{"id":29677,"date":"2023-04-30T14:01:26","date_gmt":"2023-04-30T07:01:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29677"},"modified":"2023-04-30T14:01:26","modified_gmt":"2023-04-30T07:01:26","slug":"phau-thuat-dieu-tri-soi-duong-mat-ngoai-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/phau-thuat-dieu-tri-soi-duong-mat-ngoai-gan\/","title":{"rendered":"Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan"},"content":{"rendered":"

M\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1ec7nh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qu\u00e1 l\u1edbn ho\u1eb7c qu\u00e1 nhi\u1ec1u \u0111\u1ec3 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi. Tuy nhi\u00ean, nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u00e0o, ph\u01b0\u01a1ng ph\u00e1p M\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tai bi\u1ebfn nh\u01b0 nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u, \u0111au v\u00e0 s\u01b0ng t\u1ea1i v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt. N\u00ean th\u1ea3o lu\u1eadn k\u1ef9 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 hi\u1ec3u r\u00f5 c\u00e1c r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt.<\/strong><\/p>\n

\"\"<\/p>\n

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

\u00c1p d\u1ee5ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ecfi m\u1eadt ngo\u00e0i gan m\u00e0 sau khi l\u1ea5y s\u1ecfi ph\u1ea3i \u0111\u1ea1t \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u:<\/p>\n

– S\u1ea1ch s\u1ecfi<\/p>\n

– Kh\u00f4ng ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng m\u1eadt<\/a><\/p>\n

– \u0110\u01b0\u1eddng m\u1eadt th\u00f4ng tho\u00e1ng t\u1ed1t (kh\u00f4ng u, Oddi th\u00f4ng t\u1ed1t)<\/p>\n

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

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan : C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u1ea3m b\u1ea3o c\u00e1c y\u00eau c\u1ea7u tr\u00ean.<\/p>\n

Ngo\u00e0i ra c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh kh\u00e1c nh\u01b0:<\/p>\n

– B\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u1ee7 s\u1ee9c kh\u1ecfe \u0111\u1ec3 ch\u1ecbu \u0111\u1ef1ng ph\u1eabu thu\u1eadt ho\u1eb7c g\u00e2y t\u00ea to\u00e0n th\u00e2n.
\n– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch, ph\u1ed5i ho\u1eb7c th\u1eadn nghi\u00eam tr\u1ecdng.
\n– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u ho\u1eb7c ch\u1ea3y m\u00e1u n\u1eb7ng.
\n– B\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec5m tr\u00f9ng n\u1eb7ng ho\u1eb7c \u0111ang d\u00f9ng thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng.
\n– B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c g\u00e2y t\u00ea ho\u1eb7c thu\u1ed1c kh\u00e1ng sinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt.
\n– S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng r\u1ea5t nh\u1eb9 v\u00e0 kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.
\n– S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan qu\u00e1 nh\u1ecf \u0111\u1ec3 lo\u1ea1i b\u1ecf ho\u1eb7c kh\u00f4ng g\u00e2y ra v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng cho b\u1ec7nh nh\u00e2n.
\n– B\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc c\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng m\u1eadt n\u1ed9i khoa nghi\u00eam tr\u1ecdng h\u01a1n v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi xem x\u00e9t lo\u1ea1i b\u1ecf s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan.<\/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 chuy\u00ean khoa gan m\u1eadt (PTV v\u00e0 2 ph\u1ee5 m\u1ed5).<\/p>\n

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

– B\u1ed9 d\u1ee5ng c\u1ee5 m\u1ed5 \u0111\u1ea1i ph\u1eabu ti\u00eau h\u00f3a th\u00f4ng th\u01b0\u1eddng.<\/p>\n

– D\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt gan m\u1eadt: Mirrizi, Benique, sonde b\u01a1m r\u1eeda c\u00e1c c\u1ee1…<\/p>\n

3.3. Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh:<\/b><\/h3>\n

– C\u00e1c x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n ph\u1ee5c v\u1ee5 cu\u1ed9c m\u1ed5<\/p>\n

– C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u1eb3ng \u0111\u1ecbnh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan, kh\u00f4ng k\u00e8m t\u1ed5n th\u01b0\u01a1ng kh\u00e1c.<\/p>\n

– \u0110\u01b0\u1ee3c gi\u1ea3i th\u00edch \u0111\u1ea7y \u0111\u1ee7, r\u00f5 r\u00e0ng v\u1ec1 ca m\u1ed5 v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra. Gia \u0111\u00ecnh \u0111\u1ed3ng \u00fd ph\u1eabu thu\u1eadt.<\/p>\n

3.4. D\u1ef1 ki\u1ebfn th\u1eddi gian m\u1ed5<\/b>: 120 ph\u00fat.<\/h3>\n

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

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

– Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda k\u00ea billot \u1edf ngang m\u1ee9c d\u01b0\u1edbi x\u01b0\u01a1ng b\u1ea3 vai, ch\u00e2n kh\u00e9p, hai tay d\u1ea1ng 90\u00ba.<\/p>\n

– Ph\u1eabu thu\u1eadt vi\u00ean \u0111\u1ee9ng b\u00ean tr\u00e1i ng\u01b0\u1eddi b\u1ec7nh, hai ph\u1ee5 m\u1ed5 \u0111\u1ee9ng \u0111\u1ed1i di\u1ec7n ph\u1eabu thu\u1eadt vi\u00ean, d\u1ee5ng c\u1ee5 vi\u00ean \u0111\u1ee9ng b\u00ean tr\u00e1i ph\u1eabu thu\u1eadt vi\u00ean.<\/p>\n

– \u0110\u1eb7t sonde d\u1ea1 d\u00e0y tr\u01b0\u1edbc m\u1ed5.<\/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

– M\u1edf b\u1ee5ng \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa tr\u00ean r\u1ed1n.<\/p>\n

– C\u1eaft b\u1ecf d\u00e2y ch\u1eb1ng tr\u00f2n.<\/p>\n

– M\u1edf \u1ed1ng m\u1eadt ch\u1ee7.<\/p>\n

– D\u00f9ng d\u1ee5ng c\u1ee5 l\u1ea5y s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7.<\/p>\n

– B\u01a1m r\u1eeda s\u1ea1ch \u0111\u01b0\u1eddng m\u1eadt.<\/p>\n

– Nong Oddi.<\/p>\n

– \u0110\u00f3ng l\u1ea1i \u1ed1ng m\u1eadt ch\u1ee7 b\u1eb1ng ch\u1ec9 ti\u00eau 4.0.<\/p>\n

– \u0110\u1eb7t 1 d\u1eabn l\u01b0u d\u01b0\u1edbi gan.<\/p>\n

– \u0110\u00f3ng l\u1ea1i th\u00e0nh b\u1ee5ng theo c\u00e1c l\u1edbp gi\u1ea3i ph\u1eabu.<\/p>\n

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

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

– R\u00fat sonde d\u1ea1 d\u00e0y sau 24h<\/p>\n

– Cho \u0103n khi c\u00f3 trung ti\u1ec7n.<\/p>\n

– Ng\u1ed3i d\u1eady, \u0111i l\u1ea1i sau 24h.<\/p>\n

– Theo d\u00f5i s\u1ed1 l\u01b0\u1ee3ng, m\u00e0u s\u1eafc d\u1eabn l\u01b0u \u1ed5 b\u1ee5ng.<\/p>\n

– R\u00fat d\u1eabn l\u01b0u sau 3 – 5 ng\u00e0y.<\/p>\n

– Si\u00eau \u00e2m l\u1ea1i \u1ed5 b\u1ee5ng tr\u01b0\u1edbc khi t\u00ecnh tr\u1ea1ng \u1ed5n \u0111\u1ecbnh.<\/p>\n

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

– R\u00f2 m\u1eadt: \u0111i\u1ec1u tri b\u1eb1ng n\u1ed9i khoa, n\u1ebfu kh\u00f4ng kh\u1ecfi m\u1ed5 l\u1ea1i kh\u00e2u ch\u1ed7 r\u00f2.<\/p>\n

– S\u00f3t s\u1ecfi: n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng l\u1ea5y s\u1ecfi ho\u1eb7c m\u1ed5 l\u1ea1i<\/p>\n

6. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan<\/h2>\n

– Hi\u1ec7u qu\u1ea3 cao: Ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng ho\u1eb7c m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan c\u00f3 hi\u1ec7u qu\u1ea3 cao.
\n– \u0110i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt l\u1edbn v\u00e0 nhi\u1ec1u: Khi s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qu\u00e1 l\u1edbn ho\u1eb7c qu\u00e1 nhi\u1ec1u \u0111\u1ec3 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi, ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng ho\u1eb7c m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t.
\n– Gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t: Sau khi lo\u1ea1i b\u1ecf s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, nguy c\u01a1 t\u00e1i ph\u00e1t s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt s\u1ebd gi\u1ea3m \u0111\u00e1ng k\u1ec3.
\n– Gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt: Sau khi lo\u1ea1i b\u1ecf s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, kh\u00f3 ti\u00eau v\u00e0 \u0111\u1ea7y b\u1ee5ng c\u0169ng s\u1ebd gi\u1ea3m.<\/p>\n

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

C\u00e1c h\u1ea1n ch\u1ebf c\u1ee7a ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan bao g\u1ed3m:<\/p>\n

– Ph\u1eabu thu\u1eadt c\u00f3 r\u1ee7i ro v\u00e0 y\u00eau c\u1ea7u th\u1eddi gian h\u1ed3i ph\u1ee5c, \u0111\u1ec3 l\u1ea1i s\u1eb9o l\u1edbn v\u00e0 kh\u00f4ng th\u1ea9m m\u1ef9 cho b\u1ec7nh nh\u00e2n: Ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng ho\u1eb7c m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 thu\u1ed1c m\u00ea ho\u1eb7c tai bi\u1ebfn v\u00e0 y\u00eau c\u1ea7u th\u1eddi gian h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt. Sau ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebft s\u1eb9o l\u1edbn tr\u00ean th\u00e0nh b\u1ee5ng, m\u1ea5t th\u1ea9m m\u1ef9.
\n– C\u1ea7n b\u00e1c s\u0129 c\u00f3 kinh nghi\u1ec7m \u0111\u1ec3 th\u1ef1c hi\u1ec7n: \u0110\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng ho\u1eb7c m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt c\u1ea7n b\u00e1c s\u0129 c\u00f3 kinh nghi\u1ec7m v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u0111\u1ea7y \u0111\u1ee7.
\n– Chi ph\u00ed cao: Ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng ho\u1eb7c m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt c\u00f3 chi ph\u00ed cao h\u01a1n so v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi.<\/p>\n

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

M\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1ec7nh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt qu\u00e1 l\u1edbn ho\u1eb7c qu\u00e1 nhi\u1ec1u \u0111\u1ec3 c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi. Tuy nhi\u00ean, nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 […]<\/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":"\nPh\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi kh\u00f4ng d\u1eabn l\u01b0u \u0111\u01b0\u1eddng m\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa b\u1ec7nh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan. 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