{"id":29681,"date":"2023-04-30T14:01:10","date_gmt":"2023-04-30T07:01:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29681"},"modified":"2023-04-30T14:01:10","modified_gmt":"2023-04-30T07:01:10","slug":"dieu-tri-viem-tuy-man-bang-phau-thuat-frey","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/dieu-tri-viem-tuy-man-bang-phau-thuat-frey\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb vi\u00eam t\u1ee5y m\u1ea1n b\u1eb1ng ph\u1eabu thu\u1eadt Frey"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt Frey l\u00e0 ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p \u01b0u \u0111i\u1ec3m c\u1ee7a 2 ph\u1eabu thu\u1eadt Frey v\u00e0 Beger bao g\u1ed3m c\u1eaft g\u1ea7n to\u00e0n b\u1ed9 \u0111\u1ea7u t\u1ee5y, \u0111\u1ec3 l\u1ea1i m\u1ed9t v\u1ea1t nhu m\u00f4 m\u1ecfng \u1edf m\u1eb7t sau \u0111\u1ea7u t\u1ee5y v\u00e0 d\u1ecdc m\u1eb7t trong t\u00e1 tr\u00e0ng, m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 \u1ed1ng t\u1ee5y ch\u00ednh v\u00e0o mi\u1ec7ng n\u1ed1i gi\u1eefa h\u1ed7ng tr\u00e0ng v\u00e0 \u0111\u1ea7u t\u1ee5y, m\u1edf r\u1ed9ng mi\u1ec7ng n\u1ed1i t\u1ee5y- h\u1ed7ng tr\u00e0ng v\u1ec1 ph\u00eda th\u00e2n, \u0111u\u00f4i t\u1ee5y. Vi\u1ec7c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb<\/a> vi\u00eam t\u1ee5y m\u1ea1n b\u1eb1ng ph\u1eabu thu\u1eadt Frey c\u1ea7n \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i th\u1ea3o lu\u1eadn k\u1ef9 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 hi\u1ec3u r\u00f5 c\u00e1c l\u1ee3i \u00edch v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a ph\u1eabu thu\u1eadt Frey<\/b><\/h2>\n

C\u00e1c tr\u01b0\u1eddng vi\u00eam t\u1ee5y m\u1ea1n c\u00f3 ph\u00ec \u0111\u1ea1i \u0111\u1ea7u t\u1ee5y g\u00e2y t\u1eafc m\u1eadt, gi\u00e3n \u1ed1ng t\u1ee5y : Ph\u1eabu thu\u1eadt Frey \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb vi\u00eam t\u1ee5y m\u1ea1n c\u00f3 ph\u00ec \u0111\u1ea1i \u0111\u1ea7u t\u1ee5y g\u00e2y t\u1eafc m\u1eadt v\u00e0 gi\u00e3n \u1ed1ng t\u1ee5y. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a, gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

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

– C\u00f3 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y: Ph\u1eabu thu\u1eadt Frey kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn d\u1ea1 d\u00e0y kh\u00e1c. Vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c lo\u00e9t. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 ung th\u01b0 t\u1ee5y ho\u1eb7c t\u1ee5y b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng do ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c tai n\u1ea1n giao th\u00f4ng.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 suy tim ho\u1eb7c suy gan.’<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c m\u00ea ho\u1eb7c c\u00e1c ch\u1ea5t kh\u00e1ng sinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng 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 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u.<\/p>\n

– B\u1ec7nh nh\u00e2n \u0111ang mang thai ho\u1eb7c cho con b\u00fa.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch ho\u1eb7c \u0111ang d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u1ed1i kh\u00e1ng TNF-alpha.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t l\u01b0\u1ee3ng m\u1ee1 d\u00e0y quanh t\u1ee5y qu\u00e1 l\u1edbn, c\u00f3 th\u1ec3 g\u00e2y ra kh\u00f3 kh\u0103n trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt v\u00e0 t\u0103ng nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt.<\/p>\n

Vi\u1ec7c x\u00e1c \u0111\u1ecbnh li\u1ec7u ph\u1eabu thu\u1eadt Frey c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh nh\u00e2n hay kh\u00f4ng c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/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 (PTV) chuy\u00ean khoa ti\u00eau ho\u00e1, gan m\u1eadt (K\u00edp m\u1ed5 g\u1ed3m PTV v\u00e0 2 b\u00e1c s\u1ef9 ph\u1ee5 m\u1ed5).<\/p>\n

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

– B\u1ed9 d\u1ee5ng c\u1ee5 m\u1ed5 m\u1edf th\u00f4ng th\u01b0\u1eddng (B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu ti\u00eau h\u00f3a).<\/p>\n

– Ch\u1ec9 ti\u00eau ch\u1eadm 3\/0, 4\/0<\/p>\n

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

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

– Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ph\u1ee5c v\u1ee5 ch\u1ea9n \u0111o\u00e1n v\u00e0 ti\u00ean l\u01b0\u1ee3ng.<\/p>\n

3.4. D\u1ef1 ki\u1ebfn cu\u1ed9c m\u1ed5: <\/b>180 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 Pillot (g\u1ed1i nh\u1ecf) \u1edf ngang m\u1ee9c b\u1edd d\u01b0\u1edbi x\u01b0\u01a1ng b\u1ea3 vai, hai ch\u00e2n kh\u00e9p, hai tay d\u1ea1ng 90o\u00a0<\/sup>ho\u1eb7c xu\u00f4i theo th\u00e2n m\u00ecnh. \u0110\u1eb7t sonde d\u1ea1 d\u00e0y<\/p>\n

– PTV \u0111\u1ee9ng b\u00ean ph\u1ea3i ho\u1eb7c tr\u00e1i ng\u01b0\u1eddi b\u1ec7nh, ph\u1ee5 m\u1ed5 \u0111\u1ee9ng \u0111\u1ed1i di\u1ec7n PTV<\/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

– R\u1ea1ch da \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa tr\u00ean r\u1ed1n ho\u1eb7c d\u01b0\u1edbi s\u01b0\u1eddn 2 b\u00ean<\/p>\n

– Sau khi c\u1eaft \u0111\u1ea7u tu\u1ef5, ki\u1ec3m tra c\u1ea7m m\u00e1u di\u1ec7n c\u1eaft th\u00e2n tu\u1ef5, ph\u1eabu t\u00edch r\u00f5 \u1ed1ng tu\u1ef5\u00a0<\/sub>ch\u00ednh<\/p>\n

– M\u1edf m\u1eb7t sau hang v\u1ecb d\u1ea1 d\u00e0y<\/p>\n

– N\u1ed1i di\u1ec7n c\u1eaft th\u00e2n tu\u1ef5 v\u1edbi m\u1eb7t sau d\u1ea1 d\u00e0y 1 ho\u1eb7c 2 l\u1edbp b\u1eb1ng ch\u1ec9 ti\u00eau ch\u1eadm 3.0\u00a0<\/sub>ho\u1eb7c 4.0<\/p>\n

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

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

– Theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9 , nh\u1ecbp th\u1edf 1gi\u1edd 1 l\u1ea7n trong 6 gi\u1edd \u0111\u1ea7u<\/p>\n

– Th\u1eed amylase sau m\u1ed5 24h<\/p>\n

– Theo d\u00f5i sonde d\u1ea1 d\u00e0y<\/p>\n

– Theo d\u00f5i d\u1eabn l\u01b0u \u1ed5 b\u1ee5ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ra m\u00e1u, d\u1ecbch tu\u1ef5 kh\u00f4ng<\/p>\n

5.2. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/h3>\n

5.2.1. Trong ph\u1eabu thu\u1eadt:<\/h4>\n

Ch\u1ea3y m\u00e1u khi c\u1eaft tu\u1ef5-> kh\u00e2u c\u1ea7m m\u00e1u<\/p>\n

5.2.2. Sau ph\u1eabu thu\u1eadt<\/h4>\n

– Ch\u1ea3y m\u00e1u sau m\u1ed5: x\u1eed tr\u00ed nh\u01b0 ch\u1ea3y m\u00e1u trong \u1ed5 b\u1ee5ng<\/p>\n

– Vi\u00eam tu\u1ef5 c\u1ea5p: x\u1eed tr\u00ed theo quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb VTC<\/p>\n

– R\u00f2 mi\u1ec7ng n\u1ed1i d\u1ea1 d\u00e0y tu\u1ef5: theo d\u00f5i d\u1eabn l\u01b0u \u1ed5 b\u1ee5ng, l\u1ea5y dich x\u00e9t nghi\u1ec7m amylase n\u1ebfu nghi ng\u1edd.<\/p>\n

– Nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, \u00e1p xe t\u1ed3n d\u01b0: ki\u1ec3m tra, t\u00e1ch v\u1ebft m\u1ed5, ch\u1ecdc h\u00fat d\u1eabn l\u01b0u \u1ed5 \u00e1p xe d\u01b0\u1edbi si\u00eau \u00e2m.<\/p>\n

6. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt Frey<\/h2>\n

– Gi\u1ea3m \u0111au: Ph\u1eabu thu\u1eadt Frey c\u00f3 th\u1ec3 gi\u1ea3m \u0111au \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n vi\u00eam t\u1ee5y m\u1ea1n.
\n– C\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a: Ph\u1eabu thu\u1eadt Frey c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n vi\u00eam t\u1ee5y m\u1ea1n.
\n– Th\u1eddi gian ph\u1ee5c h\u1ed3i nhanh: Sau ph\u1eabu thu\u1eadt Frey, th\u1eddi gian ph\u1ee5c h\u1ed3i ng\u1eafn h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c.
\n– Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ti\u00eau h\u00f3a: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ti\u00eau h\u00f3a do ch\u1ec9 lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n t\u1ee5y.<\/p>\n

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

– Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng: Ph\u1eabu thu\u1eadt Frey c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng do m\u1edf r\u1ed9ng k\u00eanh th\u00f4ng qua t\u1ee5y.
\n– Ch\u1ea3y m\u00e1u: C\u00f3 th\u1ec3 x\u1ea3y ra ch\u1ea3y m\u00e1u trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt Frey.
\n– C\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn ph\u1eabu thu\u1eadt: Ph\u1eabu thu\u1eadt Frey c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1eabu thu\u1eadt nh\u01b0 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, ph\u00f9, \u0111au sau ph\u1eabu thu\u1eadt, ch\u1ea3y m\u00e1u ho\u1eb7c d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c m\u00ea.
\n– Kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam t\u1ee5y m\u1ea1n: Ph\u1eabu thu\u1eadt Frey kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam t\u1ee5y m\u1ea1n nh\u01b0 b\u1ec7nh nh\u00e2n c\u00f3 ung th\u01b0 t\u1ee5y ho\u1eb7c t\u1ee5y b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng do ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c tai n\u1ea1n giao th\u00f4ng.<\/p>\n

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

Ph\u1eabu thu\u1eadt Frey l\u00e0 ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p \u01b0u \u0111i\u1ec3m c\u1ee7a 2 ph\u1eabu thu\u1eadt Frey v\u00e0 Beger bao g\u1ed3m c\u1eaft g\u1ea7n to\u00e0n b\u1ed9 \u0111\u1ea7u t\u1ee5y, \u0111\u1ec3 l\u1ea1i m\u1ed9t v\u1ea1t nhu m\u00f4 m\u1ecfng \u1edf m\u1eb7t sau \u0111\u1ea7u t\u1ee5y v\u00e0 d\u1ecdc m\u1eb7t trong t\u00e1 tr\u00e0ng, m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 \u1ed1ng t\u1ee5y ch\u00ednh v\u00e0o mi\u1ec7ng n\u1ed1i gi\u1eefa […]<\/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":"\n\u0110i\u1ec1u tr\u1ecb vi\u00eam t\u1ee5y m\u1ea1n b\u1eb1ng ph\u1eabu thu\u1eadt Frey - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb vi\u00eam t\u1ee5y m\u1ea1n b\u1eb1ng ph\u1eabu thu\u1eadt Frey c\u1ea7n \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i th\u1ea3o lu\u1eadn k\u1ef9 ...\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb vi\u00eam t\u1ee5y m\u1ea1n b\u1eb1ng ph\u1eabu thu\u1eadt Frey - 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