{"id":27776,"date":"2023-04-24T18:12:57","date_gmt":"2023-04-24T11:12:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27776"},"modified":"2023-04-24T18:12:57","modified_gmt":"2023-04-24T11:12:57","slug":"quy-trinh-cat-tri-bang-dao-dien-laser-co2","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/quy-trinh-cat-tri-bang-dao-dien-laser-co2\/","title":{"rendered":"Quy tr\u00ecnh c\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2\u00a0"},"content":{"rendered":"

Theo y h\u1ecdc, tr\u0129 l\u00e0 nh\u1eefng c\u1ea5u tr\u00fac \u1edf \u1ed1ng h\u1eadu m\u00f4n. B\u1ec7nh tr\u0129 (hemorrhoids<\/a>) l\u00e0 do nh\u1eefng c\u1ea5u tr\u00fac n\u00e0y b\u1ecb chuy\u1ec3n \u0111\u1ed5i sang tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd do y\u1ebfu t\u1ed1 c\u01a1 h\u1ecdc l\u00e0m gi\u00e3n, l\u1ecfng l\u1ebbo h\u1ec7 th\u1ed1ng n\u00e2ng \u0111\u1ee1 g\u00e2y sa b\u00fai tr\u0129 v\u00e0 y\u1ebfu t\u1ed1 m\u1ea1ch m\u00e1u l\u00e0m gi\u00e3n m\u1ea1ch g\u00e2y ch\u1ea3y m\u00e1u. C\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u0129 th\u00f4ng d\u1ee5ng hi\u1ec7n nay. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb tr\u0129, gi\u1ea3m \u0111au v\u00e0 kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n, th\u1eddi gian ph\u1ee5c h\u1ed3i nhanh v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1i ph\u00e1t.\u00a0<\/strong><\/p>\n

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H\u00ecnh \u1ea3nh minh h\u1ecda c\u1ee7a b\u1ec7nh tr\u0129<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh c\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2\u00a0<\/b><\/h2>\n

– Tr\u0129 ngo\u1ea1i, tr\u0129 h\u1ed7n h\u1ee3p.<\/p>\n

– Tr\u0129 n\u1ed9i \u0111\u1ed9 III, IV.<\/p>\n

– Tr\u0129 n\u1ed9i \u0111\u1ed9 II \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa ho\u1eb7c \u0111i\u1ec1u tr\u1ecb th\u1ee7 thu\u1eadt th\u1ea5t b\u1ea1i.<\/p>\n

– Tr\u0129 ngh\u1eb9t, tr\u0129 t\u1eafc m\u1ea1ch.<\/p>\n

– Tr\u0129 ch\u1ea3y m\u00e1u \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u1ea5t b\u1ea1i.<\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh <\/b>c\u1eaft tr\u0129\u00a0<\/b><\/h2>\n

– Huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh, c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch: suy tim giai \u0111o\u1ea1n cu\u1ed1i, c\u01a1n \u0111au th\u1eaft ng\u1ef1c; suy gan, suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

– Lao ti\u1ebfn tri\u1ec3n.<\/p>\n

– Th\u1eadn tr\u1ecdng v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai.<\/p>\n

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

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

– Nh\u00f3m g\u00e2y m\u00ea h\u1ed3i s\u1ee9c: 01 b\u00e1c s\u0129 g\u00e2y m\u00ea h\u1ed3i s\u1ee9c (b\u00e1c s\u0129 g\u00e2y m\u00ea); 01 k\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5 m\u00ea ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 m\u00ea (nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea) \u0111\u01b0\u1ee3c c\u1ea5p ch\u1ee9ng ch\u1ec9 h\u00e0nh ngh\u1ec1 theo quy \u0111\u1ecbnh c\u1ee7a lu\u1eadt Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh.<\/p>\n

– Nh\u00f3m ph\u1eabu thu\u1eadt: 01 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ch\u00ednh (ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh), 01 – 02 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ph\u1ee5 (ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5) \u0111\u01b0\u1ee3c c\u1ea5p ch\u1ee9ng ch\u1ec9 h\u00e0nh ngh\u1ec1 theo quy \u0111\u1ecbnh theo quy \u0111\u1ecbnh c\u1ee7a lu\u1eadt Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh.<\/p>\n

– 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c k\u1ef9 thu\u1eadt vi\u00ean chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5 (d\u1ee5ng c\u1ee5 vi\u00ean).<\/p>\n

– 01 nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i.<\/p>\n

3.2. Trang thi\u1ebft b\u1ecb<\/b><\/h3>\n

– C\u01a1 s\u1edf v\u1eadt ch\u1ea5t: ph\u00f2ng m\u1ed5 \u0111\u1ea1t ti\u00eau chu\u1ea9n.<\/p>\n

– D\u1ee5ng c\u1ee5, thu\u1ed1c, v\u1eadt t\u01b0 ti\u00eau hao:<\/p>\n

+ M\u00e1y Laser CO2<\/sub>\u00a045W (ho\u1eb7c dao \u0111i\u1ec7n cao t\u1ea7n ho\u1eb7c dao si\u00eau \u00e2m ho\u1eb7c dao ligasure).<\/p>\n

+ Tay dao \u0111i\u1ec7n cao t\u1ea7n (ho\u1eb7c tay dao si\u00eau \u00e2m ho\u1eb7c tay dao ligasure).<\/p>\n

+ B\u1ed9 d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt, b\u1ed9 d\u1ee5ng c\u1ee5 g\u00e2y t\u00ea v\u00f9ng.<\/p>\n

+ Thu\u1ed1c g\u00e2y t\u00ea v\u00f9ng: Marcaine Spinal heavy 0,5%, Lidocain 2%.<\/p>\n

+ Thu\u1ed1c g\u00e2y m\u00ea Propofol, Fentanyl, Esmeron.<\/p>\n

+ Dung d\u1ecbch Povidone Iodine 9 – 12%.<\/p>\n

+ Thu\u1ed1c an th\u1ea7n.<\/p>\n

+ Thu\u1ed1c kh\u00e1ng sinh.<\/p>\n

+ Huy\u1ebft thanh kh\u00e1ng u\u1ed1n v\u00e1n.<\/p>\n

+ Thu\u1ed1c c\u1ea7m m\u00e1u, thu\u1ed1c n\u00e2ng huy\u1ebft \u00e1p.<\/p>\n

+ H\u1ed9p ch\u1ed1ng shock.<\/p>\n

+ Thu\u1ed1c th\u1ee5t h\u1eadu m\u00f4n.<\/p>\n

+ B\u01a1m kim ti\u00eam lo\u1ea1i 5ml, 10ml, g\u1ea1c lo\u1ea1i 10cm x 10 cm, g\u1ea1c c\u1ea7u \u0111a khoa, b\u0103ng d\u00ednh y khoa, b\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1eb7t sonde b\u00e0ng quang, sonde foley …<\/p>\n

+ Ch\u1ec9 ti\u00eau ch\u1eadm.<\/p>\n

+ Toan v\u00f4 khu\u1ea9n: 04 toan nh\u1ecf ho\u1eb7c 01 toan to c\u00f3 l\u1ed7.<\/p>\n

+ 01 toan v\u00e0 01 t\u1ea5m nylon tr\u1ea3i b\u00e0n m\u1ed5.<\/p>\n

+ 03 – 04 \u00e1o ph\u1eabu thu\u1eadt.<\/p>\n

+ Kh\u1ea9u trang, m\u0169 gi\u1ea5y, g\u0103ng tay ph\u1eabu thu\u1eadt.<\/p>\n

+ B\u00f3ng Ambu, monitoring theo d\u00f5i, b\u1ed9 \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n …<\/p>\n

– \u0110\u00e8n h\u1ed3ng ngo\u1ea1i.<\/p>\n

C\u00e1c thu\u1ed1c tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 t\u00e1c d\u1ee5ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng t\u1ef1.<\/p>\n

3.3. B\u00e1c s\u0129, ng\u01b0\u1eddi b\u1ec7nh<\/b><\/h3>\n

– B\u00e1c s\u0129: th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, cho ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 b\u1ec7nh, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi nh\u00e0 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh k\u00fd cam k\u1ebft ph\u1eabu thu\u1eadt.<\/p>\n

+ \u0110\u01b0\u1ee3c d\u00f9ng an th\u1ea7n v\u00e0o bu\u1ed5i t\u1ed1i h\u00f4m tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n

+ Bu\u1ed5i s\u00e1ng trong ng\u00e0y ph\u1eabu thu\u1eadt kh\u00f4ng \u0103n, kh\u00f4ng u\u1ed1ng v\u00e0 \u0111\u01b0\u1ee3c \u0111o m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, c\u00e2n n\u1eb7ng, th\u1ee5t th\u00e1o ph\u00e2n h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng.<\/p>\n

+ \u0110\u01b0\u1ee3c ti\u00eam kh\u00e1ng sinh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 sau ph\u1eabu thu\u1eadt.<\/p>\n

+ \u0110\u01b0\u1ee3c ti\u00eam huy\u1ebft thanh kh\u00e1ng u\u1ed1n v\u00e1n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n

4. Ti\u1ebfn h\u00e0nh <\/b>c\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2<\/b><\/h2>\n

4.1. Ph\u1eabu thu\u1eadt<\/b><\/h3>\n

* Chu\u1ea9n b\u1ecb<\/p>\n

– Nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i tr\u1ea3i toan b\u00e0n m\u1ed5, chu\u1ea9n b\u1ecb h\u1ed9p \u00e1o ph\u1eabu thu\u1eadt.<\/p>\n

– D\u1ee5ng c\u1ee5 vi\u00ean chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5: 01 b\u1ed9 cho g\u00e2y t\u00ea v\u00f9ng, 01 b\u1ed9 cho ph\u1eabu thu\u1eadt.<\/p>\n

– Nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea:<\/p>\n

+ Ki\u1ec3m tra trang thi\u1ebft b\u1ecb \u0111\u1ea3m b\u1ea3o ho\u1ea1t \u0111\u1ed9ng t\u1ed1t: oxy, \u0111\u00e8n m\u1ed5, m\u00e1y Laser CO2\u00a0<\/sub>(ho\u1eb7c dao \u0111i\u1ec7n cao t\u1ea7n, ho\u1eb7c dao si\u00eau \u00e2m, ho\u1eb7c dao ligasure), b\u00f3ng b\u00f3p, thu\u1ed1c …<\/p>\n

+ Nh\u1eadn h\u1ed3 s\u01a1 ng\u01b0\u1eddi b\u1ec7nh, h\u01b0\u1edbng d\u1eabn \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m l\u00ean b\u00e0n m\u1ed5.<\/p>\n

+ \u0110o m\u1ea1ch, huy\u1ebft \u00e1p b\u00e1o l\u1ea1i cho b\u00e1c s\u1ef9 g\u00e2y m\u00ea.<\/p>\n

* V\u00f4 c\u1ea3m cho ng\u01b0\u1eddi b\u1ec7nh<\/p>\n

– Nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea chu\u1ea9n b\u1ecb t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh, chu\u1ea9n b\u1ecb \u0111\u00e8n m\u1ed5.<\/p>\n

– B\u00e1c s\u1ef9 g\u00e2y m\u00ea ti\u1ebfn h\u00e0nh v\u00f4 c\u1ea3m cho ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n

+ G\u00e2y t\u00ea t\u1ee7y s\u1ed1ng b\u1eb1ng Marcaine Spinal heavy 0,5%.<\/p>\n

+ Ho\u1eb7c g\u00e2y t\u00ea khoang c\u00f9ng b\u1eb1ng Lidocain 2%.<\/p>\n

+ Ho\u1eb7c g\u00e2y m\u00ea t\u0129nh m\u1ea1ch b\u1eb1ng Propofol; ho\u1eb7c g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n b\u1eb1ng Propofol, Fentanyl, Esmeron (trong tr\u01b0\u1eddng h\u1ee3p g\u00e2y t\u00ea v\u00f9ng th\u1ea5t b\u1ea1i ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y t\u00ea v\u00f9ng).<\/p>\n

* K\u00ea t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 k\u00ea t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh c\u00f9ng v\u1edbi nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea, ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m t\u01b0 th\u1ebf s\u1ea3n khoa.<\/p>\n

– Nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea:<\/p>\n

+ L\u1eafp b\u1ea3n c\u1ef1c \u00e2m dao \u0111i\u1ec7n cao t\u1ea7n (ho\u1eb7c dao si\u00eau \u00e2m ho\u1eb7c dao ligasure) v\u00e0o ng\u01b0\u1eddi ng\u01b0\u1eddi b\u1ec7nh \u1edf v\u1ecb tr\u00ed d\u01b0\u1edbi l\u01b0ng ho\u1eb7c ch\u00e2n. Chu\u1ea9n b\u1ecb b\u00e0n \u0111\u1ea1p dao \u0111i\u1ec7n cao t\u1ea7n (ho\u1eb7c dao si\u00eau \u00e2m ho\u1eb7c dao ligasure).<\/p>\n

+ \u0110i\u1ec1u ch\u1ec9nh \u0111\u1ed9 cao c\u1ee7a v\u1ecb tr\u00ed b\u00e0n m\u1ed5.<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 ch\u1ec9nh \u0111\u00e8n m\u1ed5 chi\u1ebfu v\u00e0o v\u00f9ng m\u1ed5.<\/p>\n

* Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt<\/p>\n

– Nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i bu\u1ed9c \u00e1o ph\u1eabu thu\u1eadt cho ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh, ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5.<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5:<\/p>\n

+ S\u00e1t tr\u00f9ng v\u00f9ng t\u1ea7ng sinh m\u00f4n b\u1eb1ng dung d\u1ecbch Povidine Iodine 9 – 12%.<\/p>\n

+ Tr\u1ea3i toan m\u1ed5 \u0111\u1ec3 l\u1ed9 v\u00f9ng t\u1ea7ng sinh m\u00f4n.<\/p>\n

+ \u0110\u01b0a v\u1ecb tr\u00ed b\u00e0n d\u1ee5ng c\u1ee5 v\u00e0o kho\u1ea3ng gi\u1eefa hai ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh, d\u01b0\u1edbi v\u00f9ng t\u1ea7ng sinh m\u00f4n.<\/p>\n

+ Tr\u1ea3i d\u00e2y dao \u0111i\u1ec7n cao t\u1ea7n (ho\u1eb7c d\u00e2y dao si\u00eau \u00e2m ho\u1eb7c d\u00e2y dao ligasure).<\/p>\n

– D\u1ee5ng c\u1ee5 vi\u00ean: Ph\u1ed1i h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 lu\u1ed3n t\u00fai nylon v\u00f4 khu\u1ea9n v\u00e0o tay dao Laser CO2<\/sub>\u00a0(trong tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt b\u1eb1ng laser CO2<\/sub>).<\/p>\n

– Nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i \u0111\u1ec3 gh\u1ebf ng\u1ed3i v\u00e0o v\u1ecb tr\u00ed c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh v\u00e0 ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5.<\/p>\n

– Nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea c\u1eafm d\u00e2y dao \u0111i\u1ec7n cao t\u1ea7n (ho\u1eb7c d\u00e2y dao si\u00eau \u00e2m, ho\u1eb7c d\u00e2y dao ligasure), \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a dao theo y\u00eau c\u1ea7u c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh.<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh ng\u1ed3i \u1edf kho\u1ea3ng gi\u1eefa hai ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh, ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 ng\u1ed3i b\u00ean c\u1ea1nh ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh.<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh:<\/p>\n

+ Nong h\u1eadu m\u00f4n.<\/p>\n

+ B\u1ed9c l\u1ed9 \u1ed1ng h\u1eadu m\u00f4n, \u0111\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n.<\/p>\n

+ Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt c\u1eaft l\u1ea7n l\u01b0\u1ee3t t\u1eebng b\u00fai tr\u0129, nguy\u00ean t\u1eafc \u0111\u1ec3 l\u1ea1i \u0111\u1ee7 c\u1ea7u da \u0111\u1ec3 tr\u00e1nh h\u1eb9p h\u1eadu m\u00f4n.<\/p>\n

Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 b\u1ed9c l\u1ed9 c\u00e1c b\u00fai tr\u0129 theo y\u00eau c\u1ea7u c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh. Ph\u1eabu thu\u1eadt vi\u00ean ch\u00ednh d\u00f9ng Laser CO2<\/sub>\u00a0(ho\u1eb7c dao \u0111i\u1ec7n cao t\u1ea7n ho\u1eb7c dao si\u00eau \u00e2m ho\u1eb7c dao ligasure) \u0111\u1ec3 ph\u1eabu t\u00edch b\u00fai tr\u0129 t\u1edbi s\u00e1t g\u1ed1c, sau \u0111\u00f3 kh\u00e2u g\u1ed1c b\u00fai tr\u0129 b\u1eb1ng ch\u1ec9 t\u1ef1 ti\u00eau ch\u1eadm, c\u1eaft b\u00fai tr\u0129.<\/p>\n

Kh\u00e2u c\u1ed1 \u0111\u1ecbnh, kh\u00e2u n\u00e2ng ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng sa t\u1ea1i v\u1ecb tr\u00ed c\u00e1c b\u00fai tr\u0129 c\u00f3 \u0111\u1ed9 sa kh\u00f4ng nhi\u1ec1u.<\/p>\n

+ Ki\u1ec3m tra c\u1ea7m m\u00e1u.<\/p>\n

+ B\u0103ng v\u00f4 khu\u1ea9n.<\/p>\n

* Ghi ch\u00e9p, ho\u00e0n thi\u1ec7n h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/p>\n

– B\u00e1c s\u1ef9 g\u00e2y m\u00ea ho\u00e0n thi\u1ec7n h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n ph\u1ea7n theo d\u00f5i, di\u1ec5n bi\u1ebfn g\u00e2y m\u00ea h\u1ed3i s\u1ee9c trong cu\u1ed9c ph\u1eabu thu\u1eadt, ghi ch\u1ec9 \u0111\u1ecbnh chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh ra ph\u00f2ng h\u1ed3i t\u1ec9nh.<\/p>\n

– Ph\u1eabu thu\u1eadt ch\u00ednh ghi c\u00e1ch th\u1ee9c ph\u1eabu thu\u1eadt, ghi ch\u1ec9 \u0111\u1ecbnh l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh.<\/p>\n

* \u0110\u01b0a ng\u01b0\u1eddi b\u1ec7nh ra ph\u00f2ng h\u1ed3i t\u1ec9nh<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5 \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda 2 ch\u00e2n th\u1eb3ng.<\/p>\n

– B\u00e1c s\u0129 g\u00e2y m\u00ea theo d\u00f5i, ch\u1ec9 \u0111\u1ecbnh v\u00e0 gi\u00e1m s\u00e1t chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 ph\u00f2ng h\u1ed3i t\u1ec9nh.<\/p>\n

– Nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea:<\/p>\n

+ \u0110o m\u1ea1ch, huy\u1ebft \u00e1p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00f4ng b\u00e1o cho b\u00e1c s\u1ef9 g\u00e2y m\u00ea.<\/p>\n

+ Ph\u1ed1i h\u1ee3p v\u1edbi nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh ra ph\u00f2ng h\u1ed3i t\u1ec9nh theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 g\u00e2y m\u00ea.<\/p>\n

– Nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i:<\/p>\n

+ Ph\u1ed1i h\u1ee3p v\u1edbi nh\u00e2n vi\u00ean ph\u1ee5 m\u00ea chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh ra ph\u00f2ng h\u1ed3i t\u1ec9nh.<\/p>\n

+ L\u1ea5y b\u1ec7nh ph\u1ea9m cho v\u00e0o t\u00fai g\u1eedi gi\u1ea3i ph\u1eabu b\u1ec7nh, thu d\u1ecdn \u0111\u1ed3, toan, \u00e1o, lau n\u1ec1n ph\u00f2ng m\u1ed5.<\/p>\n

4.2. Li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb<\/b><\/h3>\n

– Ph\u1eabu thu\u1eadt.<\/p>\n

– D\u00f9ng kh\u00e1ng sinh k\u1ebft h\u1ee3p 05 – 07 ng\u00e0y, thay b\u0103ng h\u00e0ng ng\u00e0y.<\/p>\n

– Th\u1eddi gian n\u1eb1m vi\u1ec7n: t\u1eeb 02 – 10 ng\u00e0y, t\u00f9y theo t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ti\u1ebfp t\u1ee5c thay b\u0103ng sau khi ra vi\u1ec7n \u0111\u1ebfn khi v\u1ebft th\u01b0\u01a1ng li\u1ec1n ho\u00e0n to\u00e0n.<\/p>\n

– Trong v\u00f2ng 24 gi\u1edd \u0111\u1ea7u:<\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m t\u1ea1i gi\u01b0\u1eddng, kh\u00f4ng ng\u1ed3i d\u1eady;<\/p>\n

+ Ng\u01b0\u1eddi b\u1ec7nh \u0103n ch\u00e1o sau 4 – 6 gi\u1edd.<\/p>\n

– T\u1eeb ng\u00e0y th\u1ee9 2 tr\u1edf \u0111i.<\/p>\n

+ Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng.<\/p>\n

+ Ch\u1ebf \u0111\u1ed9 thu\u1ed1c:<\/p>\n

Kh\u00e1ng sinh to\u00e0n th\u00e2n k\u1ebft h\u1ee3p: 05 – 07 ng\u00e0y.<\/p>\n

+ Ch\u0103m s\u00f3c t\u1ea1i ch\u1ed7: \u0111i\u1ec1u d\u01b0\u1ee1ng ho\u1eb7c k\u1ef9 thu\u1eadt vi\u00ean th\u1ef1c hi\u1ec7n.<\/p>\n

Thay b\u0103ng 1 – 2 l\u1ea7n\/ng\u00e0y t\u00f9y theo t\u00ecnh tr\u1ea1ng v\u1ebft m\u1ed5.<\/p>\n

Chi\u1ebfu \u0111\u00e8n h\u1ed3ng ngo\u1ea1i 10 ph\u00fat\/1 l\u1ea7n, 1 l\u1ea7n\/ng\u00e0y.<\/p>\n

5. Theo d\u00f5i v\u00e0 x\u1eed tri tai bi\u1ebfn c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p <\/b>c\u1eaft tr\u0129 <\/b><\/h2>\n

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

T\u00ecnh tr\u1ea1ng \u0111au, b\u00ed ti\u1ec3u, m\u1ea1ch v\u00e0 huy\u1ebft \u00e1p, to\u00e0n tr\u1ea1ng, ch\u1ea3y m\u00e1u v\u1ebft m\u1ed5.<\/p>\n

5.2. X\u01b0\u0309 tri\u0301 tai bi\u1ebfn<\/b><\/h3>\n

– Theo d\u00f5i t\u00ecnh tr\u1ea1ng \u0111au: \u0111i\u1ec7n ch\u00e2m gi\u1ea3m \u0111au ho\u1eb7c d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au n\u1ebfu \u0111i\u1ec7n ch\u00e2m th\u1ea5t b\u1ea1i.<\/p>\n

– Theo d\u00f5i, x\u1eed l\u00fd b\u00ed ti\u1ec3u: ch\u01b0\u1eddm \u1ea5m v\u00f9ng b\u00e0ng quang ho\u1eb7c \u0111i\u1ec7n ch\u00e2m ho\u1eb7c \u0111\u1eb7t sonde ti\u1ec3u n\u1ebfu c\u00e1c bi\u1ec7n ph\u00e1p tr\u01b0\u1edbc th\u1ea5t b\u1ea1i.<\/p>\n

– Theo d\u00f5i bi\u1ebfn ch\u1ee9ng t\u1ee5t huy\u1ebft \u00e1p, ch\u1ea3y m\u00e1u: truy\u1ec1n d\u1ecbch, d\u00f9ng thu\u1ed1c n\u00e2ng huy\u1ebft \u00e1p, b\u0103ng \u00e9p, kh\u00e2u c\u1ea7m m\u00e1u \u2026<\/p>\n

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

Theo y h\u1ecdc, tr\u0129 l\u00e0 nh\u1eefng c\u1ea5u tr\u00fac \u1edf \u1ed1ng h\u1eadu m\u00f4n. B\u1ec7nh tr\u0129 (hemorrhoids) l\u00e0 do nh\u1eefng c\u1ea5u tr\u00fac n\u00e0y b\u1ecb chuy\u1ec3n \u0111\u1ed5i sang tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd do y\u1ebfu t\u1ed1 c\u01a1 h\u1ecdc l\u00e0m gi\u00e3n, l\u1ecfng l\u1ebbo h\u1ec7 th\u1ed1ng n\u00e2ng \u0111\u1ee1 g\u00e2y sa b\u00fai tr\u0129 v\u00e0 y\u1ebfu t\u1ed1 m\u1ea1ch m\u00e1u l\u00e0m gi\u00e3n m\u1ea1ch g\u00e2y […]<\/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":[],"yoast_head":"\nQuy tr\u00ecnh c\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2\u00a0 - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u0129 th\u00f4ng d\u1ee5ng hi\u1ec7n nay. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n trong \u0111i\u1ec1u ...\" \/>\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=\"Quy tr\u00ecnh c\u1eaft tr\u0129 b\u1eb1ng dao \u0111i\u1ec7n Laser CO2\u00a0 - 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