{"id":29660,"date":"2023-05-01T21:48:31","date_gmt":"2023-05-01T14:48:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29660"},"modified":"2023-05-01T21:48:31","modified_gmt":"2023-05-01T14:48:31","slug":"dieu-tri-u-xoco-truc-trang-bang-phau-thuat-qua-tang-sinh-mon","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/dieu-tri-u-xoco-truc-trang-bang-phau-thuat-qua-tang-sinh-mon\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb u x\u01a1,c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n"},"content":{"rendered":"

U x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng l\u00e0 c\u00e1c kh\u1ed1i u l\u00e0nh t\u00ednh c\u1ee7a tr\u1ef1c tr\u00e0ng, n\u1eb1m trong t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft th\u00e0nh tr\u1ef1c tr\u00e0ng.. Chi\u1ebfm t\u1ec9 l\u1ec7 nh\u1ecf trong c\u00e1c kh\u1ed1i u c\u1ee7a tr\u1ef1c tr\u00e0ng (c\u00f2n l\u1ea1i tr\u00ean 95 % l\u00e0 u bi\u1ec3u m\u00f4 tuy\u1ebfn c\u1ee7a tr\u1ef1c tr\u00e0ng). U x\u01a1 c\u01a1 tr\u1ef1c tr\u00e0ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi ti\u1ec1n m\u00e3n kinh. N\u1ebfu u x\u01a1 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau, \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c, ho\u1eb7c g\u00e2y ra v\u1ea5n \u0111\u1ec1 v\u1ec1 sinh ho\u1ea1t h\u00e0ng ng\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u00ean b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n.<\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb u x\u01a1,c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n<\/b><\/h2>\n

C\u00e1c kh\u1ed1i u x\u01a1, c\u01a1, th\u1ea7n kinh,\u2026 c\u1ee7a tr\u1ef1c tr\u00e0ng \u1edf 1\/3 d\u01b0\u1edbi, th\u0103m tr\u1ef1c tr\u00e0ng d\u1ec5 d\u00e0ng s\u1edd th\u1ea5y b\u1edd tr\u00ean u., u t\u01b0\u01a1ng \u0111\u1ed1i di \u0111\u1ed9ng.<\/p>\n

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

– Ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn c\u1ee7a tr\u1ef1c tr\u00e0ng<\/a>.<\/p>\n

– Th\u1ec3 tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 y\u1ebfu, c\u1ea7n h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh gi\u00e0 y\u1ebfu, c\u00f3 c\u00e1c b\u1ec7nh n\u1eb7ng ph\u1ed1i h\u1ee3p nh\u01b0 suy tim, ph\u1ed5i,\u2026<\/p>\n

– Ung th\u01b0 \u0111\u00e3 di c\u0103n xa \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u00fac m\u1ea1c.<\/p>\n

– U k\u00edch th\u01b0\u1edbc l\u1edbn, c\u1ed1 \u0111\u1ecbnh, th\u0103m tr\u1ef1c tr\u00e0ng kh\u00f4ng s\u1edd th\u1ea5y c\u1ef1c tr\u00ean kh\u1ed1i u.<\/p>\n

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

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

Ph\u1eabu thu\u1eadt vi\u00ean ti\u00eau h\u00f3a.<\/p>\n

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

– H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u1ea7y \u0111\u1ee7 v\u1edbi c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n (c\u00f4ng th\u1ee9c m\u00e1u, sinh h\u00f3a m\u00e1u, \u0111\u00f4ng m\u00e1u, n\u01b0\u1edbc ti\u1ec3u, …) cho ph\u00e9p ph\u1eabu thu\u1eadt.<\/p>\n

– Ch\u1ee5p khung \u0111\u1ea1i tr\u00e0ng, n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng v\u00e0 sinh thi\u1ebft.<\/p>\n

– N\u1ebfu nghi ng\u1edd c\u00f3 th\u00e2m nhi\u1ec5m hay r\u00f2 v\u00e0o c\u00e1c c\u01a1 quan kh\u00e1c c\u1ea7n x\u00e1c minh r\u00f5 r\u00e0ng b\u1eb1ng ch\u1ee5p c\u1eaft l\u1edbp, c\u1ed9ng h\u01b0\u1edfng t\u1eeb, si\u00eau \u00e2m n\u1ed9i soi,\u2026<\/p>\n

– Chu\u1ea9n b\u1ecb \u0111\u1ea1i tr\u00e0ng s\u1ea1ch b\u1eb1ng thu\u1ed1c t\u1ea9y ( fortrans,\u2026), th\u1ee5t th\u00e1o theo quy \u0111\u1ecbnh.<\/p>\n

– N\u00e2ng cao th\u1ec3 tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt b\u1eb1ng truy\u1ec1n d\u1ecbch nu\u00f4i d\u01b0\u1ee1ng, kh\u00e1ng sinh d\u1ef1 ph\u00f2ng.<\/p>\n

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

B\u1ed9 ph\u1eabu thu\u1eadt \u0111\u1ea1i ph\u1eabu, ch\u1ec9 kh\u00e2u ti\u00eau ch\u1eadm, kh\u00f4ng ti\u00eau,\u2026<\/p>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt u x\u01a1,c\u01a1 tr\u1ef1c tr\u00e0ng qua t\u1ea7ng sinh m\u00f4n<\/b><\/h2>\n

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

Ph\u1ee5 khoa.<\/p>\n

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

G\u00e2y m\u00ea to\u00e0n th\u00e2n, ho\u1eb7c g\u00e2y t\u00ea t\u1ee7y s\u1ed1ng.<\/p>\n

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

Th\u1eddi gian m\u1ed5 d\u1ef1 ki\u1ebfn 60 ph\u00fat \u0111\u1ebfn 120 ph\u00fat<\/p>\n

4.3.1. Ph\u1eabu thu\u1eadt qua \u0111\u01b0\u1eddng h\u1eadu m\u00f4n <\/i><\/b><\/h4>\n

(\u00e1p d\u1ee5ng cho kh\u1ed1i u k\u00edch th\u01b0\u1edbc \u2264 4cm):<\/p>\n

– Nong r\u1ed9ng \u1ed1ng h\u1eadu m\u00f4n.<\/p>\n

– M\u1edf tr\u1ef1c ti\u1ebfp v\u00e0o v\u1ecb tr\u00ed kh\u1ed1i u, l\u1ea5y 1 ph\u1ea7n t\u1ed5 ch\u1ee9c u l\u00e0m sinh thi\u1ebft t\u1ee9c th\u00ec n\u1ebfu c\u00f3 th\u1ec3.<\/p>\n

– Ph\u1eabu t\u00edch b\u00f3c kh\u1ed1i u ra kh\u1ecfi th\u00e0nh tr\u1ef1c tr\u00e0ng, tr\u00e1nh l\u00e0m th\u1ee7ng th\u00e0nh tr\u1ef1c tr\u00e0ng.<\/p>\n

– Ki\u1ec3m tra k\u1ef9 n\u1ebfu c\u00f3 th\u1ee7ng th\u00e0nh tr\u1ef1c tr\u00e0ng th\u00ec ph\u1ea3i kh\u00e2u l\u1ea1i. Trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd th\u1ee7ng tr\u1ef1c tr\u00e0ng v\u00e0o \u1ed5 b\u1ee5ng ph\u1ea3i m\u1edf b\u1ee5ng ki\u1ec3m tra, c\u1ea7n thi\u1ebft th\u00ec l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o b\u1ea3o v\u1ec7.<\/p>\n

– Kh\u00e2u l\u1ea1i ch\u1ed7 m\u1edf tr\u1ef1c tr\u00e0ng 2 l\u1edbp ri\u00eang bi\u1ec7t t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft v\u00e0 ni\u00eam m\u1ea1c.<\/p>\n

4.3.2. Ph\u1eabu thu\u1eadt qua th\u00e0nh b\u00ean tr\u1ef1c tr\u00e0ng <\/i><\/b><\/h4>\n

(\u00e1p d\u1ee5ng cho kh\u1ed1i u k\u00edch th\u01b0\u1edbc > 4cm):<\/p>\n

– \u0110\u01b0\u1eddng r\u1ea1ch da ngo\u00e0i c\u01a1 th\u1eaft, \u0111i v\u00e0o th\u00e0nh b\u00ean tr\u1ef1c tr\u00e0ng qua h\u1ed1 ng\u1ed3i.<\/p>\n

– Ph\u1eabu t\u00edch c\u1eaft b\u1ecf u nh\u01b0 tr\u00ean, tr\u00e1nh l\u00e0m th\u1ee7ng ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng. Kh\u00e2u l\u1ea1i tr\u1ef1c tr\u00e0ng theo c\u00e1c l\u1edbp gi\u1ea3i ph\u1eabu, n\u1ebfu th\u1ee7ng ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng ph\u1ea3i kh\u00e2u l\u1ea1i.<\/p>\n

– N\u1ebfu u to, v\u1ebft m\u1ed5 s\u00e2u, r\u1ed9ng, th\u1ee7ng l\u1edbn \u1edf ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng n\u00ean l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o b\u1ea3o v\u1ec7.<\/p>\n

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

5.1. Ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i:<\/b><\/h3>\n

– Ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00f3i chung, l\u01b0u \u00fd t\u00ecnh tr\u1ea1ng ra m\u00e1u, d\u1ecbch \u1edf h\u1eadu m\u00f4n.<\/p>\n

– D\u00f9ng kh\u00e1ng sinh to\u00e0n th\u00e2n, ph\u1ed1i h\u1ee3p 2 lo\u1ea1i kh\u00e1ng sinh (metronidazol, cephalosporin th\u1ebf h\u1ec7 3,\u2026) t\u1eeb 5 – 7 ng\u00e0y.<\/p>\n

– Dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch 5- 7 ng\u00e0y.<\/p>\n

– Nh\u1ecbn \u0103n u\u1ed1ng t\u1eeb 5 -7 ng\u00e0y.<\/p>\n

5.2. X\u1eed tr\u00ed tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng:<\/b><\/h3>\n

– Ch\u1ea3y m\u00e1u: m\u1ed5 lai kh\u00e2u c\u1ea7m m\u00e1u\u2026<\/p>\n

– Vi\u00eam ph\u00fac m\u1ea1c do b\u1ee5c \u0111\u01b0\u1eddng kh\u00e2u: m\u1ed5 l\u1ea1i, lau r\u1eeda s\u1ea1ch \u1ed5 b\u1ee5ng, l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o b\u1ea3o v\u1ec7.<\/p>\n

– \u00c1p xe v\u00f9ng m\u1ed5: ph\u1eabu thu\u1eadt d\u1eabn l\u01b0u \u00e1p xe.<\/p>\n

6. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u x\u01a1,c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n<\/h2>\n

\u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n:<\/p>\n

– Lo\u1ea1i b\u1ecf u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng ho\u00e0n to\u00e0n: Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n lo\u1ea1i b\u1ecf u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng ho\u00e0n to\u00e0n, gi\u00fap lo\u1ea1i b\u1ecf tri\u1ec7u ch\u1ee9ng v\u00e0 nguy c\u01a1 t\u00e1i ph\u00e1t c\u1ee7a b\u1ec7nh.<\/p>\n

– Th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh: Th\u1eddi gian h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n th\u01b0\u1eddng ng\u1eafn h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng trong th\u1eddi gian ng\u1eafn h\u01a1n.<\/p>\n

– Gi\u1ea3m \u0111au v\u00e0 kh\u00f4i ph\u1ee5c ch\u1ee9c n\u0103ng nhanh ch\u00f3ng: Ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n gi\u00fap gi\u1ea3m \u0111au v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng nhanh ch\u00f3ng, gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng m\u1ed9t c\u00e1ch nhanh ch\u00f3ng h\u01a1n.<\/p>\n

7. H\u1ea1n ch\u1ebf<\/h2>\n

H\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n:<\/p>\n

– Nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng: Ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u, t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh, s\u01b0ng t\u1ea5y v\u00e0 \u0111au.<\/p>\n

– Y\u00eau c\u1ea7u k\u1ef9 thu\u1eadt cao: Ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p v\u00e0 y\u00eau c\u1ea7u k\u1ef9 thu\u1eadt cao c\u1ee7a b\u00e1c s\u0129. Vi\u1ec7c th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 kinh nghi\u1ec7m v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean s\u00e2u.<\/p>\n

– Chi ph\u00ed cao: Ph\u1eabu thu\u1eadt qua t\u1ea7ng sinh m\u00f4n l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1eaft ti\u1ec1n. N\u1ebfu kh\u00f4ng c\u00f3 b\u1ea3o hi\u1ec3m y t\u1ebf ho\u1eb7c b\u1ea3o hi\u1ec3m c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng chi tr\u1ea3 c\u00e1c chi ph\u00ed ph\u1eabu thu\u1eadt, chi ph\u00ed ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 \u0111\u1eaft h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n c\u1ea7n c\u00e2n nh\u1eafc k\u1ef9 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/p>\n

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

U x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng l\u00e0 c\u00e1c kh\u1ed1i u l\u00e0nh t\u00ednh c\u1ee7a tr\u1ef1c tr\u00e0ng, n\u1eb1m trong t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft th\u00e0nh tr\u1ef1c tr\u00e0ng.. Chi\u1ebfm t\u1ec9 l\u1ec7 nh\u1ecf trong c\u00e1c kh\u1ed1i u c\u1ee7a tr\u1ef1c tr\u00e0ng (c\u00f2n l\u1ea1i tr\u00ean 95 % l\u00e0 u bi\u1ec3u m\u00f4 tuy\u1ebfn c\u1ee7a tr\u1ef1c tr\u00e0ng). 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