{"id":29648,"date":"2023-05-01T21:49:07","date_gmt":"2023-05-01T14:49:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29648"},"modified":"2023-05-01T21:49:07","modified_gmt":"2023-05-01T14:49:07","slug":"cap-nhap-ky-thuat-khau-vet-thuong-tinh-mach-mac-treo-trang-tren","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/cap-nhap-ky-thuat-khau-vet-thuong-tinh-mach-mac-treo-trang-tren\/","title":{"rendered":"C\u1eadp nh\u1eadp k\u1ef9 thu\u1eadt kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean"},"content":{"rendered":"

Kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u1ea1c treo tr\u00ean. \u0110\u00e2y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 chuy\u00ean m\u00f4n ph\u1eabu thu\u1eadt tim m\u1ea1ch ho\u1eb7c ph\u1eabu thu\u1eadt th\u1ea5p kh\u1edbp. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 k\u1ef9 thu\u1eadt kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean.<\/strong><\/p>\n

\"\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/b><\/h2>\n

T\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean l\u00e0 t\u0129nh m\u1ea1ch l\u1edbn trong \u1ed5 b\u1ee5ng thu nh\u1eadn m\u00e1u c\u1ee7a to\u00e0n b\u1ed9 ru\u1ed9t non v\u00e0 \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 h\u1ee3p l\u01b0u v\u1edbi t\u0129nh m\u1ea1ch l\u00e1ch tr\u01b0\u1edbc khi \u0111\u1ed5 v\u1ec1 gan qua t\u0129nh m\u1ea1ch c\u1eeda. V\u1edbi l\u01b0u l\u01b0\u1ee3ng m\u00e1u kho\u1ea3ng 0,8 l\u00edt\/ph\u00fat, chi\u1ebfm t\u1edbi 2\/3 l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u1ec1 gan, v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1c m\u1ea5t m\u00e1u v\u00e0 nguy hi\u1ec3m t\u1edbi t\u00ednh m\u1ea1ng Ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch nhanh ch\u00f3ng ho\u1eb7c g\u00e2y thi\u1ebfu m\u00e1u, ho\u1ea1i t\u1eed ru\u1ed9t non n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi. V\u00ec v\u1eady, vi\u1ec7c n\u1eafm r\u00f5 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu v\u00e0 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi c\u00e1c t\u1ed5n th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi m\u1ed7i ph\u1eabu thu\u1eadt vi\u00ean ti\u00eau ho\u00e1.<\/p>\n

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

– Ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c v\u1ebft th\u01b0\u01a1ng b\u1ee5ng c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ed1c m\u1ea5t m\u00e1u<\/p>\n

– C\u00f3 h\u00ecnh \u1ea3nh m\u00e1u t\u1ee5 l\u1edbn<\/a> \u1edf m\u1ea1c treo ru\u1ed9t non, b\u1edd d\u01b0\u1edbi t\u1ee5y, sau ph\u00fac m\u1ea1c tr\u00ean phim c\u1eaft l\u1edbp vi t\u00ednh.<\/p>\n

– Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft u x\u00e2m l\u1ea5n t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean, ch\u1ee7 \u0111\u1ed9ng c\u1eaft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh tri\u1ec7t c\u0103n.<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i<\/p>\n

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i:<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn ti\u1ec3u c\u1ea7u.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch ho\u1eb7c huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c g\u00e2y t\u00ea ho\u1eb7c kh\u00e1ng sinh.<\/p>\n

– B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf \u0111\u00f4ng m\u00e1u ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 khi s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi thu\u1ed1c g\u00e2y t\u00ea.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd gan, th\u1eadn ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n

Tuy nhi\u00ean, quy\u1ebft \u0111\u1ecbnh c\u00f3 n\u00ean th\u1ef1c hi\u1ec7n kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean hay kh\u00f4ng ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u01b0a ra b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf d\u1ef1a tr\u00ean t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 th\u1eafc m\u1eafc n\u00e0o v\u1ec1 kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean, b\u1ec7nh nh\u00e2n n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3.<\/p>\n

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

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

– 01 b\u00e1c s\u1ef9 m\u1ed5 ch\u00ednh, 02 b\u00e1c s\u1ef9 ph\u1ee5 m\u1ed5<\/p>\n

– 01 b\u00e1c s\u1ef9 g\u00e2y m\u00ea, 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 m\u00ea<\/p>\n

– 01 d\u1ee5ng c\u1ee5 vi\u00ean, 01 \u0111i\u1ec1u d\u01b0\u1ee1ng ch\u1ea1y ngo\u00e0i<\/p>\n

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

– Chu\u1ea9n b\u1ecb th\u1ee7 t\u1ee5c m\u1ed5 nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u \/ phi\u00ean th\u00f4ng th\u01b0\u1eddng.<\/p>\n

– Gi\u1ea3i th\u00edch cho gia \u0111\u00ecnh v\u00e0 ng\u01b0\u1eddi b\u1ec7nh nguy c\u01a1, r\u1ee7i ro trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean.<\/p>\n

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

– B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu v\u00e0 m\u1ea1ch m\u00e1u l\u1edbn<\/p>\n

– Ch\u1ec9 m\u1ea1ch m\u00e1u (Prolene) 3\/0, 4\/0, 5\/0<\/p>\n

– M\u1ea1ch nh\u00e2n t\u1ea1o<\/p>\n

– B\u00f4ng g\u00f2n<\/p>\n

– M\u00e1y si\u00eau \u00e2m Doppler trong m\u1ed5 (\u0111\u1ec3 \u0111\u00e1nh gi\u00e1 l\u01b0u l\u01b0\u1ee3ng t\u0129nh m\u1ea1ch c\u1eeda khi c\u1ea7n)<\/p>\n

4.4. Th\u1eddi gian ph\u1eabu thu\u1eadt:<\/b><\/h3>\n

– Tu\u1ef3 t\u1eebng lo\u1ea1i ph\u1eabu thu\u1eadt v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

– Trung b\u00ecnh t\u1eeb 30 ph\u00fat t\u1edbi 3 gi\u1edd.<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

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

Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, c\u00f3 th\u1ec3 k\u00ea g\u1ed1i d\u01b0\u1edbi l\u01b0ng, ngang m\u0169i \u1ee9c n\u1ebfu \u0111i\u1ec1u ki\u1ec7n cho ph\u00e9p<\/p>\n

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

G\u00e2y m\u00ea to\u00e0n th\u00e2n<\/p>\n

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

– B\u01b0\u1edbc 1: Th\u0103m d\u00f2 v\u00e0 \u0111\u00e1nh gi\u00e1 th\u01b0\u01a1ng t\u1ed5n b\u1eb1ng c\u00e1ch quan s\u00e1t kh\u1ed1i m\u00e1u t\u1ee5 v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00e2n c\u1eadn.<\/p>\n

– B\u01b0\u1edbc 2: L\u00e0m \u0111\u1ed9ng t\u00e1c Kocher \u0111\u1ec3 di \u0111\u1ed9ng kh\u1ed1i t\u00e1 tr\u00e0ng \u0111\u1ea7u t\u1ee5y.<\/p>\n

– B\u01b0\u1edbc 3: M\u1edf ph\u00fac m\u1ea1c d\u1ecdc theo \u0111\u01b0\u1eddng \u0111i c\u1ee7a t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean b\u1eb1ng c\u00e1ch di \u0111\u1ed9ng \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 k\u00e9o c\u0103ng ra th\u00ec \u0111\u01b0\u1eddng \u0111i c\u1ee7a t\u0129nh m\u1ea1ch l\u00e0 \u0111\u01b0\u1eddng k\u1ebb t\u1eeb \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng t\u1edbi b\u1edd d\u01b0\u1edbi eo t\u1ee5y.<\/p>\n

– B\u01b0\u1edbc 4: B\u1ed9c l\u1ed9 t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean ph\u00eda tr\u00ean t\u1ed5n th\u01b0\u01a1ng qua v\u1ecb tr\u00ed h\u1ee3p l\u01b0u v\u1edbi t\u0129nh m\u1ea1ch l\u00e1ch v\u00e0 ph\u00eda d\u01b0\u1edbi t\u1ed5n th\u01b0\u01a1ng. Tu\u1ef3 v\u00e0o m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng m\u00e0 quy\u1ebft \u0111\u1ecbnh l\u00e0m c\u00e1c c\u1ea7u n\u1ed1i c\u1eeda – c\u1eeda ho\u1eb7c c\u1eeda – ch\u1ee7 t\u1ea1m th\u1eddi b\u1eb1ng m\u1ea1ch nh\u00e2n t\u1ea1o ho\u1eb7c kh\u00f4ng.<\/p>\n

– B\u01b0\u1edbc 5: Kh\u1ed1ng ch\u1ebf hai \u0111\u1ea7u v\u00e0 b\u1ed9c l\u1ed9 v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean. Kh\u00e2u l\u1ea1i b\u1eb1ng ch\u1ec9 Prolene 4\/0, 5\/0 kh\u00e2u v\u1eaft 1 l\u1edbp. C\u1ea7m m\u00e1u t\u0103ng c\u01b0\u1eddng b\u1eb1ng b\u00f4ng g\u00f2n n\u1ebfu c\u1ea7n.<\/p>\n

– B\u01b0\u1edbc 6: Ki\u1ec3m tra k\u1ef9 c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p, \u0111\u1eb7t d\u1eabn l\u01b0u \u1ed5 b\u1ee5ng. \u0110\u00f3ng b\u1ee5ng theo c\u00e1c l\u1edbp gi\u1ea3i ph\u1eabu.<\/p>\n

Ch\u00fa th\u00edch:\u00a0<\/i><\/b>Quy tr\u00ecnh n\u00e0y \u00e1p d\u1ee5ng cho c\u1ea3 tr\u01b0\u1eddng h\u1ee3p ph\u1eabu t\u00edch gi\u1ea3i ph\u00f3ng c\u00e1c u, h\u1ea1ch c\u00f3 x\u00e2m l\u1ea5n v\u00e0o t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean v\u00e0 ph\u1ea3i c\u1eaft v\u00e0o t\u0129nh m\u1ea1ch n\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh tri\u1ec7t c\u0103n. C\u00e1c b\u01b0\u1edbc k\u1ef9 thu\u1eadt t\u01b0\u01a1ng \u0111\u1ed1i gi\u1ed1ng v\u1edbi c\u00e1c b\u01b0\u1edbc \u1edf tr\u00ean.<\/p>\n

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

6.1. Theo d\u00f5i<\/b>:<\/h3>\n

– Ch\u1ea3y m\u00e1u: Theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, to\u00e0n tr\u1ea1ng v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ee5ng, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 m\u00e0u s\u1eafc d\u1ecbch d\u1eabn l\u01b0u \u00edt nh\u1ea5t 1h\/l\u1ea7n trong 24h \u0111\u1ea7u.<\/p>\n

– Thi\u1ebfu m\u00e1u ru\u1ed9t non: Theo d\u00f5i to\u00e0n tr\u1ea1ng v\u00e0 m\u1ee9c \u0111\u1ed9 ch\u01b0\u1edbng b\u1ee5ng, d\u1ea5u hi\u1ec7u vi\u00eam ph\u00fac m\u1ea1c, xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1, \u0111\u00f4i khi c\u00f3 s\u1ed1c. C\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 t\u01b0\u1edbi m\u00e1u ru\u1ed9t non b\u1eb1ng ch\u1ee5p C\u1eaft l\u1edbp vi t\u00ednh ho\u1eb7c ch\u1ee5p m\u1ea1ch .<\/p>\n

– Nhi\u1ec5m tr\u00f9ng: Theo d\u00f5i to\u00e0n tr\u1ea1ng, d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng to\u00e0n th\u00e2n ho\u1eb7c t\u1ea1i ch\u1ed7. Nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 t\u1eeb v\u1ebft m\u1ed5, t\u1eeb kh\u1ed1i m\u00e1u t\u1ee5, do thi\u1ebfu m\u00e1u ho\u1ea1i t\u1eed ru\u1ed9t ho\u1eb7c do b\u1ecf s\u00f3t t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

6.2. X\u1eed tr\u00ed tai bi\u1ebfn<\/b>:<\/h3>\n

– \u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n: c\u1ea7n c\u00e2n nh\u1eafc v\u00e0 theo d\u00f5i s\u00e1t t\u1ea1i c\u01a1 s\u1edf ngo\u1ea1i khoa<\/p>\n

+ Kh\u00e1ng sinh to\u00e0n th\u00e2n<\/p>\n

+ Dinh d\u01b0\u1ee1ng t\u00edch c\u1ef1c<\/p>\n

+ Truy\u1ec1n m\u00e1u v\u00e0 c\u00e1c ch\u1ebf ph\u1ea9m t\u1eeb m\u00e1u<\/p>\n

– Ph\u1eabu thu\u1eadt: Quy\u1ebft \u0111\u1ecbnh m\u1ed5 l\u1ea1i s\u1edbm khi nghi ng\u1edd ch\u1ea3y m\u00e1u ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam ph\u00fac m\u1ea1c.<\/p>\n

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

Kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u1ea1c treo tr\u00ean. \u0110\u00e2y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 chuy\u00ean m\u00f4n ph\u1eabu thu\u1eadt tim m\u1ea1ch […]<\/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":"\nC\u1eadp nh\u1eadp k\u1ef9 thu\u1eadt kh\u00e2u v\u1ebft th\u01b0\u01a1ng t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean<\/title>\n<meta name=\"description\" content=\"Kh\u00e2u v\u1ebft th\u01b0\u01a1ng 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