{"id":26727,"date":"2023-04-22T16:38:58","date_gmt":"2023-04-22T09:38:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26727"},"modified":"2023-04-29T17:36:28","modified_gmt":"2023-04-29T10:36:28","slug":"pha-thai-ngoai-khoa-ky-thuat-hut-thai-chan-khong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/pha-thai-ngoai-khoa-ky-thuat-hut-thai-chan-khong\/","title":{"rendered":"Ph\u00e1 thai ngo\u1ea1i khoa: K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng\u00a0"},"content":{"rendered":"<p><strong>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa (h\u00fat thai ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp). M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf ri\u00eang. C\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ea7n xem x\u00e9t khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai l\u00e0 \u0111\u1ed9 an to\u00e0n, hi\u1ec7u qu\u1ea3, chi ph\u00ed, kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n v\u00e0 tu\u1ed5i thai. T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 th\u1eddi \u0111i\u1ec3m thai k\u1ef3, b\u00e1c s\u0129 s\u1ebd l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<h2>1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai<\/h2>\n<p>Ph\u00e1 thai b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ngo\u1ea1i khoa: s\u1eed d\u1ee5ng c\u00e1c th\u1ee7 thu\u1eadt qua c\u1ed5 t\u1eed cung \u0111\u1ec3 ch\u1ea5m d\u1ee9t thai k\u1ef3 bao g\u1ed3m h\u00fat ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp<\/p>\n<p>Ph\u00e1 thai b\u1eb1ng thu\u1ed1c (ph\u00e1 thai n\u1ed9i khoa): Trong ph\u00e1 thai n\u1ed9i khoa s\u1ebd d\u00f9ng hai thu\u1ed1c ph\u1ed1i h\u1ee3p, m\u1ed9t l\u00e0\u00a0<em>mifepriston<\/em>\u00a0(c\u00f2n g\u1ecdi RU486, bi\u1ec7t d\u01b0\u1ee3c Mifestad<sup>\u00ae<\/sup>200 ho\u00e0n to\u00e0n kh\u00e1c v\u1edbi Mifestad<sup>\u00ae<\/sup>10 d\u00f9ng tr\u00e1nh thai kh\u1ea9n c\u1ea5p) v\u00e0 hai l\u00e0\u00a0<em>misoprostol<\/em>. Mifepriston c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m cho ni\u00eam m\u1ea1c t\u1eed cung kh\u00f4ng ph\u00e1t tri\u1ec3n thu\u1eadn l\u1ee3i cho vi\u1ec7c l\u00e0m t\u1ed5 c\u1ee7a tr\u1ee9ng th\u1ee5 tinh. C\u00f2n misoprostol c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y co th\u1eaft t\u1eed cung \u0111\u1ec3 t\u1ed1ng tr\u1ee9ng th\u1ee5 tinh \u0111\u00e3 tr\u1edf th\u00e0nh b\u00e0o thai ra ngo\u00e0i.\u00a0Khi \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai b\u1eb1ng thu\u1ed1c c\u1ea7n ph\u1ea3i c\u00f3 s\u1eb5n d\u1ecbch v\u1ee5 ph\u00e1 thai b\u1eb1ng h\u00fat ch\u00e2n kh\u00f4ng \u0111\u1ec3 x\u1eed t\u00ed nh\u1eefng tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i.<\/p>\n<h2>2. K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng<\/h2>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai trong 3 th\u00e1ng \u0111\u1ea7u:<\/p>\n<ul>\n<li>N\u1ea1o thai b\u1eb1ng th\u00eca<\/li>\n<li>H\u00fat ch\u00e2n kh\u00f4ng b\u1eb1ng tay ho\u1eb7c m\u00e1y<\/li>\n<li>Ph\u00e1 thai b\u1eb1ng th\u01b0\u1eddng<\/li>\n<\/ul>\n<p>Ph\u00e1 thai ch\u00e2n kh\u00f4ng ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u01b0u chu\u1ed9ng v\u00e0 \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n nh\u1ea5t. Tuy nhi\u00ean c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a ph\u1ee5 n\u1eef. T\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng 2-10%<\/p>\n<p>H\u00fat thai l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n h\u01a1n n\u1ea1o thai D&amp;C (ph\u1ea7n n\u1ea1o thai D&amp;C b\u1ea1n c\u00f3 th\u1ec3 tham kh\u1ea3o th\u00eam \u1edf trang <a href=\"https:\/\/vinmecdr.com\/\">Vinmec.Dr<\/a>)<\/p>\n<ul>\n<li>An to\u00e0n h\u01a1n: Nong CTC \u00edt h\u01a1n. \u00cdt t\u1ed5 ch\u1ee9c b\u1ecb d\u1eadp n\u00e1t h\u01a1n: d\u1ec5 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c b\u1ec7nh ph\u1ea9m<\/li>\n<li>Nhanh h\u01a1n<\/li>\n<li>Hi\u1ec7u qu\u1ea3 h\u01a1n (99%)<\/li>\n<li>Ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n<\/li>\n<li>D\u1ec5 th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng v\u00f9ng n\u00f4ng th\u00f4n<\/li>\n<li>D\u1ee5ng c\u1ee5 \u0111\u01a1n gi\u1ea3n v\u1edbi \u00edt b\u1ed9 ph\u1eadn<\/li>\n<li>t\u00e1ch r\u1eddi nhau<\/li>\n<\/ul>\n<figure id=\"attachment_26786\" aria-describedby=\"caption-attachment-26786\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26786\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1-300x300.png\" alt=\"H\u00fat thai ngo\u1ea1i khoa\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Thiet-ke-chua-co-ten-5-1.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26786\" class=\"wp-caption-text\">H\u00fat thai ngo\u1ea1i khoa<\/figcaption><\/figure>\n<p><strong>2.1 Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/p>\n<p>Thai trong t\u1eed cung d\u01b0\u1edbi 12 tu\u1ea7n<\/p>\n<p>Thai k\u1ef3 kh\u00f4ng mong mu\u1ed1n hay thai k\u1ef3 b\u1ec7nh l\u00fd<\/p>\n<p><strong>2.2 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/strong><\/p>\n<p>Tr\u00ec ho\u00e3n th\u1ee7 thu\u1eadt n\u1ebfu c\u00f3 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng sinh d\u1ee5c n\u1eb7ng<\/p>\n<p>C\u1ea9n th\u1eadn trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, thi\u1ebfu m\u00e1u n\u1eb7ng, b\u1ec7nh l\u00fd tim m\u1ea1ch, u x\u01a1 t\u1eed cung, v\u1ebft m\u1ed5 m\u1edbi, h\u1eadu s\u1ea3n. C\u01a1 s\u1edf th\u1ef1c hi\u1ec7n n\u00ean c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea5p c\u1ee9u h\u1ed7 tr\u1ee3<\/p>\n<p><strong>2.3 Chu\u1ea9n b\u1ecb\u00a0<\/strong><\/p>\n<p>Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5<\/p>\n<ul>\n<li>Trang thi\u1ebft b\u1ecb: B\u00e0n kh\u00e1m, \u0111\u00e8n kh\u00e1m, gh\u1ebf l\u00e0m th\u1ee7 thu\u1eadt. X\u00f4 \u0111\u1ef1ng dung d\u1ecbch kh\u1eed khu\u1ea9n d\u1ee5ng c\u1ee5 (chlorine 0.5%)<\/li>\n<li>M\u1ecf v\u1ecbt hay van, 2 k\u1eb9p s\u00e1t khu\u1ea9n<\/li>\n<li>K\u1eb9p Pozzi, b\u1ed9 nong c\u1ed5 t\u1eed cung<\/li>\n<li>G\u0103ng tay v\u00f4 tr\u00f9ng, b\u00f4ng, b\u01a1m ti\u00eam 10ml<\/li>\n<\/ul>\n<p>Thu\u1ed1c<\/p>\n<ul>\n<li>Thu\u1ed1c gi\u1ea3m \u0111au u\u1ed1ng tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 thu\u1eadt: Ibuprofen hay Acetaminophen<\/li>\n<li>Thu\u1ed1c t\u00ea: Lidocain hay Chlorocain kh\u00f4ng ch\u1ee9a epinephrine<\/li>\n<li>Thu\u1ed1c gi\u1ea3m lo \u00e2u: Diazepam (s\u1eed d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1ch h\u00e0ng qu\u00e1 lo l\u1eafng)<\/li>\n<li>Thu\u1ed1c s\u00e1t khu\u1ea9n \u00e2m h\u1ed9, \u00e2m \u0111\u1ea1o v\u00e0 c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<p><strong>2.4 Th\u1ee7 thu\u1eadt<\/strong><\/p>\n<p>Ch\u1ec9 l\u00e0m th\u1ee7 thu\u1eadt sau khi kh\u00e1m, t\u01b0 v\u1ea5n v\u00e0 l\u00e0m \u0111\u1ee7 c\u00e1c x\u00e9t nghi\u1ec7m<\/p>\n<p><strong>2.4.1 Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<p>Y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n \u0111i ti\u1ec3u s\u1ea1ch<\/p>\n<p>Gi\u00fap b\u1ec7nh nh\u00e2n n\u1eb1m l\u00ean b\u00e0n v\u00e0 n\u1eb1m trong t\u01b0 th\u1ebf s\u1ea3n khoa<\/p>\n<p>Ng\u01b0\u1eddi l\u00e0m th\u1ee7 thu\u1eadt kh\u00e1m ti\u1ec3u khung l\u1ea1i b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p kh\u00e1m 2 tay \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb th\u1ebf v\u00e0 k\u00edch th\u01b0\u1edbc t\u1eed cung<\/p>\n<p>L\u00e0m s\u1ea1ch t\u1eed cung :<\/p>\n<ul>\n<li>L\u00e0m s\u1ea1ch t\u1eed cung b\u1eb1ng dung d\u1ecbch s\u00e1t khu\u1ea9n (betadine ho\u1eb7c chlorhexidine)<\/li>\n<li>D\u00f9ng t\u0103m b\u00f4ng ho\u1eb7c k\u1eb9p g\u1ea1c b\u1eaft \u0111\u1ea7u \u1edf c\u1ed5 t\u1eed cung v\u00e0 lan v\u00f2ng ra xung quanh<\/li>\n<li>Kh\u00f4ng l\u00e0m nhi\u1ec5m b\u1ea9n v\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch b\u1eb1ng c\u00e1ch lau ng\u01b0\u1ee3c tr\u1edf l\u1ea1i<\/li>\n<\/ul>\n<p><strong>2.4.2 C\u00e1c b\u01b0\u1edbc l\u00e0m th\u1ee7 thu\u1eadt\u00a0\u00a0<\/strong><\/p>\n<ul>\n<li>R\u1eeda tay, m\u1eb7c \u00e1o, mang g\u0103ng<\/li>\n<li>S\u00e1t tr\u00f9ng \u00e2m h\u1ed9<\/li>\n<li>\u0110\u1eb7t m\u1ecf v\u1ecbt hay van \u0111\u1ec3 b\u1ed9c l\u1ed9 t\u1eed cung<\/li>\n<li>S\u00e1t tr\u00f9ng \u00e2m \u0111\u1ea1o v\u00e0 c\u1ed5 t\u1eed cung. Phong b\u1ebf c\u1ed5 t\u1eed cung<\/li>\n<li>Nong c\u1ed5 t\u1eed cung<\/li>\n<li>\u0110\u1eb7t \u1ed1ng h\u00fat v\u00e0o bu\u1ed3ng t\u1eed cung v\u00e0 h\u00fat t\u1ed5 ch\u1ee9c trong bu\u1ed3ng t\u1eed cung<\/li>\n<li>Ho\u00e0n t\u1ea5t th\u1ee7 thu\u1eadt, r\u00fat \u1ed1ng h\u00fat kh\u1ecfi bu\u1ed3ng t\u1eed cung, m\u1edf k\u1eb9p Pozzi, ki\u1ec3m tra v\u00e0 lau s\u1ea1ch c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<h2>3. K\u1ef9 thu\u1eadt kh\u00f4ng ch\u1ea1m v\u00e0 c\u00e1c l\u01b0u \u00fd kh\u00e1c trong h\u00fat thai ch\u00e2n kh\u00f4ng<\/h2>\n<p>Ph\u1ea7n \u1ed1ng h\u00fat hay b\u1ea5t k\u1ef3 d\u1ee5ng c\u1ee5 n\u00e0o \u0111\u1eb7t v\u00e0o trong t\u1eed cung kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea1m v\u00e0o c\u00e1c b\u1ec1 m\u1eb7t kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ec7t tr\u00f9ng tr\u01b0\u1edbc khi \u0111\u1eb7t v\u00e0o t\u1eed cung, bao g\u1ed3m c\u1ea3 th\u00e0nh \u00e2m \u0111\u1ea1o<\/p>\n<p><strong>3.1 Phong b\u1ebf t\u1eed cung<\/strong><\/p>\n<ul>\n<li>N\u1ebfu s\u1eed d\u1ee5ng k\u1eb9p c\u1ed5 t\u1eed cung, ti\u00eam 0.5- 1ml\u00a0 dung d\u1ecbch lidocanie v\u00e0o m\u00f4i tr\u01b0\u1edbc hay m\u00f4i sau c\u1ee7a c\u1ed5 t\u1eed cung<\/li>\n<li>K\u1eb9p c\u1ed5 t\u1eed cung t\u1ea1i v\u1ecb tr\u00ed \u0111\u01b0\u1ee3c g\u00e2y t\u00ea<\/li>\n<li>D\u00f9ng kim ti\u00eam c\u1ee1 21 ho\u1eb7c 22 v\u00e0 b\u01a1m ti\u00eam 10cc (c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ea7u n\u1ed1i kim ho\u1eb7c kh\u00f4ng)<\/li>\n<li>D\u00f9ng k\u1eb9p t\u1eed cung k\u00e9o nh\u1eb9 c\u1ed5 t\u1eed cung \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ed7 ti\u1ebfp n\u1ed1i gi\u1eefa bi\u1ec3u m\u00f4 c\u1ed5 t\u1eed cung v\u00e0 \u00e2m \u0111\u1ea1o<\/li>\n<li>Ch\u1ed7 ti\u1ebfp n\u1ed1i n\u00e0y \u0111\u00e1nh d\u1ea5y v\u1ecb tr\u00ed s\u1ebd ti\u00eam xung quanh c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<p><strong>3.2 Nong c\u1ed5 t\u1eed cung<\/strong><\/p>\n<ul>\n<li>C\u00f3 th\u1ec3 l\u00e0m th\u1eb3ng t\u1eed cung v\u00e0 \u1ed1ng c\u1ed5 t\u1eed cung b\u1eb1ng c\u00e1ch k\u00e9o k\u1eb9p c\u1ed5 t\u1eed cung<\/li>\n<li>Ph\u1ea3i bi\u1ebft l\u00e0 \u0111ang \u0111\u01b0a d\u1ee5ng c\u1ee5 v\u00e0o s\u00e2u trong t\u1eed cung bao nhi\u00eau<\/li>\n<li>B\u1eaft \u0111\u1ea7u b\u1eb1ng que nong nh\u1ecf nh\u1ea5t v\u00e0 k\u1ebft th\u00fac b\u1eb1ng que nong l\u1edbn nh\u1ea5t \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 r\u1ed9ng<\/li>\n<li>C\u1ea7n ph\u1ea3i nong trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u01b0a \u0111\u01b0\u1ee3c \u1ed1ng h\u00fat c\u1ea7n thi\u1ebft qua \u1ed1ng c\u1ed5 t\u1eed cung<\/li>\n<li>C\u1ea7n nong nh\u1eb9 nh\u00e0ng v\u1edbi \u1ed1ng h\u00fat c\u1ee1 t\u0103ng d\u1ea7n ho\u1eb7c que nong<\/li>\n<li>C\u1ea9n th\u1ea9n tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<p><strong>3.3 Nong kh\u00f3<\/strong><\/p>\n<ul>\n<li>D\u00f9ng d\u1ea7u b\u00f4i tr\u01a1n<\/li>\n<li>Kh\u00f4ng d\u00f9ng l\u1ef1c<\/li>\n<li>Th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt ch\u1eadm l\u1ea1i 1-2 tu\u1ea7n<\/li>\n<li>D\u00f9ng si\u00eau \u00e2m h\u01b0\u1edbng d\u1eabn<\/li>\n<li>Ng\u1eadm Misoprotol<\/li>\n<\/ul>\n<h2>4. Th\u1ee7 thu\u1eadt th\u1ee9 hai<\/h2>\n<ul>\n<li>Nh\u1eb9 nh\u00e0ng \u0111\u01b0a \u1ed1ng h\u00fat l\u1edbn nh\u1ea5t (v\u1eeba kh\u00edt v\u1edbi c\u1ed5 t\u1eed cung) v\u00e0o qua c\u1ed5 t\u1eed cung. Xoay \u1ed1ng h\u00fat trong l\u00fac trong l\u00fac d\u00f9ng l\u1ef1c nh\u00e8 nh\u00e0ng s\u1ebd gi\u00fap \u0111\u01b0a \u1ed1ng h\u00fat v\u00e0o d\u1ec5 d\u00e0ng h\u01a1n<\/li>\n<li>\u0110\u01b0a \u1ed1ng h\u00fat v\u00e0o bu\u1ed3ng t\u1eed cung cho \u0111\u1ebfn khi \u1ed1ng h\u00fat ch\u1ea1m \u0111\u00e1t t\u1eed cung nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u00e2u qu\u00e1 10 cm sau \u0111\u00f3 r\u00fat l\u1ea1i m\u1ed9t ch\u00fat<\/li>\n<li>L\u1eafp b\u01a1m h\u00fat v\u00e0o \u1ed1ng h\u00fat gi\u1eef k\u1eb9p t\u1eed cung v\u00e0 \u1ed1ng h\u00fat b\u1eb1ng m\u1ed9t tay v\u00e0 c\u1ea7m b\u01a1m h\u00fat b\u1eb1ng tay c\u00f2n l\u1ea1i<\/li>\n<\/ul>\n<p><strong>4.1 L\u1eafp b\u01a1m h\u00fat v\u00e0o<\/strong><\/p>\n<ul>\n<li>C\u1ea7m ph\u1ea7n cu\u1ed1i \u1ed1ng h\u00fat b\u1eb1ng m\u1ed9t tay v\u00e0 c\u1ea7m b\u01a1m h\u00fat b\u1eb1ng tay c\u00f2n l\u1ea1i<\/li>\n<li>Ph\u1ea3i ch\u1eafc ch\u1eafn kh\u00f4ng \u0111\u1ea9y \u1ed1ng h\u00fat v\u00e0o s\u00e2u c\u1ed5 t\u1eed cung<\/li>\n<\/ul>\n<p><strong>4.2 M\u1edf van b\u01a1m h\u00fat<\/strong><\/p>\n<ul>\n<li>Khi van \u0111\u01b0\u1ee3c m\u1edf ra, l\u1ef1c h\u00fat ch\u00e2n kh\u00f4ng s\u1ebd \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb b\u01a1m h\u00fat v\u00e0o bu\u1ed3n t\u1eed cung<\/li>\n<li>T\u1ed5 ch\u1ee9c thai l\u1eabn m\u00e1u v\u00e0 b\u1ecdt s\u1ebd ch\u1ea3y v\u00e0o b\u01a1m h\u00fat qua \u1ed1ng h\u00fat<\/li>\n<\/ul>\n<p><strong>4.3 H\u00fat s\u1ea1ch bu\u1ed3n t\u1eed cung\u00a0<\/strong><\/p>\n<ul>\n<li>Nh\u1eb9 nh\u00e0ng di chuy\u1ec3n \u1ed1ng h\u00fat t\u1edbi lui \u0111\u1ed3ng th\u1eddi xoay \u1ed1ng h\u00fat<\/li>\n<li>Kh\u00f4ng \u0111\u01b0\u1ee3c r\u00fat l\u1ed7 h\u00fat c\u1ee7a \u1ed1ng h\u00fat ra qu\u00e1 l\u1ed7 c\u1ed5 t\u1eed cung<\/li>\n<li>Kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea7m b\u01a1m h\u00fat t\u1ea1i th\u00e2n Pit &#8211; t\u00f4ng<\/li>\n<\/ul>\n<p><strong>4.4. T\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u ho\u00e0n th\u00e0nh th\u1ee7 thu\u1eadt\u00a0<\/strong><\/p>\n<ul>\n<li>B\u1ecdt h\u1ed3ng ho\u1eb7c \u0111\u1ecf nh\u01b0ng kh\u00f4ng c\u00f3 th\u00eam t\u1ed5 ch\u1ee9c \u1edf trong \u1ed1ng h\u00fat<\/li>\n<li>C\u1ea3m gi\u00e1c g\u1ee3n tay khi \u1ed1ng h\u00fat di chuy\u1ec3n b\u00ean trong bu\u1ed3ng t\u1eed cung \u0111\u00e3 \u0111\u01b0\u1ee3c h\u00fat s\u1ea1ch<\/li>\n<li>T\u1eed cung co l\u1ea1i v\u00e0 \u00f4m ch\u1eb7t l\u1ea5y \u1ed1ng h\u00fat<\/li>\n<li>Th\u01b0\u1eddng \u0111au b\u1ee5ng t\u0103ng l\u00ean<\/li>\n<li>Nh\u00ecn th\u1ea5y t\u1ed5 ch\u1ee9c thai, rau \u0111\u01b0\u1ee3c h\u00fat ra<\/li>\n<\/ul>\n<p><strong>4.5 Cu\u1ed1i th\u1ee7 thu\u1eadt<\/strong><\/p>\n<ul>\n<li>R\u00fat \u1ed1ng h\u00fat v\u00e0 th\u00e1o k\u1eb9p c\u1ed5 t\u1eed cung<\/li>\n<li>L\u00e0m s\u1ea1ch m\u00e1u b\u1eb1ng g\u1ea1c<\/li>\n<li>Ki\u1ec3m tra c\u1ed5 t\u1eed cung \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u1ed5 t\u1eed cung kh\u00f4ng b\u1ecb ch\u1ea3y m\u00e1u v\u00e0 r\u00e1ch<\/li>\n<li>Xoay t\u1eed cung n\u1ebfu c\u1ea7n trong tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u<\/li>\n<li>V\u1edbi h\u00fat b\u1eb1ng \u0111i\u1ec7n, h\u00fat m\u1ed9t \u00edt n\u01b0\u1edbc qua \u1ed1ng n\u1ed1i \u0111\u1ec3 b\u01b0\u1edbc \u0111\u1ea7u l\u00e0m s\u1ea1ch d\u1ee5ng c\u1ee5<\/li>\n<li>Trong qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt b\u00ecnh \u0111\u1ef1ng v\u00e0 \u1ed1ng n\u1ed1i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea1m v\u00e0o b\u1ec7nh nh\u00e2n<\/li>\n<li>Ki\u1ec3m tra t\u1ed5 ch\u1ee9c sau h\u00fat thai: R\u1eeda v\u00e0 l\u1ecdc ch\u1ea5t h\u00fat \u0111\u1ec3 b\u1ecf m\u00e1u c\u1ee5c. Quan s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 m\u00e0ng \u0111\u1ec7m, m\u00e0ng r\u1ee5ng v\u00e0 t\u1ed5 ch\u1ee9c thai v\u1ec1 s\u1ef1 hi\u1ec7n di\u1ec7n v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng<\/li>\n<\/ul>\n<p>Ngu\u1ed3n tham kh\u1ea3o: T\u00e0i li\u1ec7u t\u1eeb b\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa v\u00e0 ngo\u1ea1i khoa (h\u00fat thai ch\u00e2n kh\u00f4ng, nong v\u00e0 g\u1eafp). M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf ri\u00eang. C\u00e1c y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ea7n xem x\u00e9t khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00e1 thai l\u00e0 \u0111\u1ed9 an to\u00e0n, [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e1 thai ngo\u1ea1i khoa: K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng\u00a0 - Vinmec<\/title>\n<meta name=\"description\" content=\"K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n. Tuy nhi\u00ean c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a ph\u1ee5 n\u1eef.\" \/>\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\u00e1 thai ngo\u1ea1i khoa: K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng\u00a0 - Vinmec\" \/>\n<meta property=\"og:description\" content=\"K\u1ef9 thu\u1eadt h\u00fat thai ch\u00e2n kh\u00f4ng ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n. 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