{"id":27771,"date":"2023-04-24T12:00:55","date_gmt":"2023-04-24T05:00:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27771"},"modified":"2023-04-24T12:00:55","modified_gmt":"2023-04-24T05:00:55","slug":"quy-trinh-phau-thuat-lipoma-vung-duoi-ngua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/quy-trinh-phau-thuat-lipoma-vung-duoi-ngua\/","title":{"rendered":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt Lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a"},"content":{"rendered":"

U m\u1ee1<\/a> v\u00f9ng \u0111u\u00f4i ng\u1ef1a (Caudal lipoma) l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm, kh\u00f3 kh\u0103n c\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. Th\u1ec3 b\u1ec7nh \u0111a d\u1ea1ng t\u00f9y t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7, v\u1ecb tr\u00ed, th\u1eddi gian ph\u00e1t hi\u1ec7n ra b\u1ec7nh. N\u1ebfu c\u00f3 tho\u00e1t v\u1ecb t\u1ee7y m\u00e0ng t\u1ee7y ph\u1ed1i h\u1ee3p th\u00ec ch\u1ea9n \u0111o\u00e1n s\u1edbm h\u01a1n. Ph\u1eabu thu\u1eadt lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a l\u00e0 ph\u1eabu thu\u1eadt \u0111\u00f2i h\u1ecfi s\u1ef1 t\u1ec9 m\u1ec9 v\u00e0 c\u1ea9n th\u1eadn, c\u1ea7n ph\u1ea3i tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh chu\u1ea9n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.\u00a0<\/strong><\/p>\n

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Ph\u1eabu thu\u1eadt Lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a<\/figcaption><\/figure>\n

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

C\u00e1c kh\u1ed1i u m\u1ee1 c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u00e8n \u00e9p r\u1ec5 hay g\u00e2y r\u1ed7ng t\u1ee7y, gi\u00e3n n\u00e3o th\u1ea5t th\u1ee9 ph\u00e1t.<\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n
    \n
  • Di ch\u1ee9ng n\u1eb7ng: m\u1ed5 kh\u00f4ng gi\u1ea3i quy\u1ebft kh\u00e1 l\u00ean<\/li>\n
  • Tu\u1ed5i cao: Ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ph\u1eabu thu\u1eadt cao h\u01a1n v\u00e0 vi\u1ec7c ph\u1ee5c h\u1ed3i c\u0169ng c\u00f3 th\u1ec3 ch\u1eadm h\u01a1n.<\/li>\n
  • C\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch, nh\u01b0 b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim hay huy\u1ebft \u00e1p cao, c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ph\u1eabu thu\u1eadt cao h\u01a1n.<\/li>\n
  • Suy gi\u1ea3m mi\u1ec5n d\u1ecbch: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt.<\/li>\n
  • B\u1ec7nh l\u00fd n\u1eb7ng kh\u00e1c: Nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c, nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh gan, b\u1ec7nh th\u1eadn hay b\u1ec7nh ph\u1ed5i n\u1eb7ng, c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 r\u1ee7i ro ph\u1eabu thu\u1eadt cao h\u01a1n.<\/li>\n<\/ul>\n

    N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t k\u1ef3 y\u1ebfu t\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u00e0o, b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh t\u1ed1t nh\u1ea5t cho b\u1ec7nh nh\u00e2n, l\u1ef1a ch\u1ecdn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c thay v\u00ec ph\u1eabu thu\u1eadt.<\/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 kho\u1ea3ng 7 ng\u01b0\u1eddi<\/p>\n

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

    – B\u1ec7nh \u00e1n: x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, phim ch\u1ee5p c\u1ed9t s\u1ed1ng Xq, CT, CHT<\/p>\n

    – Th\u1ee5t th\u00e1o tr\u01b0\u1edbc m\u1ed5<\/p>\n

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

    – D\u1ee5ng c\u1ee5 m\u1ed5 c\u01a1 b\u1ea3n<\/p>\n

    – D\u1ee5ng c\u1ee5 vi ph\u1eabu: k\u00e9o, spatula, m\u00f3c..<\/p>\n

    – K\u00ednh vi ph\u1eabu<\/p>\n

    3.4. Th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>4-5 gi\u1edd<\/h3>\n

    4. Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt<\/b><\/h2>\n

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

    N\u1eb1m s\u1ea5p<\/p>\n

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

    M\u00ea n\u1ed9i kh\u00ed qu\u1ea3n<\/p>\n

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

    – B\u01b0\u1edbc 1: R\u1ea1ch da<\/p>\n

    N\u1ebfu c\u00f3 tho\u00e1t v\u1ecb ngo\u00e0i da, tr\u00e1nh r\u1ea1ch tr\u1ef1c ti\u1ebfp.<\/p>\n

    – B\u01b0\u1edbc 2: \u0110\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n<\/p>\n

    K\u00ednh vi ph\u1eabu: ph\u1eabu t\u00edch kh\u1ed1i u (kh\u00f4ng c\u1eaft v\u00e0o u)<\/p>\n

    M\u1edf cung sau r\u1ed9ng. B\u1ed9c l\u1ed9 r\u00f5: U, m\u00e0ng t\u1ee7y, ranh gi\u1edbi, r\u1ec5 th\u1ea7n kinh.<\/p>\n

    – B\u01b0\u1edbc 3: X\u1eed l\u00fd<\/p>\n

    + L\u1ea5y u m\u1ee1 t\u1ed1i \u0111a, b\u1ea3o t\u1ed3n r\u1ec5 th\u1ea7n kinh<\/p>\n

    + Ch\u1ec9 c\u1eaft r\u1ec5 ch\u1ecdn l\u1ecdc khi c\u00f3 d\u00ednh t\u1ee7y (moelle attache).<\/p>\n

    + N\u1ebfu u m\u1ee1 trong m\u00e0ng t\u1ee7y th\u00ec m\u1ed5 xong \u0111\u00f3ng l\u1ea1i m\u00e0ng t\u1ee7y.<\/p>\n

    – B\u01b0\u1edbc 4: \u0110\u00f3ng v\u1ebft m\u1ed5<\/p>\n

    \u0110\u00f3ng \u0111\u01b0\u1eddng r\u00f2 khi c\u00f3 tho\u00e1t v\u1ecb<\/p>\n

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

    5.1. Theo d\u00f5i<\/b>: To\u00e0n th\u00e2n<\/p>\n

    Sau ph\u1eabu thu\u1eadt U m\u1ee1 v\u00f9ng \u0111u\u00f4i ng\u1ef1a (Caudal lipoma), vi\u1ec7c theo d\u00f5i b\u1ec7nh nh\u00e2n l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p theo d\u00f5i bao g\u1ed3m:<\/p>\n

    – Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam nhi\u1ec5m: Vi\u1ec7c theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam nhi\u1ec5m nh\u01b0 \u0111au, s\u01b0ng, \u0111\u1ecf, n\u00f3ng v\u00e0 d\u1ecbch m\u1ee7 tr\u00ean v\u1ebft m\u1ed5 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c bi\u1ebfn ch\u1ee9ng nhi\u1ec5m tr\u00f9ng.<\/p>\n

    – Theo d\u00f5i ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p: Vi\u1ec7c theo d\u00f5i ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

    – Theo d\u00f5i ch\u1ee9c n\u0103ng tim m\u1ea1ch: Vi\u1ec7c theo d\u00f5i ch\u1ee9c n\u0103ng tim m\u1ea1ch c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch.<\/p>\n

    – Theo d\u00f5i t\u00ecnh tr\u1ea1ng \u0111au: Vi\u1ec7c theo d\u00f5i t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au cho b\u1ec7nh nh\u00e2n hi\u1ec7u qu\u1ea3.<\/p>\n

    5.2. X\u1eed tr\u00ed tai bi\u1ebfn:<\/b>\u00a0Ch\u1ea3y m\u00e1u.<\/p>\n

    Tai bi\u1ebfn ch\u1ea3y m\u00e1u l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng ph\u1ed5 bi\u1ebfn sau ph\u1eabu thu\u1eadt U m\u1ee1 v\u00f9ng \u0111u\u00f4i ng\u1ef1a. \u0110\u1ec3 x\u1eed tr\u00ed tai bi\u1ebfn ch\u1ea3y m\u00e1u, c\u00e1c bi\u1ec7n ph\u00e1p sau c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n:<\/p>\n

    – B\u0103ng l\u1ea1i v\u1ebft m\u1ed5: Vi\u1ec7c b\u0103ng ch\u1eb7t v\u1ebft m\u1ed5 \u0111\u1ec3 ki\u1ec3m so\u00e1t ch\u1ea3y m\u00e1u.<\/p>\n

    – S\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch v\u00e0 gi\u1ea3m \u0111au: Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch v\u00e0 thu\u1ed1c gi\u1ea3m \u0111au \u0111\u1ec3 gi\u1ea3m ch\u1ea3y m\u00e1u v\u00e0 \u0111au.<\/p>\n

    – Ph\u1eabu thu\u1eadt: N\u1ebfu ch\u1ea3y m\u00e1u l\u00e0 do l\u1ed7i k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i ph\u1eabu thu\u1eadt l\u1ea1i \u0111\u1ec3 ng\u0103n ch\u1eb7n ch\u1ea3y m\u00e1u.<\/p>\n

    – Truy\u1ec1n m\u00e1u: Trong tr\u01b0\u1eddng h\u1ee3p m\u1ea5t m\u00e1u nhi\u1ec1u, b\u00e1c s\u0129 c\u00f3 th\u1ec3 xem x\u00e9t truy\u1ec1n m\u00e1u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/p>\n

    6. \u01afu \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt Lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a<\/h2>\n

    Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a. C\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, bao g\u1ed3m:<\/p>\n

      \n
    • Hi\u1ec7u qu\u1ea3 cao: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 lo\u1ea1i b\u1ecf lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a. Sau ph\u1eabu thu\u1eadt, kh\u1ed1i u m\u1ee1 s\u1ebd \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n lo\u1ea1i b\u1ecf, gi\u00fap gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t.<\/li>\n
    • \u0110\u1ed9 ch\u00ednh x\u00e1c cao: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt cho ph\u00e9p b\u00e1c s\u0129 ti\u1ebfp c\u1eadn tr\u1ef1c ti\u1ebfp v\u1edbi kh\u1ed1i u m\u1ee1 v\u00e0 lo\u1ea1i b\u1ecf n\u00f3 m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn c\u00e1c c\u01a1, d\u00e2y th\u1ea7n kinh v\u00e0 m\u00f4 xung quanh.<\/li>\n
    • An to\u00e0n: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p an to\u00e0n \u0111\u1ec3 lo\u1ea1i b\u1ecf lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a. Tuy nhi\u00ean, nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 ph\u1eabu thu\u1eadt n\u00e0o, c\u00f3 m\u1ed9t s\u1ed1 r\u1ee7i ro nh\u1ea5t \u0111\u1ecbnh, bao g\u1ed3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng ho\u1eb7c xu\u1ea5t huy\u1ebft.<\/li>\n
    • \u0110i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 kh\u1ed1i u m\u1ee1: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt cho ph\u00e9p b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 kh\u1ed1i u m\u1ee1 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng s\u1ebd kh\u00f4ng t\u00e1i ph\u00e1t tr\u1edf l\u1ea1i sau khi lo\u1ea1i b\u1ecf.<\/li>\n<\/ul>\n

      Tuy nhi\u00ean, c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt, bao g\u1ed3m:<\/p>\n

        \n
      • \u0110\u00f2i h\u1ecfi th\u1eddi gian h\u1ed3i ph\u1ee5c: Sau ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n c\u1ea7n th\u1eddi gian \u0111\u1ec3 h\u1ed3i ph\u1ee5c v\u00e0 l\u00e0nh v\u1ebft m\u1ed5.<\/li>\n
      • \u0110\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt ch\u00ednh x\u00e1c: Ph\u1eabu thu\u1eadt \u0111\u00f2i h\u1ecfi b\u00e1c s\u0129 c\u00f3 k\u1ef9 n\u0103ng ph\u1eabu thu\u1eadt t\u1ed1t \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1ed1i u m\u1ee1 m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/li>\n
      • Chi ph\u00ed: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi chi ph\u00ed cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n<\/ul>\n

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

        U m\u1ee1 v\u00f9ng \u0111u\u00f4i ng\u1ef1a (Caudal lipoma) l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm, kh\u00f3 kh\u0103n c\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. Th\u1ec3 b\u1ec7nh \u0111a d\u1ea1ng t\u00f9y t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7, v\u1ecb tr\u00ed, th\u1eddi gian ph\u00e1t hi\u1ec7n ra b\u1ec7nh. N\u1ebfu c\u00f3 tho\u00e1t v\u1ecb t\u1ee7y m\u00e0ng t\u1ee7y ph\u1ed1i h\u1ee3p th\u00ec ch\u1ea9n \u0111o\u00e1n s\u1edbm h\u01a1n. Ph\u1eabu thu\u1eadt lipoma v\u00f9ng \u0111u\u00f4i […]<\/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":[],"yoast_head":"\nQuy tr\u00ecnh ph\u1eabu thu\u1eadt Lipoma v\u00f9ng \u0111u\u00f4i ng\u1ef1a - Vinmec<\/title>\n<meta name=\"description\" content=\"U m\u1ee1 v\u00f9ng \u0111u\u00f4i ng\u1ef1a (Caudal lipoma) l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm, kh\u00f3 kh\u0103n c\u1ea3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 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