{"id":26402,"date":"2023-05-04T14:44:18","date_gmt":"2023-05-04T07:44:18","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26402"},"modified":"2023-05-04T14:44:18","modified_gmt":"2023-05-04T07:44:18","slug":"phau-thuat-chuyen-vat-che-phu-phan-mem-cuong-mach-roi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/phau-thuat-chuyen-vat-che-phu-phan-mem-cuong-mach-roi\/","title":{"rendered":"Ph\u1eabu thu\u1eadt chuy\u1ec3n v\u1ea1t che ph\u1ee7 c\u00f3 cu\u1ed1ng m\u1ea1ch r\u1eddi"},"content":{"rendered":"<p><b>C\u00f3 r\u1ea5t nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p che ph\u1ee7 khuy\u1ebft h\u1ed5ng ph\u1ea7n m\u1ec1m t\u00f9y t\u1eebng ng\u01b0\u1eddi b\u1ec7nh: huy \u0111\u1ed9ng da t\u1ea1i ch\u1ed7, v\u1ea1t da c\u00e2n t\u1ea1i ch\u1ed7, gh\u00e9p da, chuy\u1ec3n v\u1ea1t c\u01a1.<\/b><\/p>\n<p><b>Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi ph\u1eabu thu\u1eadt, nhi\u1ec1u v\u1ea1t t\u1ed5 ch\u1ee9c c\u00f3 cu\u1ed1ng m\u1ea1ch nu\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3, \u0111\u1eb7c bi\u1ec7t \u00e1p d\u1ee5ng cho c\u1eb3ng b\u00e0n ch\u00e2n, b\u00e0n tay.<\/b><\/p>\n<h2><b>1. Nguy\u00ean l\u00fd v\u00e0 s\u1ef1 ph\u00e2n lo\u1ea1i v\u1ea1t:<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">V\u1ea1t l\u00e0 m\u1ed9t \u0111\u01a1n v\u1ecb t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c chuy\u1ec3n t\u1eeb n\u01a1i n\u00e0y t\u1edbi n\u01a1i kh\u00e1c, m\u00e0 s\u1ef1 c\u1ea5p m\u00e1u b\u1edfi c\u00e1c m\u1ea1ch c\u1ee7a n\u00f3 v\u1eabn \u0111\u01b0\u1ee3c duy tr\u00ec. C\u00e0ng ng\u00e0y, c\u00e1c v\u1ea1t c\u00e0ng c\u00f3 nhi\u1ec1u h\u00ecnh d\u00e1ng v\u00e0 c\u1ea5u tr\u00fac. B\u1eaft \u0111\u1ea7u t\u1eeb nh\u1eefng v\u1ea1t da \u0111\u01a1n thu\u1ea7n, \u0111\u00e3 c\u00f3 nhi\u1ec1u lo\u1ea1i v\u1ea1t ph\u1ee9c h\u1ee3p g\u1ed3m c\u1ea3 c\u00e1c th\u00e0nh ph\u1ea7n m\u00f4 kh\u00e1c nh\u01b0 m\u1ee1, m\u1ea1c, c\u01a1 v\u00e0 x\u01b0\u01a1ng. M\u1ed9t v\u1ea1t kh\u00e1c v\u1edbi m\u1ed9t m\u1ea3nh gh\u00e9p \u1edf ch\u1ed7 v\u1ea1t \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111i v\u1edbi c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a n\u00f3 trong khi c\u00e1c m\u1ea3nh gh\u00e9p kh\u00f4ng c\u00f3 m\u1ea1ch m\u00e1u v\u00e0 vi\u1ec7c nu\u00f4i d\u01b0\u1ee1ng ph\u1ee5 thu\u1ed9c ho\u00e0n to\u00e0n v\u00e0o n\u01a1i nh\u1eadn.<\/span><\/p>\n<h2><b>2. Nguy\u00ean l\u00fd ph\u00e2n lo\u1ea1i v\u1ea1t c\u01a1 b\u1ea3n:<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00f3 ba ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i v\u1ea1t c\u01a1 b\u1ea3n nh\u01b0 sau:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00e2n lo\u1ea1i v\u1ea1t theo ngu\u1ed3n g\u1ed1c c\u1ea5p m\u00e1u.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00e2n lo\u1ea1i v\u1ea1t d\u1ef1a v\u00e0o c\u00e1c th\u00e0nh ph\u1ea7n m\u00f4 \u0111\u01b0\u1ee3c l\u1ea5y.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00e2n lo\u1ea1i v\u1ea1t tr\u00ean c\u01a1 s\u1edf v\u1ecb tr\u00ed n\u01a1i cho v\u1ea1t.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C\u00e1c ph\u00e2n lo\u1ea1i m\u1ed9t c\u00e1ch ph\u1ee9c t\u1ea1p theo m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n n\u00e0y.<\/span><\/p>\n<h2><b>2.1. C\u00e1c lo\u1ea1i v\u1ea1t che ph\u1ee7 ch\u00ednh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:<\/b><\/h2>\n<figure id=\"attachment_26410\" aria-describedby=\"caption-attachment-26410\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26410\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/22032019-5-990x573-1-300x174.png\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda v\u1ea1t da \" width=\"300\" height=\"174\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/22032019-5-990x573-1-300x174.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/22032019-5-990x573-1-768x445.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/22032019-5-990x573-1.png 990w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26410\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh minh h\u1ecda v\u1ea1t che ph\u1ee7<\/figcaption><\/figure>\n<h3><b>2.1.1 V\u1ea1t c\u01a1 v\u00e0 v\u1ea1t c\u01a1-da:<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Tuy \u0111\u01b0\u1ee3c g\u1ecdi t\u00ean theo m\u00f4 c\u1ea5u th\u00e0nh nh\u01b0ng lo\u1ea1i v\u1ea1t n\u00e0y c\u00f2n ch\u1ee9a c\u1ea3 c\u00e1c m\u00f4 k\u1ec1 c\u1eadn (m\u00f4 d\u01b0\u1edbi da, m\u1ea1c v\u00e0 c\u00f3 th\u1ec3 c\u1ea3 x\u01b0\u01a1ng) c\u00f3 c\u00f9ng ngu\u1ed3n g\u1ed1c c\u1ea5p m\u00e1u.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mathes v\u00e0 Nahai \u0111\u00e3 chia <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/chuyen-vat-da-giam-nguy-co-hoai-tu-xuong\/\">v\u1ea1t c\u01a1<\/a> v\u00e0 v\u1ea1t c\u01a1-da th\u00e0nh n\u0103m lo\u1ea1i v\u1ea1t d\u1ef1a tr\u00ean s\u1ef1 c\u1ea5p m\u00e1u cho c\u01a1 nh\u01b0 sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type I: lo\u1ea1i v\u1ea1t c\u00f3 m\u1ed9t cu\u1ed1ng m\u1ea1ch nh\u01b0 v\u1ea1t c\u01a1 c\u0103ng m\u1ea1c \u0111\u00f9i (<\/span><i><span style=\"font-weight: 400;\">tensor fascia lata flap<\/span><\/i><span style=\"font-weight: 400;\">), v\u1ea1t c\u01a1 khu\u1ef7u (<\/span><i><span style=\"font-weight: 400;\">anconeus flap<\/span><\/i><span style=\"font-weight: 400;\">), v\u1ea1t c\u01a1 b\u1ee5ng ch\u00e2n (<\/span><i><span style=\"font-weight: 400;\">gastrocnemius flap<\/span><\/i><span style=\"font-weight: 400;\">), v\u1ea1t c\u01a1 r\u1ed9ng gi\u1eefa (<\/span><i><span style=\"font-weight: 400;\">vastus intermedius flap<\/span><\/i><span style=\"font-weight: 400;\">).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type II: lo\u1ea1i v\u1ea1t c\u00f3 m\u1ed9t cu\u1ed1ng m\u1ea1ch tr\u1ed9i th\u01b0\u1eddng \u1edf g\u1ea7n c\u00e1c \u0111\u1ea7u b\u00e1m c\u1ee7a c\u01a1 v\u00e0 m\u1ed9t s\u1ed1 cu\u1ed1ng m\u1ea1ch nh\u1ecf h\u01a1n tr\u00ean d\u1ecdc chi\u1ec1u d\u00e0i c\u1ee7a b\u1ee5ng c\u01a1. C\u01a1 d\u1ea1ng ng\u00f3n tay \u00fat (<\/span><i><span style=\"font-weight: 400;\">abductor digiti minimi<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 d\u1ea1ng ng\u00f3n ch\u00e2n c\u00e1i (<\/span><i><span style=\"font-weight: 400;\">abductor hallucis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 r\u1ed9ng ngo\u00e0i (<\/span><i><span style=\"font-weight: 400;\">vastus lateralis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 nh\u1ecb \u0111\u1ea7u \u0111\u00f9i (<\/span><i><span style=\"font-weight: 400;\">biceps femoris<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 c\u00e1nh tay quay (<\/span><i><span style=\"font-weight: 400;\">brachioradialis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 g\u1ea5p c\u00e1c ng\u00f3n ch\u00e2n ng\u1eafn (<\/span><i><span style=\"font-weight: 400;\">flexor digitorum brevis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 thon (<\/span><i><span style=\"font-weight: 400;\">gracilis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 m\u00e1c d\u00e0i (<\/span><i><span style=\"font-weight: 400;\">peroneus longus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 m\u00e1c ng\u1eafn (<\/span><i><span style=\"font-weight: 400;\">peroneus brevis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 b\u00e1m da c\u1ed5 (<\/span><i><span style=\"font-weight: 400;\">platysma<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 th\u1eb3ng \u0111\u00f9i (<\/span><i><span style=\"font-weight: 400;\">rectus femoris<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 b\u00e1n g\u00e2n (<\/span><i><span style=\"font-weight: 400;\">semitendinosus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 d\u00e9p (<\/span><i><span style=\"font-weight: 400;\">soleus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 \u1ee9c-\u0111\u00f2n-ch\u0169m (<\/span><i><span style=\"font-weight: 400;\">sternocleidomastoid<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 th\u00e1i d\u01b0\u01a1ng (<\/span><i><span style=\"font-weight: 400;\">temporalis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 thang (<\/span><i><span style=\"font-weight: 400;\">trapezius<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 r\u1ed9ng ngo\u00e0i (<\/span><i><span style=\"font-weight: 400;\">vastus lateralis<\/span><\/i><span style=\"font-weight: 400;\">) thu\u1ed9c lo\u1ea1i v\u1ea1t n\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type III: lo\u1ea1i v\u1ea1t c\u00f3 hai cu\u1ed1ng m\u1ea1ch t\u00e1ch t\u1eeb hai \u0110M v\u00f9ng kh\u00e1c nhau, tr\u1eeb c\u01a1 v\u00f2ng m\u1eaft. C\u00e1c c\u01a1 thu\u1ed9c lo\u1ea1i v\u1ea1t n\u00e0y l\u00e0 c\u01a1 m\u00f4ng l\u1edbn (<\/span><i><span style=\"font-weight: 400;\">gluteus maximus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 th\u1eb3ng b\u1ee5ng (<\/span><i><span style=\"font-weight: 400;\">rectus abdominis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 v\u00f2ng m\u1eaft (<\/span><i><span style=\"font-weight: 400;\">orbicularis oris<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 r\u0103ng tr\u01b0\u1edbc (<\/span><i><span style=\"font-weight: 400;\">serratus anterior<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 b\u00e1n m\u00e0ng (<\/span><i><span style=\"font-weight: 400;\">semimembranosus<\/span><\/i><span style=\"font-weight: 400;\">).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type IV: lo\u1ea1i v\u1ea1t c\u00f3 nhi\u1ec1u cu\u1ed1ng m\u1ea1ch t\u01b0\u01a1ng \u0111\u01b0\u01a1ng. C\u00e1c c\u01a1 sau c\u00f3 c\u1ea5p m\u00e1u d\u1ea1ng n\u00e0y: c\u01a1 g\u1ea5p c\u00e1c ng\u00f3n ch\u00e2n d\u00e0i (<\/span><i><span style=\"font-weight: 400;\">flexor digitorum longus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 du\u1ed7i ng\u00f3n ch\u00e2n c\u00e1i d\u00e0i (<\/span><i><span style=\"font-weight: 400;\">extensor hallucis longus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 r\u1ed9ng trong (<\/span><i><span style=\"font-weight: 400;\">vastus medialis<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 ch\u00e9o b\u1ee5ng ngo\u00e0i (<\/span><i><span style=\"font-weight: 400;\">external oblique<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 du\u1ed7i c\u00e1c ng\u00f3n ch\u00e2n d\u00e0i (<\/span><i><span style=\"font-weight: 400;\">extensor digitorum longus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 g\u1ea5p ng\u00f3n ch\u00e2n c\u00e1i d\u00e0i (<\/span><i><span style=\"font-weight: 400;\">flexor hallucis longus<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 may (<\/span><i><span style=\"font-weight: 400;\">sartorius<\/span><\/i><span style=\"font-weight: 400;\">), c\u01a1 ch\u00e0y tr\u01b0\u1edbc (<\/span><i><span style=\"font-weight: 400;\">tibialis anterior<\/span><\/i><span style=\"font-weight: 400;\">).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type V: lo\u1ea1i v\u1ea1t c\u00f3 m\u1ed9t cu\u1ed1ng m\u1ea1ch tr\u1ed9i v\u00e0 nhi\u1ec1u cu\u1ed1ng m\u1ea1ch ph\u1ee5 ph\u00e2n \u0111o\u1ea1n nh\u1ecf h\u01a1n. Thu\u1ed9c nh\u00f3m n\u00e0y c\u00f3 c\u01a1 ng\u1ef1c l\u1edbn (pectoralis major), c\u01a1 l\u01b0ng r\u1ed9ng (latissimus dorsi).<\/span><\/li>\n<\/ul>\n<h3><b>2.1.2. V\u1ea1t m\u1ea1c-da.<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">V\u1ea1t m\u1ea1c-da l\u00e0 v\u1ea1t t\u1ed5 ch\u1ee9c c\u00f3 ch\u1ee9a da, m\u00f4 d\u01b0\u1edbi da v\u00e0 l\u1edbp m\u1ea1c s\u00e2u \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u b\u1edfi c\u00e1c \u0110M m\u1ea1c-da (fasciocutaneous artery) t\u00e1ch ra t\u1eeb m\u1ed9t \u0110M v\u00f9ng. Khi g\u1eb7p m\u1ea1c s\u00e2u, c\u00e1c \u0110M m\u1ea1c-da ph\u00e2n nh\u00e1nh \u1edf ba m\u1ee9c tr\u00ean, trong v\u00e0 d\u01b0\u1edbi m\u1ea1c n\u00e0y \u0111\u1ec3 n\u1ed1i v\u1edbi nhau t\u1ea1o th\u00e0nh c\u00e1c \u0111\u00e1m r\u1ed1i m\u1ea1ch c\u1ee7a m\u1ea1c s\u00e2u. C\u00e1c \u0111\u00e1m r\u1ed1i m\u1ea1ch c\u1ee7a m\u1ea1c s\u00e2u l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng tu\u1ea7n ho\u00e0n cho v\u1ea1t v\u00e0 nguy\u00ean t\u1eafc l\u1ea5y m\u1ed9t v\u1ea1t m\u1ea1c-da l\u00e0 ph\u1ea3i b\u00f3c c\u1ea3 m\u1ea1c s\u00e2u \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c c\u00e1c \u0111\u00e1m r\u1ed1i m\u1ea1ch n\u00e0y. Trong ba m\u1ee9c ph\u00e2n nh\u00e1nh, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c nh\u00e1nh c\u1ee7a \u0110M m\u1ea1c-da \u1edf m\u1eb7t n\u00f4ng (tr\u00ean) c\u1ee7a m\u1ea1c s\u00e2u l\u00e0 nhi\u1ec1u nh\u1ea5t v\u00e0 k\u00edch th\u01b0\u1edbc m\u1ea1ch c\u0169ng l\u1edbn nh\u1ea5t (th\u01b0\u1eddng l\u1edbn h\u01a1n 0.1mm).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u1ea1t m\u1ea1c-da \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi m\u00e0 c\u00e1c m\u1ea3nh gh\u00e9p da (<\/span><i><span style=\"font-weight: 400;\">skin graft<\/span><\/i><span style=\"font-weight: 400;\">) ho\u1eb7c c\u00e1c v\u1ea1t da ng\u1eabu nhi\u00ean kh\u00f4ng che ph\u1ee7 \u0111\u1ee7 m\u1ed9t t\u1ed5n khuy\u1ebft nh\u01b0 che ph\u1ee7 c\u00e1c g\u00e2n v\u00e0 x\u01b0\u01a1ng. H\u01b0\u1edbng c\u1ee7a v\u1ea1t ch\u1ea1y d\u1ecdc theo tr\u1ee5c c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng v\u1ea1t v\u00e0 v\u00ec v\u1eady s\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 h\u01b0\u1edbng c\u1ee7a c\u00e1c \u0111\u00e1m r\u1ed1i m\u1ea1ch c\u1ee7a m\u1ea1c, c\u1ee7a c\u00e1c \u0110M xi\u00ean m\u1ea1c-da v\u00e0 c\u1ee7a v\u00e1ch m\u1ea1c l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft.\u00a0<\/span><span style=\"font-weight: 400;\">\u0110\u00e2y l\u00e0 lo\u1ea1i v\u1ea1t r\u1ea5t d\u1ec5 b\u00f3c v\u1edbi \u0111\u1ed9 tin c\u1eady cao tr\u00ean ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Poten l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean m\u00f4 t\u1ea3 v\u1ea1t m\u1ea1c-da v\u00e0o n\u0103m 1981. Tr\u01b0\u1edbc \u0111\u00f3, h\u1ea7u h\u1ebft c\u00e1c v\u1ea1t \u1edf chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u1ef1a tr\u00ean kh\u00e1i ni\u1ec7m v\u1ea1t ng\u1eabu nhi\u00ean v\u1edbi m\u1ed9t t\u1ef7 l\u1ec7 k\u00edch th\u01b0\u1edbc d\u00e0i-r\u1ed9ng c\u1ee7a v\u1ea1t h\u1ea1n ch\u1ebf (th\u01b0\u1eddng l\u00e0 t\u1ef7 l\u1ec7 1:1). V\u1ea1t c\u1ee7a Poten \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf v\u1edbi t\u1ef7 l\u1ec7 k\u00edch th\u01b0\u1edbc n\u00e0y l\u00e0 3:1 n\u00ean c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 si\u00eau v\u1ea1t Poten (Poten superflap).\u00a0<\/span><span style=\"font-weight: 400;\">Cormack v\u00e0 Lamberty \u0111\u00e3 ph\u00e2n lo\u1ea1i v\u1ea1t m\u1ea1c-da d\u1ef1a tr\u00ean c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu m\u1ea1ch c\u1ee7a v\u1ea1t.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 chia c\u00e1c v\u1ea1t m\u1ea1c-da th\u00e0nh 4 lo\u1ea1i sau:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type A: v\u1ea1t \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi nhi\u1ec1u \u0110M m\u1ea1c-da \u0111i v\u00e0o n\u1ec1n v\u1ea1t. Tr\u1ee5c d\u1ecdc c\u1ee7a v\u1ea1t n\u1eb1m song song v\u1edbi h\u01b0\u1edbng ch\u00ednh c\u1ee7a c\u00e1c nh\u00e1nh m\u1ea1ch c\u1ea5p m\u00e1u cho v\u1ea1t. Cu\u1ed1ng c\u1ee7a lo\u1ea1i v\u1ea1t n\u00e0y th\u01b0\u1eddng r\u1ea5t r\u1ed9ng v\u00e0 d\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch c\u1ea5p m\u00e1u cho v\u1ea1t. V\u00ec th\u1ebf v\u1ea1t ch\u1ec9 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 v\u1edbi cung xoay v\u00e0 t\u1ea7m v\u1edbi c\u1ee7a v\u1ea1t r\u1ea5t h\u1ea1n ch\u1ebf.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type B: l\u00e0 lo\u1ea1i v\u1ea1t \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u1ef1a tr\u00ean m\u1ed9t \u0110M m\u1ea1c-da duy nh\u1ea5t c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh, h\u1eb1ng \u0111\u1ecbnh v\u1ec1 s\u1ef1 xu\u1ea5t hi\u1ec7n v\u00e0 tr\u1ecb tr\u00ed xu\u1ea5t hi\u1ec7n. Do ch\u1ec9 c\u00f3 m\u1ed9t \u0110M m\u1ea1c- da \u1edf cu\u1ed1ng v\u1ea1t, v\u1ea1t lo\u1ea1i n\u00e0y kh\u00f4ng ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i ch\u1ed7 m\u00e0 c\u00f2n c\u00f3 th\u1ec3 chuy\u1ec3n t\u1ef1 do. D\u00f9 \u0110M m\u1ea1c-da duy nh\u1ea5t c\u1ee7a v\u1ea1t l\u00e0 nh\u00e1nh b\u00ean hay l\u00e0 nh\u00e1nh t\u1eadn th\u00ec \u0110M v\u00f9ng t\u00e1ch ra n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y th\u00eam cho cu\u1ed1ng v\u1ea1t.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type C: l\u00e0 lo\u1ea1i v\u1ea1t \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi nhi\u1ec1u \u0110M m\u1ea1c-da t\u00e1ch song song t\u1eeb m\u1ed9t \u0110M v\u00f9ng tr\u00ean d\u1ecdc chi\u1ec1u d\u00e0i v\u1ea1t. S\u1ef1 ph\u00e2n b\u1ed1 v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a c\u00e1c \u0110M m\u1ea1c-da kh\u00e1c nhau \u1edf t\u1eebng ph\u1ea7n c\u1ee7a \u0110M ch\u00ednh.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type D: l\u00e0 lo\u1ea1i v\u1ea1t \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf theo ki\u1ec3u v\u1ea1t lo\u1ea1i C nh\u01b0ng ph\u1ea7n m\u00f4 c\u1ee7a v\u1ea1t g\u1ed3m c\u1ea3 c\u01a1 v\u00e0 x\u01b0\u01a1ng li\u1ec1n k\u1ec1 v\u1edbi v\u00f9ng m\u1ea1c-da. Ph\u1ea7n c\u01a1, x\u01b0\u01a1ng c\u1ee7a v\u1ea1t \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi nh\u1eefng nh\u00e1nh m\u1ea1ch c\u00f3 c\u00f9ng ngu\u1ed3n g\u1ed1c v\u1edbi c\u00e1c \u0110M m\u1ea1c-da.<\/span><\/li>\n<\/ul>\n<h2><b>3.C\u00c1C B\u01af\u1edaC TI\u1ebeN H\u00c0NH.<\/b><\/h2>\n<h3><b>3.1. Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u1ea1t che ph\u1ee7:<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Chu\u1ea9n b\u1ecb t\u1ed1t t\u00e2m l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh, t\u1ea1o s\u1ef1 tin t\u01b0\u1edfng v\u00e0 h\u1ee3p t\u00e1c<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o \u0111\u1ea7y \u0111\u1ee7 c\u00e1c b\u01b0\u1edbc ph\u1eabu thu\u1eadt, bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra, \u01b0u nh\u01b0\u1ee3c \u0111i\u1ec3m.<\/span><\/p>\n<h3><b>3.2. Ph\u1eabu thu\u1eadt v\u1ea1t che ph\u1ee7:<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u1ebf ho\u1ea1ch m\u1ed5 \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc 1 ng\u00e0y<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00f9ng cho v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c chu\u1ea9n b\u1ecb r\u1ed9ng r\u00e3i, c\u00f3 th\u1ec3 ph\u1ea3i d\u1ef1 tr\u00f9 v\u00f9ng cho th\u1ee9 2<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u1eabu thu\u1eadt lu\u00f4n b\u1eaft \u0111\u1ea7u t\u1eeb n\u01a1i nh\u1eadn<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u1ea7n d\u1ef1 ki\u1ebfn 2 kh\u1ea3 n\u0103ng c\u00f3 th\u1ec3 x\u1ea3y ra:<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thay th\u1ebf 1 v\u1ebft s\u1eb9o: Do s\u1eb9o \u0111\u01b0\u1ee3c c\u00e1t b\u1ecf ho\u00e0n to\u00e0n n\u00ean s\u1ef1 khuy\u1ebft h\u1ed5ng c\u00f3 th\u1ec3 r\u1ed9ng r\u00e3i h\u01a1n d\u1ef1 ki\u1ebfn ban \u0111\u1ea7u, c\u1ea7n c\u1eaft b\u1ecf b\u1edd s\u1eb9o \u0111\u1ebfn khi th\u1ea5y da m\u1ec1m v\u00e0 b\u00f3c t\u00e1ch \u0111\u01b0\u1ee3c, cho ph\u00e9p gh\u00e9p v\u1ea1t.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Che ph\u1ee7 ch\u1ed7 thi\u1ebfu h\u1ed5ng: M\u1ee5c \u0111\u00edch l\u00e0 che ph\u1ee7 c\u00e1c c\u1ea5u tr\u00fac nh\u01b0 x\u01b0\u01a1ng, g\u00e2n, th\u1ea7n kinh n\u00ean c\u1ea7n x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc ch\u1ed7 thi\u1ebfu h\u1ed5ng, c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n che ph\u1ee7 ho\u00e0n to\u00e0n trong tr\u01b0\u1eddng h\u1ee3p 1 ph\u1ea7n khuy\u1ebft h\u1ed5ng t\u1ed5 ch\u1ee9c h\u1ea1t m\u1ecdc r\u1ea5t t\u1ed1t, tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n v\u00e1 da th\u00ec 2.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110o \u0111\u1ea1c chu\u1ea9n k\u00edch th\u01b0\u1edbc v\u00f9ng khuy\u1ebft h\u1ed5ng, \u0111\u1eafp g\u1ea1c n\u01b0\u1edbc mu\u1ed1i \u1ea9m l\u00ean v\u00f9ng khuy\u1ebft h\u1ed5ng r\u1ed3i m\u1edbi b\u00f3c t\u00e1ch v\u1ea1t da m\u1edbi.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng m\u1ed5 \u0111\u01b0\u1ee3c r\u1ea1ch kho\u1ea3ng tr\u00ean m\u1ed9t n\u1eeda chu vi v\u1ea1t v\u00e0 tr\u00ean cu\u1ed1ng nh\u1eb1m m\u1ee5c \u0111\u00edch v\u1ea1t c\u00f3 th\u1ec3 kh\u00e2u tr\u1edf l\u1ea1i n\u1ebfu cu\u1ed1ng v\u00e0 v\u1ea1t kh\u00f4ng th\u1ecfa m\u00e3n \u0111i\u1ec1u ki\u1ec7n cho cu\u1ed9c chuy\u1ec3n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u00f3c t\u00e1ch t\u1ed5 ch\u1ee9c v\u1ea1t, m\u1ea1ch m\u00e1u, th\u1ea7n kinh c\u1ee7a v\u1ea1t., khi b\u00f3c t\u00e1ch m\u1ea1ch c\u1ea7n l\u01b0u \u00fd \u0111\u1ea3m b\u1ea3o t\u0129nh m\u1ea1ch h\u1ed3i l\u01b0u tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng bao m\u1ea1ch, d\u1ec5 g\u00e2y c\u1ee5c m\u00e1u \u0111\u00f4ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gh\u00e9p v\u1ea1t v\u00e0 cu\u1ed1ng \u0111\u1ebfn n\u01a1i nh\u1eadn \u0111\u00fang k\u1ef9 thu\u1eadt.<\/span><\/span>&nbsp;<\/li>\n<\/ul>\n<p>Ngu\u1ed3n: B\u1ed9 Y T\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f3 r\u1ea5t nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p che ph\u1ee7 khuy\u1ebft h\u1ed5ng ph\u1ea7n m\u1ec1m t\u00f9y t\u1eebng ng\u01b0\u1eddi b\u1ec7nh: huy \u0111\u1ed9ng da t\u1ea1i ch\u1ed7, v\u1ea1t da c\u00e2n t\u1ea1i ch\u1ed7, gh\u00e9p da, chuy\u1ec3n v\u1ea1t c\u01a1. Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi ph\u1eabu thu\u1eadt, nhi\u1ec1u v\u1ea1t t\u1ed5 ch\u1ee9c c\u00f3 cu\u1ed1ng m\u1ea1ch nu\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u1eabu thu\u1eadt chuy\u1ec3n v\u1ea1t che ph\u1ee7 c\u00f3 cu\u1ed1ng m\u1ea1ch r\u1eddi - Vinmec<\/title>\n<meta name=\"description\" content=\"V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi ph\u1eabu thu\u1eadt, nhi\u1ec1u v\u1ea1t t\u1ed5 ch\u1ee9c c\u00f3 cu\u1ed1ng m\u1ea1ch nu\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 s\u1eed d\u1ee5ng l\u00e0m v\u1ea1t che ph\u1ee7 v\u1ebft th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m.\" \/>\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=\"Ph\u1eabu thu\u1eadt chuy\u1ec3n v\u1ea1t che ph\u1ee7 c\u00f3 cu\u1ed1ng m\u1ea1ch r\u1eddi - 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