{"id":29691,"date":"2023-04-30T13:20:54","date_gmt":"2023-04-30T06:20:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29691"},"modified":"2023-04-30T13:20:54","modified_gmt":"2023-04-30T06:20:54","slug":"khi-nao-can-boc-u-xo-co-truc-trang-qua-duong-mo-bung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/khi-nao-can-boc-u-xo-co-truc-trang-qua-duong-mo-bung\/","title":{"rendered":"Khi n\u00e0o c\u1ea7n b\u00f3c u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng qua \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng?"},"content":{"rendered":"

U x\u01a1, c\u01a1\u2026th\u01b0\u1eddng l\u00e0 c\u00e1c kh\u1ed1i u l\u00e0nh t\u00ednh c\u1ee7a tr\u1ef1c tr\u00e0ng<\/a>, 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 (tr\u00ean 95 % l\u00e0 u bi\u1ec3u m\u00f4 tuy\u1ebfn c\u1ee7a tr\u1ef1c tr\u00e0ng). B\u00f3c u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng qua \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng (Open Resection of Fibroids or Leiomyomas, and Rectus Abdominis Muscle) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf u x\u01a1 ho\u1eb7c c\u01a1 tr\u1ef1c tr\u00e0ng b\u1eb1ng c\u00e1ch m\u1edf b\u1ee5ng. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong nhi\u1ec1u n\u0103m \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c kh\u1ed1i u c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn ho\u1eb7c kh\u1ed1i u n\u1eb1m \u1edf v\u1ecb tr\u00ed s\u00e2u.<\/strong><\/p>\n

\"\"
B\u00e1c s\u0129 gi\u1ea3i th\u00edch v\u1ec1 quy tr\u00ecnh b\u00f3c u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng qua \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng<\/figcaption><\/figure>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/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 gi\u1eefa tr\u1edf l\u00ean.<\/p>\n

– Nh\u1eefng kh\u1ed1i u \u1edf tr\u1ef1c tr\u00e0ng th\u1ea5p nh\u01b0ng k\u00edch th\u01b0\u1edbc l\u1edbn ( th\u01b0\u1eddng> 4cm), kh\u00f4ng di \u0111\u1ed9ng, th\u0103m tr\u1ef1c tr\u00e0ng kh\u00f4ng s\u1edd th\u1ea5y c\u1ef1c tr\u00ean u, ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng t\u1ea7ng sinh m\u00f4n \u0111\u01a1n thu\u1ea7n kh\u00f4ng l\u1ea5y \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 u ph\u1ea3i ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng b\u1ee5ng ho\u1eb7c ph\u1ed1i h\u1ee3p \u0111\u01b0\u1eddng b\u1ee5ng.<\/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.<\/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

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,\u2026Kh\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.<\/p>\n

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

4.1.T\u01b0 th\u1ebf: <\/b>Ph\u1ee5 khoa:<\/h3>\n
    \n
  • L\u00f3t t\u1ea5m cao su v\u00e0 v\u1ea3i ph\u1ee7 d\u01b0\u1edbi m\u00f4ng ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n
  • \u0110\u1eb7t ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda.<\/li>\n
  • Che k\u00edn ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng m\u1ec1n hay v\u1ea3i \u0111\u1eafp.<\/li>\n
  • B\u1ecf h\u1eb3n qu\u1ea7n ng\u01b0\u1eddi b\u1ec7nh ra.<\/li>\n
  • \u0110\u1eb7t hai ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh co s\u00e1t b\u1ee5ng v\u00e0 dang r\u1ed9ng ra, m\u00f4ng s\u00e1t c\u1ea1nh gi\u01b0\u1eddng (n\u1ebfu n\u1eb1m tr\u00ean b\u00e0n kh\u00e1m, \u0111\u1eb7t m\u00f4ng ng\u01b0\u1eddi b\u1ec7nh s\u00e1t c\u1ea1nh b\u00e0n v\u00e0 \u0111\u1ec3 2 b\u00e0n ch\u00e2n tr\u00ean gi\u00e1 \u0111\u1ee1).<\/li>\n<\/ul>\n

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

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

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

    – R\u1ea1ch da \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa d\u01b0\u1edbi r\u1ed1n, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i l\u00ean tr\u00ean r\u1ed1n.<\/p>\n

    – Th\u0103m d\u00f2 \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 to\u00e0n b\u1ed9 \u1ed5 b\u1ee5ng.<\/p>\n

    – M\u1edf tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1ed1i u, 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 ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng.<\/p>\n

    – Ki\u1ec3m tra k\u1ef9 xem c\u00f3 th\u1ee7ng th\u00e0nh tr\u1ef1c tr\u00e0ng hay kh\u00f4ng b\u1eb1ng quan s\u00e1t ho\u1eb7c b\u01a1m h\u01a1i qua h\u1eadu m\u00f4n l\u00e0m c\u0103ng tr\u1ef1c tr\u00e0ng ch\u1ed7 b\u00f3c u v\u00e0 \u0111\u1ec3 ch\u00ecm trong n\u01b0\u1edbc, n\u1ebfu th\u1ee7ng s\u1ebd th\u1ea5y h\u01a1i x\u00ec ra l\u00e0m n\u1ed5i bong b\u00f3ng ( nh\u01b0 th\u1eed s\u0103m xe \u0111\u1ea1p).<\/p>\n

    – Kh\u00e2u l\u1ea1i ch\u1ed7 m\u1edf th\u00e0nh tr\u1ef1c tr\u00e0ng. Trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ee7ng ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng ph\u1ea3i kh\u00e2u l\u1ea1i, c\u00f3 th\u1ec3 ph\u1ea3i l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o b\u1ea3o v\u1ec7.<\/p>\n

    – M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p u l\u1edbn, lan xu\u1ed1ng 1\/3 d\u01b0\u1edbi tr\u1ef1c tr\u00e0ng, x\u00e2m l\u1ea5n r\u1ed9ng,\u2026 ph\u1ea3i ph\u1ed1i h\u1ee3p th\u00ec t\u1ea7ng sinh m\u00f4n \u0111\u1ec3 c\u1eaft u..<\/p>\n

    – \u0110\u1eb7t d\u1eabn l\u01b0u Douglas, \u0111\u00f3ng b\u1ee5ng 2 ho\u1eb7c 3 l\u1edbp.<\/p>\n

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

    4.1. 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.<\/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

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

    – Ch\u1ea3y m\u00e1u trong \u1ed5 b\u1ee5ng: 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 t\u1ed3n d\u01b0 trong \u1ed5 b\u1ee5ng: D\u1eabn l\u01b0u \u00e1p xe d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m ho\u1eb7c ph\u1eabu thu\u1eadt l\u00e0m s\u1ea1ch v\u00e0 d\u1eabn l\u01b0u \u00e1p xe.<\/p>\n

    – T\u1eafc ru\u1ed9t: N\u1ebfu \u0111i\u1ec1u tr\u1ecb n\u1ed9i (b\u1ed3i ph\u1ee5 n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, h\u00fat sonde d\u1ea1 d\u00e0y\u2026) th\u1ea5t b\u1ea1i ph\u1ea3i m\u1ed5 l\u1ea1i \u0111\u1ec3 t\u00ecm v\u00e0 gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n.<\/p>\n

    5. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p b\u00f3c u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng qua \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng<\/h2>\n

    – Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ea3m b\u1ea3o lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n kh\u1ed1i u x\u01a1 ho\u1eb7c c\u01a1 tr\u1ef1c tr\u00e0ng.
    \n– Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c kh\u1ed1i u c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn ho\u1eb7c n\u1eb1m s\u00e2u trong b\u1ee5ng.
    \n– \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong nhi\u1ec1u n\u0103m v\u00e0 \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n quen thu\u1ed9c.<\/p>\n

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

    – B\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i ngh\u1ec9 ng\u01a1i trong th\u1eddi gian d\u00e0i sau ph\u1eabu thu\u1eadt \u0111\u1ec3 ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe.
    \n– K\u1ef9 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 g\u00e2y \u0111au v\u00e0 kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n sau khi ph\u1eabu thu\u1eadt.
    \n– B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt nh\u01b0 nhi\u1ec5m tr\u00f9ng, xu\u1ea5t huy\u1ebft ho\u1eb7c r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a.
    \n– \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ti\u00eau t\u1ed1n nhi\u1ec1u th\u1eddi gian v\u00e0 ngu\u1ed3n l\u1ef1c y t\u1ebf so v\u1edbi m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/p>\n

    Quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p b\u00f3c u x\u01a1, c\u01a1 tr\u1ef1c tr\u00e0ng qua \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng hay b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u00e0o kh\u00e1c ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m k\u00edch th\u01b0\u1edbc v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, v\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn c\u1ee7a b\u00e1c s\u0129. B\u1ec7nh nh\u00e2n c\u1ea7n th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u nh\u1eefng th\u00f4ng tin chi ti\u1ebft v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u00e0 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt kh\u00e1c \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111\u00fang \u0111\u1eafn cho b\u1ea3n th\u00e2n.<\/p>\n

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

    U x\u01a1, c\u01a1\u2026th\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 (tr\u00ean 95 % l\u00e0 u bi\u1ec3u m\u00f4 tuy\u1ebfn c\u1ee7a tr\u1ef1c tr\u00e0ng). 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