{"id":28452,"date":"2023-04-27T15:38:26","date_gmt":"2023-04-27T08:38:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28452"},"modified":"2023-04-27T15:38:26","modified_gmt":"2023-04-27T08:38:26","slug":"u-nuoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/u-nuoc\/","title":{"rendered":"Kh\u00e1i qu\u00e1t v\u1ec1 \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn"},"content":{"rendered":"

\u1ee8 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn \u0111\u1ec1u l\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ea3i \u0111\u1ed9c v\u00e0 gi\u1ea3i th\u00edch ch\u1ea5t th\u1ea3i c\u1ee7a c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. \u0110\u1ec3 ph\u00f2ng tr\u00e1nh v\u00e0 \u0111i\u1ec1u tr\u1ecb \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn, vi\u1ec7c duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, b\u1ed5 sung \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng, v\u00e0 h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 r\u01b0\u1ee3u v\u00e0 thu\u1ed1c l\u00e1 l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/strong><\/p>\n

1. \u0110<\/strong>\u1ea1i c\u01b0\u01a1ng v\u1ec1\u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/strong><\/h1>\n

H\u1eadu qu\u1ea3 c\u1ee7a t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u l\u00e0m cho \u0111\u00e0i th\u1eadn r\u1ed3i b\u1ec3 th\u1eadn v\u00e0 c\u00f3 th\u1ec3 c\u1ea3 ni\u1ec7u qu\u1ea3n gi\u00e3n d\u1ea7n ra d\u1eabn \u0111\u1ebfn k\u00edch th\u01b0\u1edbc th\u1eadn to l\u00ean so v\u1edbi b\u00ecnh th\u01b0\u1eddng g\u1ecdi l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng th\u1eadn \u1ee9 n\u01b0\u1edbc. Trong th\u1eddi gian \u1ee9 n\u01b0\u1edbc b\u1ec3 th\u1eadn v\u00e0 ni\u1ec7u qu\u1ea3n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng t\u1ea1i th\u1eadn. N\u1ebfu nhi\u1ec5m tr\u00f9ng n\u1eb7ng c\u00f3 th\u1ebf d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn.<\/p>\n

T\u00f9y theo nguy\u00ean nh\u00e2n th\u1eadn c\u00f3 th\u1ec3 \u1ee9 n\u01b0\u1edbc m\u1ed9t b\u00ean ho\u1eb7c c\u1ea3 hai b\u00ean, t\u00f9y theo th\u1eddi gian v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh m\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 l\u00e0 c\u1ea5p t\u00ednh ho\u1eb7c m\u1ea1n t\u00ednh. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1ea1n t\u00ednh ch\u1ee9c n\u0103ng th\u1eadn c\u00f3 th\u1ec3 b\u1ecb suy gi\u1ea3m v\u00e0 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c, th\u1eadn ch\u00ed c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

2. N<\/strong>guy\u00ean nh\u00e2n<\/strong><\/h2>\n

Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu g\u1eb7p trong \u1ee9 n\u01b0\u1edbc, \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn l\u00e0 do nh\u1eefng c\u1ea3n tr\u1edf c\u01a1 h\u1ecdc t\u1eeb b\u00ean trong ho\u1eb7c b\u00ean ngo\u00e0i c\u0169ng nh\u01b0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng \u0111\u01a1n thu\u1ea7n kh\u00f4ng li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u1eafc ngh\u1ebdn c\u1ed1 \u0111\u1ecbnh trong h\u1ec7 th\u1ed1ng d\u1eabn ni\u1ec7u.<\/p>\n

Ngh\u1ebdn, t\u1eafc c\u01a1 h\u1ecdc c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ea5t c\u1ee9 \u0111o\u1ea1n n\u00e0o c\u1ee7a \u0111\u01b0\u1eddng d\u1eabn ni\u1ec7u, b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u00e0i th\u1eadn \u0111\u1ebfn l\u1ed7 ngo\u00e0i c\u1ee7a ni\u1ec7u \u0111\u1ea1o.<\/p>\n

\u1ede tr\u1ebb em c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh chi\u1ebfm \u01b0u th\u1ebf bao g\u1ed3m h\u1eb9p kh\u00fac n\u1ed1i b\u1ec3 th\u1eadn ni\u1ec7u qu\u1ea3n, ni\u1ec7u qu\u1ea3n sau t\u0129nh m\u1ea1ch ch\u1ee7, van ni\u1ec7u \u0111\u1ea1o sau.<\/p>\n

\u1ede ng\u01b0\u1eddi l\u1edbn, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ec3u ch\u1ee7 y\u1ebfu do c\u00e1c nguy\u00ean nh\u00e2n m\u1eafc ph\u1ea3i:<\/p>\n

S\u1ecfi th\u1eadn v\u00e0 s\u1ecfi ni\u1ec7u qu\u1ea3n l\u00e0 nguy\u00ean nh\u00e2n hay g\u1eb7p, ngo\u00e0i ra l\u00e0 c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 h\u1eb9p ni\u1ec7u qu\u1ea3n, u ni\u1ec7u qu\u1ea3n, c\u1ee5c m\u00e1u \u0111\u00f4ng.<\/p>\n

Nguy\u00ean nh\u00e2n do do ch\u1ea5n th\u01b0\u01a1ng ni\u1ec7u qu\u1ea3n trong ph\u1eabu thu\u1eadt \u1edf v\u00f9ng ch\u1eadu ho\u1eb7c \u0111\u1ea1i tr\u00e0ng<\/p>\n

Nguy\u00ean nh\u00e2n do c\u00e1c kh\u1ed1i u b\u00ean ngo\u00e0i ch\u00e8n \u00e9p v\u00e0o ni\u1ec7u qu\u1ea3n nh\u01b0 ung th\u01b0 c\u1ed5 t\u1eed cung hay \u0111\u1ea1i tr\u00e0ng, u lympho sau ph\u00fac m\u1ea1c, vi\u00eam nhi\u1ec5m quanh ni\u1ec7u qu\u1ea3n.<\/p>\n

X\u01a1 h\u00f3a sau ph\u00fac m\u1ea1c ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n c\u0169ng th\u01b0\u1eddng g\u1eb7p \u1edf nam tu\u1ed5i trung ni\u00ean v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn ni\u1ec7u qu\u1ea3n 2 b\u00ean.<\/p>\n

3. C<\/strong>h\u1ea9n \u0111o\u00e1n v\u1ec1 \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/strong><\/h2>\n

3.1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/h3>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng th\u1eadn \u1ee9 n\u01b0\u1edbc, \u1ee9 m\u1ee7 t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 t\u1eafc ngh\u1ebdn l\u00e0 c\u1ea5p t\u00ednh hay m\u1ea1n t\u00ednh, t\u1eafc m\u1ed9t b\u00ean hay hai b\u00ean, v\u1ecb tr\u00ed t\u1eafc th\u1ea5p hay cao, c\u00f3 nhi\u1ec5m khu\u1ea9n k\u1ebft h\u1ee3p hay ch\u1ec9 \u1ee9 n\u01b0\u1edbc \u0111\u01a1n thu\u1ea7n. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m ch\u1ec9 t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n khi si\u00eau \u00e2m hay kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u00ec, ho\u1eb7c b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m v\u00ec nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u, suy th\u1eadn.<\/p>\n

Tri\u1ec7u ch\u1ee9ng hay g\u1eb7p nh\u1ea5t l\u00e0 \u0111au m\u1ecfi, t\u1ee9c h\u00f4ng l\u01b0ng do \u0111\u00e0i b\u1ec3 th\u1eadn, bao th\u1eadn b\u1ecb c\u0103ng gi\u00e3n. \u0110au th\u01b0\u1eddng kh\u1edfi ph\u00e1t khu tr\u00fa \u1edf v\u00f9ng m\u1ea1ng s\u01b0\u1eddn hay h\u00f4ng l\u01b0ng r\u1ed3i lan xu\u1ed1ng, ra sau. C\u00f3 th\u1ec3 \u0111au 2 b\u00ean do t\u1eafc ngh\u1ebdn c\u1ea3 2 b\u00ean v\u00e0 \u0111au t\u0103ng l\u00ean khi c\u00f3 nhi\u1ec5m tr\u00f9ng.<\/p>\n

S\u1ed1t r\u00e9t run t\u1eebng \u0111\u1ee3t ch\u1ec9 xu\u1ea5t hi\u1ec7n khi c\u00f3 nhi\u1ec5m khu\u1ea9n.<\/p>\n

B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb r\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n: ti\u1ec3u bu\u1ed1t, ti\u1ec3u r\u1eaft, ti\u1ec3u m\u00e1u, ti\u1ec3u \u0111\u1ee5c n\u1ebfu c\u00f3 nhi\u1ec5m khu\u1ea9n.<\/p>\n

Th\u1eadn to l\u00e0 d\u1ea5u hi\u1ec7u th\u01b0\u1eddng g\u1eb7p, do gi\u00e3n \u0111\u00e0i b\u1ec3 th\u1eadn l\u00e0m th\u1eadn to l\u00ean c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c qua kh\u00e1m l\u00e2m s\u00e0ng.<\/p>\n

Thay \u0111\u1ed5i s\u1ed1 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u: L\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 t\u0103ng > 2 l\u00edt\/ ng\u00e0y do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00f4 \u0111\u1eb7c n\u01b0\u1edbc ti\u1ec3u, ho\u1eb7c c\u00f3 khi b\u1ec7nh nh\u00e2n b\u1ecb thi\u1ec3u ni\u1ec7u, v\u00f4 ni\u1ec7u do t\u1eafc ngh\u1ebdn ni\u1ec7u qu\u1ea3n ho\u00e0n to\u00e0n c\u1ea3 hai b\u00ean.<\/p>\n

T\u0103ng huy\u1ebft \u00e1p: Kho\u1ea3ng 1\/3 b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n t\u0103ng huy\u1ebft \u00e1p khi th\u1eadn b\u1ecb \u1ee9 n\u01b0\u1edbc, huy\u1ebft \u00e1p ch\u1ec9 t\u0103ng nh\u1eb9 ho\u1eb7c trung b\u00ecnh do th\u1eadn t\u0103ng ti\u1ebft renin ho\u1eb7c c\u00f3 th\u1ec3 do gi\u1eef mu\u1ed1i gi\u1eef n\u01b0\u1edbc.<\/p>\n

Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn n\u1eb7ng v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c th\u00ec c\u00f3 th\u1ec3 c\u00f3 ph\u00f9, da xanh, ni\u00eam m\u1ea1c nh\u1ee3t bi\u1ec3u hi\u1ec7n m\u1ed9t t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u.<\/p>\n

3.2. C\u1eadn l\u00e2m s\u00e0n<\/strong>g \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/strong><\/h3>\n

* Ch\u1ee5p h\u1ec7 ti\u1ebft ni\u1ec7u kh\u00f4ng chu\u1ea9n b\u1ecb<\/em><\/strong><\/p>\n

N\u00ean l\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111\u1ea7u ti\u00ean \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n t\u1eafc ngh\u1ebdn, tr\u00ean phim X quang chu\u1ea9n c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c b\u00f3ng th\u1eadn to, s\u1ecfi c\u1ea3n quang \u1edf th\u1eadn, ni\u1ec7u qu\u1ea3n, b\u00e0ng quang. N\u1ebfu c\u00f3 th\u1ec3 n\u00ean th\u1ee5t \u0111\u1ea1i tr\u00e0ng cho b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi ch\u1ee5p \u0111\u1ec3 tr\u00e1nh c\u00e1c h\u00ecnh \u1ea3nh nh\u1ea7m l\u1eabn do b\u00e3 th\u1ee9c \u0103n, b\u00f3ng h\u01a1i c\u1ee7a \u0111\u1ea1i tr\u00e0ng.<\/p>\n

K\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n nh\u01b0ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n t\u1edbi tr\u00ean 90% s\u1ecfi ti\u1ebft ni\u1ec7u c\u1ea3n quang g\u00e2y t\u1eafc \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u tr\u00ean.<\/p>\n

* Si\u00eau \u00e2m h\u1ec7 th\u1eadn ti\u1ebft ni\u1ec7u<\/em><\/strong><\/p>\n

Trong th\u1eadn \u1ee9 n\u01b0\u1edbc si\u00eau \u00e2m cho ph\u00e9p \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc th\u1eadn, \u0111\u1ed9 d\u1ea7y c\u1ee7a nhu m\u00f4, m\u1ee9c \u0111\u1ed9 \u1ee9 n\u01b0\u1edbc th\u1eadn, t\u00ecnh tr\u1ea1ng d\u1ecbch \u1ee9 \u0111\u1ee5c hay \u0111\u1ed3ng nh\u1ea5t, ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n t\u1eafc ngh\u1ebdn nh\u01b0 s\u1ecfi, kh\u1ed1i u \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u hay b\u00ean ngo\u00e0i ch\u00e8n \u00e9p v\u00e0o, c\u00e1c d\u1ecb d\u1ea1ng b\u1ea9m sinh \u1edf \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Tuy nhi\u00ean, h\u1ea1n ch\u1ebf c\u1ee7a si\u00eau \u00e2m: kh\u00f3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 ni\u1ec7u qu\u1ea3n.<\/p>\n

* Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (Computerized Tomogaphy Scan – CT Scan)<\/em><\/strong><\/p>\n

Ch\u1ee5p CT Scan c\u00f3 \u0111\u1ed9 nh\u1eady cao 95 – 98% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 96 – 100%. \u0110\u1eb7c bi\u1ec7t ch\u00ednh x\u00e1c trong ch\u1ea9n \u0111o\u00e1n \u1ee9 n\u01b0\u1edbc th\u1eadn – ni\u1ec7u qu\u1ea3n v\u1ec1 v\u1ecb tr\u00ed gi\u00e3n, \u0111\u1ed9 d\u1ea7y c\u1ee7a th\u00e0nh ni\u1ec7u qu\u1ea3n, v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc s\u1ecfi, d\u1ea5u hi\u1ec7u c\u1ee7a t\u1eafc ngh\u1ebdn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 m\u00e0 kh\u00f4ng c\u1ea7n thu\u1ed1c c\u1ea3n quang. Ch\u1ee5p CT Scan cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 kh\u1ed1i u sau ph\u00fac m\u1ea1c, kh\u1ed1i u v\u00f9ng ti\u1ec3u khung, x\u01a1 h\u00f3a sau ph\u00fac m\u1ea1c, h\u1ea1ch di c\u0103n, ung th\u01b0\u2026<\/p>\n

* Ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 ch\u1ee9c n\u0103ng th\u1eadn (Ch\u1ee5p x\u1ea1 h\u00ecnh ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng Tc – 99m – DTPA)<\/em><\/strong><\/p>\n

X\u1ea1 h\u00ecnh ch\u1ee9c n\u0103ng th\u1eadn l\u00e0 k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n \u0111\u01a1n gi\u1ea3n, d\u1ec5 ti\u1ebfn h\u00e0nh, r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb trong c\u00e1c b\u1ec7nh l\u00fd c\u1ee7a th\u1eadn, kh\u00f4ng ch\u1ec9 cung c\u1ea5p c\u00e1c th\u00f4ng tin v\u1ec1 ch\u1ee9c n\u0103ng ri\u00eang r\u1ebd c\u1ee7a t\u1eebng th\u1eadn qua ph\u00e2n t\u00edch \u0111\u1ecbnh l\u01b0\u1ee3ng v\u00e0 \u0111\u1ecbnh t\u00ednh m\u00e0 c\u00f2n cho c\u00e1c th\u00f4ng tin v\u1ec1 v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc v\u00e0 gi\u1ea3i ph\u1eabu th\u1eadn.<\/p>\n

X\u1ea1 h\u00ecnh c\u0169ng r\u1ea5t c\u00f3 \u00edch trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n m\u1eabn c\u1ea3m v\u1edbi thu\u1ed1c c\u1ea3n quang c\u00f3 iod ho\u1eb7c ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m nhi\u1ec1u m\u00e0 kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch khi ch\u1ee5p CT Scan\u2026<\/p>\n

* X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u<\/em><\/strong>:<\/strong><\/p>\n

X\u00e9t nghi\u1ec7m ure, creatinin huy\u1ebft thanh\u2026<\/p>\n

X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u, m\u00e1u l\u1eafng\u2026 c\u1ea5y m\u00e1u n\u1ebfu c\u1ea7n thi\u1ebft<\/p>\n

X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u: t\u1ed5ng ph\u00e2n t\u00edch, t\u1ebf b\u00e0o ni\u1ec7u, c\u1ea5y n\u01b0\u1edbc ti\u1ec3u\u2026<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n<\/strong>: Hydronephrosis (Kidney Swelling)<\/figcaption><\/figure>\n

3.2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/em><\/strong><\/h3>\n

* L\u00e2m s\u00e0ng:<\/em><\/strong><\/p>\n

– \u0110au v\u00f9ng h\u00f4ng l\u01b0ng<\/p>\n

– S\u1ed1t trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 nhi\u1ec5m tr\u00f9ng<\/p>\n

– R\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n<\/p>\n

– Bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n t\u00f9y theo giai \u0111o\u1ea1n b\u1ec7nh<\/p>\n

* C\u1eadn l\u00e2m s\u00e0ng<\/em><\/strong>:\u00a0<\/em>\u0110\u00f3ng vai tr\u00f2 quan tr\u1ecdng do nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00f3 r\u1ea5t \u00edt tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/p>\n

– Xquang h\u1ec7 th\u1eadn – ti\u1ebft ni\u1ec7u<\/p>\n

– Si\u00eau \u00e2m th\u1eadn – ti\u1ebft ni\u1ec7u<\/p>\n

– Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh<\/p>\n

– X\u1ea1 h\u00ecnh th\u1eadn<\/p>\n

– X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u00f3 t\u1ebf b\u00e0o ni\u1ec7u, c\u1ea5y vi khu\u1ea9n d\u01b0\u01a1ng t\u00ednh<\/p>\n

– X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n t\u00f9y theo giai \u0111o\u1ea1n b\u1ec7nh<\/p>\n

4. \u0110<\/strong>i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng to\u00e0n th\u1eadn, m\u1ee9c \u0111\u1ed9 \u1ee9 n\u01b0\u1edbc, \u1ee9 m\u1ee7 \u1edf th\u1eadn, nguy\u00ean nh\u00e2n g\u00e2y \u1ee9 n\u01b0\u1edbc v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m c\u1ea5p t\u00ednh hay m\u1ea1n t\u00ednh m\u00e0 c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p cho t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 nh\u01b0ng nguy\u00ean t\u1eafc chung l\u00e0 lo\u1ea1i b\u1ecf y\u1ebfu t\u1ed1 g\u00e2y t\u1eafc ngh\u1ebdn.<\/p>\n

4.1. Ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c \u1edf\u00a0 b\u1ec7nh nh\u00e2n \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/strong><\/h3>\n

* Kh\u00e1ng sinh<\/em><\/p>\n

N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n, t\u1ed1t nh\u1ea5t s\u1eed d\u1ee5ng kh\u00e1ng sinh theo kh\u00e1ng sinh \u0111\u1ed3. Trong tr\u01b0\u1eddng h\u1ee3p ch\u01b0a c\u00f3 k\u1ebft qu\u1ea3 kh\u00e1ng sinh \u0111\u1ed3 c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c theo kinh nghi\u1ec7m. C\u00e1c nh\u00f3m thu\u1ed1c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng l\u00e0 Fluoroquinolon, Cepholosporin v\u00e0 Etarpendem.<\/p>\n

* Thu\u1ed1c huy\u1ebft \u00e1p<\/em><\/p>\n

Ph\u1ed1i h\u1ee3p c\u00e1c nh\u00f3m thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p n\u1ebfu c\u1ea7n \u0111\u1ec3 kh\u1ed1ng ch\u1ebf huy\u1ebft \u00e1p <130\/80 mmHg.<\/p>\n

* \u0110i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n do suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/em><\/p>\n

\u0110i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n Kali m\u00e1u v\u00e0 Natri m\u00e1u.<\/p>\n

N\u1ebfu c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn th\u00ec ki\u1ec3m so\u00e1t toan m\u00e1u, ph\u00f2ng t\u0103ng phospho m\u00e1u, \u0111i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u, \u0111i\u1ec1u ch\u1ec9nh m\u1ee1 m\u00e1u n\u1ebfu c\u00f3 r\u1ed1i lo\u1ea1n, v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n theo c\u00e1c m\u1ee9c \u0111\u1ed9 b\u1ec7nh th\u1eadn m\u1ea1n.<\/p>\n

4.2. D\u1eabn l\u01b0u b\u1ec3 th\u1eadn qua da<\/strong><\/h3>\n

D\u1eabn l\u01b0u b\u1ec3 th\u1eadn qua da l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt c\u01a1 b\u1ea3n v\u00e0 c\u1ea7n thi\u1ebft trong \u0111i\u1ec1u tr\u1ecb th\u1eadn \u1ee9 n\u01b0\u1edbc, \u1ee9 m\u1ee7 do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c nhau. \u0110\u00e2y l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt \u0111\u01a1n gi\u1ea3n, \u00edt t\u1ed1n k\u00e9m, \u00edt t\u1ed1n th\u1eddi gian, \u00edt ch\u1ea5n th\u01b0\u01a1ng v\u00e0 cho k\u1ebft qu\u1ea3 kh\u1ea3 quan gi\u00fap gi\u1ea3m nhanh \u00e1p l\u1ef1c t\u1ea1i th\u1eadn, gi\u1ea3i quy\u1ebft nhanh t\u00ecnh tr\u1ea1ng \u1ee9 \u0111\u1ecdng v\u00e0 nhi\u1ec5m khu\u1ea9n g\u00f3p ph\u1ea7n h\u1ed3i ph\u1ee5c nhu m\u00f4 v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nguy\u00ean nh\u00e2n kh\u00f4ng th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u00e3 l\u1ef1a ch\u1ecdn vi\u1ec7c d\u1eabn l\u01b0u t\u1ea1m th\u1eddi th\u00e0nh bi\u1ec7n ph\u00e1p l\u00e2u d\u00e0i \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng th\u1eadn, ho\u1eb7c \u0111\u1ec3 tr\u00e1nh vi\u1ec7c ph\u1ea3i l\u1ecdc m\u00e1u ng\u1eaft qu\u00e3ng v\u00ec vi\u1ec7c l\u1ecdc m\u00e1u ng\u1eaft qu\u00e3ng qu\u00e1 t\u1ed1n k\u00e9m v\u00e0 m\u1ea5t nhi\u1ec1u th\u1eddi gian [4, 5].<\/p>\n

Ph\u1ea7n k\u1ef9 thu\u1eadt d\u1eabn l\u01b0u b\u1ec3 th\u1eadn qua da xin \u0111\u1ec1 ngh\u1ecb tham kh\u1ea3o th\u00eam s\u00e1ch v\u1ec1 qui tr\u00ecnh c\u00e1c k\u1ef9 thu\u1eadt, th\u1ee7 thu\u1eadt trong th\u1eadn – ti\u1ebft ni\u1ec7u.<\/p>\n

4.3. Ph\u1eabu thu\u1eadt gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n t\u1eafc ngh\u1ebdn<\/strong><\/h3>\n

4.4. C\u1eaft b\u1ecf th\u1eadn<\/strong><\/h3>\n

Ch\u1ec9 \u0111\u1ecbnh khi th\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n v\u00e0 nhu m\u00f4 th\u1eadn \u0111\u00e3 b\u1ecb ph\u00e1 h\u1ee7y nhi\u1ec1u d\u1eabn \u0111\u1ebfn m\u1ea5t ch\u1ee9c n\u0103ng ho\u00e0n to\u00e0n v\u00e0 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c.<\/p>\n

4.5. \u0110i\u1ec1u tr\u1ecb th\u1eadn thay th\u1ebf<\/strong><\/h3>\n

Ch\u1ec9 \u0111\u1ecbnh c\u1ee5 th\u1ec3 theo t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, toan h\u00f3a m\u00e1u v\u00e0 s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n \u1edf t\u1eebng giai \u0111o\u1ea1n b\u1ec7nh.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 th\u1eadn \u2013 ti\u1ebft ni\u1ec7u c\u1ee7a B\u1ed9 Y t\u1ebf 2015.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u1ee8 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn \u0111\u1ec1u l\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ea3i \u0111\u1ed9c v\u00e0 gi\u1ea3i th\u00edch ch\u1ea5t th\u1ea3i c\u1ee7a c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. \u0110\u1ec3 ph\u00f2ng tr\u00e1nh v\u00e0 \u0111i\u1ec1u tr\u1ecb \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn, vi\u1ec7c duy tr\u00ec m\u1ed9t […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nKh\u00e1i qu\u00e1t v\u1ec1 \u1ee9 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec7 th\u1eadn<\/title>\n<meta name=\"description\" content=\"\u1ee8 n\u01b0\u1edbc v\u00e0 \u1ee9 m\u1ee7 b\u1ec3 th\u1eadn \u0111\u1ec1u l\u00e0 c\u00e1c 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