e0 y\u1ebfu.<\/p>\n

– T\u1ea1i ch\u1ed7:<\/p>\n

+ V\u1ebft th\u01b0\u01a1ng \u0111\u1ebfn mu\u1ed9n \u0111ang nhi\u1ec5m khu\u1ea9n.<\/p>\n

+ Ph\u1ea7n m\u1ec1m t\u1ea1i v\u00f9ng d\u00e2y th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng d\u1eadp n\u00e1t nhi\u1ec1u, kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 che ph\u1ee7 v\u00f9ng kh\u00e2u n\u1ed1i th\u1ea7n kinh.<\/p>\n

C\u00e1c c\u01a1 do d\u00e2y th\u1ea7n kinh chi ph\u1ed1i b\u1ecb t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c.<\/p>\n

– Th\u1eddi gian: t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn mu\u1ed9n sau 6 th\u00e1ng, c\u00e1c c\u01a1 do d\u00e2y th\u1ea7n kinh chi ph\u1ed1i \u0111\u00e3 teo ho\u1eb7c tho\u00e1i h\u00f3a n\u1eb7ng.<\/p>\n

3. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n

3.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b><\/h3>\n

– K\u00edp m\u1ed5:<\/p>\n

+ 3 b\u00e1c s\u0129: 1 ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh + 2 b\u00e1c s\u0129 ph\u1ee5 m\u1ed5<\/p>\n

+ \u0110i\u1ec1u d\u01b0\u1ee1ng: 2 \u0111i\u1ec1u d\u01b0\u1ee1ng: 1 \u0111i\u1ec1u d\u01b0\u1ee1ng d\u1ee5ng c\u1ee5 (chu\u1ea9n b\u1ecb v\u00e0 tr\u1ee3 gi\u00fap d\u1ee5ng c\u1ee5 trong ph\u1eabu thu\u1eadt) + 1 di\u1ec1u d\u01b0\u1ee1ng ch\u1ea1y ngo\u00e0i ph\u1ee5c v\u1ee5 cho ca m\u1ed5.<\/p>\n

– K\u00edp g\u00e2y m\u00ea: 1 b\u00e1c s\u0129 g\u00e2y m\u00ea + 1 \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 m\u00ea<\/p>\n

3.2. Ph\u01b0\u01a1ng ti\u1ec7n<\/b><\/h3>\n

– K\u00ednh vi ph\u1eabu<\/p>\n

– V\u1eadt t\u01b0 ti\u00eau hao:100 g\u1ea1c con, ch\u1ec9 prolen t\u1eeb 5.0 \u0111\u1ebfn 9.0 m\u1ed7i lo\u1ea1i 2 s\u1ee3i, 5 s\u1ee3i ch\u1ec9 vicryl 2.0 (3.0 \u0111\u1ed1i v\u1edbi tr\u1ebb em), 2 s\u1ee3i dafilon 3.0 (4.0 \u0111\u1ed1i v\u1edbi tr\u1ebb em).<\/p>\n

– B\u1ed9 d\u1eabn l\u01b0u k\u00edn \u0111\u1eb7t d\u01b0\u1edbi da.<\/p>\n

3.3. Ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

– V\u1ec7 sinh to\u00e0n th\u00e2n.<\/p>\n

– \u0110\u01b0\u1ee3c kh\u00e1m l\u00e2m s\u00e0ng c\u1ea9n th\u1eadn (kh\u00e1m t\u1ea1i ch\u1ed7, kh\u00e1m v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u1ecb tr\u00ed, m\u1ee9c \u0111\u1ed9 th\u01b0\u01a1ng t\u1ed5n. X\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy c\u1ea7n l\u00e0m tr\u01b0\u1edbc m\u1ed5 nh\u01b0: Xquang tim ph\u1ed5i, Xquang b\u00e0n tay, c\u00f4ng th\u1ee9c m\u00e1u, m\u00e1u ch\u1ea3y m\u00e1u \u0111\u00f4ng, sinh h\u00f3a, mi\u1ec5n d\u1ecbch, n\u01b0\u1edbc ti\u1ec3u\u2026<\/p>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

4.1. T\u01b0 th\u1ebf: <\/b><\/h3>\n

B\u1ed9c l\u1ed9 ph\u1ea7n chi th\u1ec3 c\u00f3 th\u1ea7n kinh t\u1ed5n th\u01b0\u01a1ng, s\u00e1t khu\u1ea9n v\u00f9ng m\u1ed5 b\u1eb1ng dung d\u1ecbch B\u00e9tadine, garo h\u01a1i ho\u1eb7c garo b\u1eb1ng b\u0103ng chun.<\/p>\n

4.2. V\u00f4 c\u1ea3m: <\/b><\/h3>\n

G\u00e2y t\u00ea v\u00f9ng ho\u1eb7c g\u00e2y t\u00ea \u0111\u00e1m r\u1ed1i c\u00e1nh tay ho\u1eb7c g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n t\u00f9y theo t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p.<\/p>\n

4.3. K\u1ef9 thu\u1eadt:<\/b><\/h3>\n

– M\u1edf \u0111\u01b0\u1eddng v\u00e0o theo \u0111\u01b0\u1eddng v\u1ebft th\u01b0\u01a1ng ho\u1eb7c theo \u0111\u01b0\u1eddng c\u1eaft s\u1eb9o, m\u1edf r\u1ed9ng v\u1ebft m\u1ed5 theo \u0111\u01b0\u1eddng z\u00edch z\u1eafc n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n

– B\u1ed9c l\u1ed9 v\u00e0 b\u00f3c t\u00e1ch r\u00f5 hai \u0111\u1ea7u c\u1ee5t c\u1ee7a d\u00e2y th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng ra kh\u1ecfi t\u1ed5 ch\u1ee9c xung quanh.<\/p>\n

– X\u1eed tr\u00ed c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p: g\u00e3y x\u01b0\u01a1ng, \u0111\u1ee9t g\u00e2n, t\u1ed5n th\u01b0\u01a1ng c\u01a1, m\u1ea1ch m\u00e1u.<\/p>\n

– Kh\u00e2u n\u1ed1i th\u1ea7n kinh d\u01b0\u1edbi k\u00ednh vi ph\u1eabu b\u1eb1ng k\u0129 thu\u1eadt kh\u00e2u bao ngo\u00e0i, bao b\u00f3 s\u1ee3i.<\/p>\n

– \u0110\u00f3ng v\u1ebft m\u1ed5, \u0111\u1eb7t 1 d\u1eabn l\u01b0u k\u00edn \u1ed5 m\u1ed5.<\/p>\n

– B\u1ed9t b\u1ea5t \u0111\u1ed9ng chi th\u1ec3 \u0111\u01b0\u1ee3c n\u1ed1i th\u1ea7n kinh.<\/p>\n

5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n

5.1. Theo d\u00f5i:<\/b><\/h3>\n

Sau ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i t\u1ed1i \u01b0u. Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin chi ti\u1ebft h\u01a1n v\u1ec1 ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i sau ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean:<\/p>\n

– Ch\u0103m s\u00f3c v\u1ebft m\u1ed5: B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u1ea3m b\u1ea3o v\u1ec7 sinh t\u1ed1t v\u00f9ng v\u1ebft m\u1ed5 b\u1eb1ng c\u00e1ch thay b\u0103ng, l\u00e0m s\u1ea1ch v\u1ebft m\u1ed5 h\u00e0ng ng\u00e0y. B\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n c\u00e1ch ch\u0103m s\u00f3c v\u1ebft m\u1ed5 v\u00e0 ki\u1ec3m tra to\u00e0n di\u1ec7n v\u1ebft m\u1ed5 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n nhi\u1ec5m tr\u00f9ng hay s\u01b0ng \u0111au.<\/p>\n

– S\u1eed d\u1ee5ng thu\u1ed1c: B\u1ec7nh nh\u00e2n c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129. Thu\u1ed1c kh\u00e1ng sinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong kho\u1ea3ng 5-7 ng\u00e0y \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng, v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au, ch\u1ed1ng ph\u00f9 n\u1ec1.<\/p>\n

– T\u1eadp v\u1eadn \u0111\u1ed9ng: B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u1ec1 t\u1eadp v\u1eadn \u0111\u1ed9ng v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt. T\u1eadp v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng bao g\u1ed3m c\u00e1c b\u00e0i t\u1eadp gi\u00e3n c\u01a1 v\u00e0 t\u1eadp luy\u1ec7n ch\u1ee9c n\u0103ng, nh\u1eb1m gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng khu v\u1ef1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

– Theo d\u00f5i chuy\u00ean s\u00e2u: B\u00e1c s\u0129 s\u1ebd theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt b\u1eb1ng c\u00e1ch ki\u1ec3m tra s\u1ef1 d\u1eabn truy\u1ec1n c\u1ee7a d\u00e2y th\u1ea7n kinh v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. N\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, CT ho\u1eb7c MRI \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ee7a khu v\u1ef1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

– T\u01b0 v\u1ea5n ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt: B\u00e1c s\u0129 s\u1ebd cung c\u1ea5p cho b\u1ec7nh nh\u00e2n c\u00e1c l\u1eddi khuy\u00ean v\u00e0 h\u01b0\u1edbng d\u1eabn v\u1ec1 ch\u0103m s\u00f3c v\u00e0 ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt, bao g\u1ed3m c\u00e1ch ch\u0103m s\u00f3c v\u1ebft m\u1ed5, t\u1eadp v\u1eadn \u0111\u1ed9ng v\u00e0 ki\u1ec3m so\u00e1t \u0111au. B\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i t\u1ed1i \u01b0u.<\/p>\n

5.2. Bi\u1ebfn ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed:<\/b><\/h3>\n

– Ch\u1ea3y m\u00e1u sau m\u1ed5:<\/p>\n

    \n
  • X\u1eed tr\u00ed theo t\u1ed5n th\u01b0\u01a1ng ch\u1ea3y m\u00e1u.<\/li>\n
  • Theo d\u00f5i s\u00e1t sao: Sau khi x\u1eed l\u00fd ch\u1ea3y m\u00e1u, b\u00e1c s\u0129 s\u1ebd theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ch\u1ea3y m\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 kh\u00f4ng t\u00e1i ph\u00e1t. B\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n t\u00f4n tr\u1ecdng c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 ki\u1ec3m tra l\u1ea1i v\u1ebft m\u1ed5 \u0111\u1ec3 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng nh\u01b0 ch\u1ea3y m\u00e1u, s\u01b0ng \u0111au ho\u1eb7c nhi\u1ec5m tr\u00f9ng.<\/li>\n<\/ul>\n

    – Nhi\u1ec5m tr\u00f9ng:<\/p>\n

    + S\u1eed d\u1ee5ng kh\u00e1ng sinh theo kh\u00e1ng sinh \u0111\u1ed3 n\u1ebfu c\u1ea5y m\u00e1u, d\u1ecbch c\u00f3 vi khu\u1ea9n.<\/p>\n

    + Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ea5y vi khu\u1ea9n nh\u01b0ng c\u00f3 b\u1eb1ng ch\u1ee9ng vi khu\u1ea9n, d\u00f9ng Cephalosporin th\u1ebf h\u1ec7 3, 4 k\u1ebft h\u1ee3p v\u1edbi nh\u00f3m glycosid ho\u1eb7c glycopeptid.<\/p>\n

    – D\u00ednh g\u00e2n: ph\u1eabu thu\u1eadt g\u1ee1 d\u00ednh.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

    Ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch n\u1ed1i l\u1ea1i c\u00e1c d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u1ee9t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng. Ph\u1eabu thu\u1eadt n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t c\u1ea3m gi\u00e1c, m\u1ea5t kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 \u0111au do t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh. […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\nC\u1eadp nh\u1eadp ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed1i d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch n\u1ed1i l\u1ea1i c\u00e1c d\u00e2y th\u1ea7n kinh b\u1ecb \u0111\u1ee9t ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng. 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