{"id":29821,"date":"2023-05-01T07:04:19","date_gmt":"2023-05-01T00:04:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29821"},"modified":"2023-05-01T07:04:19","modified_gmt":"2023-05-01T00:04:19","slug":"quy-trinh-phau-thuat-cat-toan-bo-da-day","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/","title":{"rendered":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y"},"content":{"rendered":"

Ung th\u01b0 d\u1ea1 d\u00e0y<\/a> \u0111\u1ee9ng h\u00e0ng \u0111\u1ea7u trong c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 t\u1ea1i Vi\u1ec7t Nam. Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng \u0111\u1ebfn trong giai \u0111o\u1ea1n mu\u1ed9n, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb s\u1ed1ng sau 5 n\u0103m kh\u00f4ng cao. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

\"\"<\/p>\n

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

Ung th\u01b0 d\u1ea1 d\u00e0y giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n, v\u1ecb tr\u00ed t\u00e2m v\u1ecb v\u00e0 th\u00e2n v\u1ecb ho\u1eb7c th\u1ec3 th\u00e2m nhi\u1ec5m to\u00e0n b\u1ed9<\/p>\n

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

M\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh chung c\u1ee7a ph\u1eabu thu\u1eadt bao g\u1ed3m:<\/p>\n

– T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00f4ng \u1ed5n \u0111\u1ecbnh: B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00f4ng \u1ed5n \u0111\u1ecbnh, bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch, h\u00f4 h\u1ea5p, th\u1eadn, gan, ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c c\u00f3 th\u1ec3 kh\u00f4ng th\u00edch h\u1ee3p \u0111\u1ec3 ph\u1eabu thu\u1eadt.<\/p>\n

– Tu\u1ed5i cao: Ng\u01b0\u1eddi gi\u00e0 c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng h\u01a1n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i sau ph\u1eabu thu\u1eadt.<\/p>\n

– B\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng kh\u00e1c: Nh\u1eefng b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng kh\u00e1c nh\u01b0 b\u1ec7nh gan, ung th\u01b0, suy gi\u1ea3m mi\u1ec5n d\u1ecbch, vi\u00eam kh\u1edbp, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh tim m\u1ea1ch, ho\u1eb7c b\u1ec7nh ph\u1ed5i c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ph\u1eabu thu\u1eadt v\u00e0 l\u00e0m gia t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

– T\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng k\u00e9m: B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng k\u00e9m, thi\u1ebfu m\u00e1u ho\u1eb7c th\u1ec3 tr\u1ea1ng y\u1ebfu c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ee7 s\u1ee9c \u0111\u1ec3 ch\u1ecbu \u0111\u1ef1ng ph\u1eabu thu\u1eadt.<\/p>\n

– S\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y m\u00ea ho\u1eb7c d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c: B\u1ec7nh nh\u00e2n c\u00f3 s\u1eed d\u1ee5ng thu\u1ed1c g\u00e2y t\u00ea ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c c\u0169ng l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/p>\n

– Mang thai: Ph\u1ee5 n\u1eef \u0111ang mang thai c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 nguy c\u01a1 v\u00e0 l\u1ee3i \u00edch c\u1ee7a ph\u1eabu thu\u1eadt tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/p>\n

– T\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd kh\u00f3 ch\u1ecbu: B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd kh\u00f3 ch\u1ecbu nh\u01b0 tr\u1ea7m c\u1ea3m, lo \u00e2u, ho\u1eb7c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ee7 s\u1ee9c \u0111\u1ec3 ch\u1ecbu \u0111\u1ef1ng ph\u1eabu thu\u1eadt.<\/p>\n

C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 c\u00e1c r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch c\u1ee7a ph\u1eabu thu\u1eadt v\u00e0 quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a m\u00ecnh.<\/p>\n

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

– Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b>:<\/p>\n

– 01 Ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ti\u00eau h\u00f3a ho\u1eb7c ngo\u1ea1i chung<\/p>\n

– 02 ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5<\/p>\n

– 01 b\u00e1c s\u1ef9 g\u00e2y m\u00ea<\/p>\n

– K\u00edp d\u1ee5ng c\u1ee5 vi\u00ean, ch\u1ea1y ngo\u00e0i, ph\u1ee5 m\u00ea: 03 \u0111i\u1ec1u d\u01b0\u1ee1ng<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh<\/b>:<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 tr\u01b0\u1edbc m\u1ed5 v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng chung, v\u1ec1 nh\u1eefng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 nh\u1eefng tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng, di ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p do b\u1ec7nh, do ph\u1eabu thu\u1eadt, do g\u00e2y m\u00ea, t\u00ea, gi\u1ea3m \u0111au, do c\u01a1 \u0111\u1ecba c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

– N\u00e2ng cao th\u1ec3 tr\u1ea1ng, c\u00e2n b\u1eb1ng nh\u1eefng r\u1ed1i lo\u1ea1n do h\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh ho\u1eb7c do c\u01a1 \u0111\u1ecba, b\u1ec7nh m\u00e3n t\u00ednh, tu\u1ed5i.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh c\u00e1c b\u1ec7nh n\u1ed9i khoa nh\u01b0 cao huy\u1ebft \u00e1p, \u0111\u00e1i \u0111\u01b0\u1eddng,\u2026 tr\u01b0\u1edbc khi can thi\u1ec7p ph\u1eabu thu\u1eadt (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p m\u1ed5 c\u1ea5p c\u1ee9u). Truy\u1ec1n m\u00e1u n\u1ebfu thi\u1ebfu m\u00e1u nhi\u1ec1u.<\/p>\n

– Nh\u1ecbn \u0103n, th\u1ee5t th\u00e1o, v\u1ec7 sinh v\u00f9ng ph\u1eabu thu\u1eadt v\u00e0 to\u00e0n th\u00e2n.<\/p>\n

– Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng<\/p>\n

– Ph\u01b0\u01a1ng ti\u1ec7n:\u00a0<\/b>B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu, ch\u1ec9 kh\u00e2u, m\u00e1y c\u1eaft n\u1ed1i\u2026<\/p>\n

– D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt<\/b>: 180 ph\u00fat<\/p>\n

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

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

Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, k\u00ea g\u1ed1i \u0111\u1ec7m d\u01b0\u1edbi l\u01b0ng ngang \u0111\u1ed1t s\u1ed1ng l\u01b0ng (D12)<\/p>\n

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

G\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n. tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n c\u00f3 th\u1ec3 g\u00e2y t\u00ea ngo\u00e0i m\u00e0ng c\u1ee9ng.<\/p>\n

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

– B\u01b0\u1edbc 1: \u0111\u01b0\u1eddng m\u1edf b\u1ee5ng: m\u1edf b\u1ee5ng \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa tr\u00ean d\u01b0\u1edbi r\u1ed1n.<\/p>\n

– B\u01b0\u1edbc 2: \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng<\/p>\n

. \u0110\u00e1nh gi\u00e1 d\u1ecbch \u1ed5 b\u1ee5ng, t\u00ecnh tr\u1ea1ng ph\u00fac m\u1ea1c.<\/p>\n

. \u0110\u00e1nh gi\u00e1 c\u01a1 quan kh\u00e1c trong \u1ed5 b\u1ee5ng.<\/p>\n

. \u0110\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7.<\/p>\n

. \u0110\u00e1nh gi\u00e1 di c\u0103n h\u1ea1ch.<\/p>\n

–\u00a0<\/b>B\u01b0\u1edbc 3: l\u00e0m \u0111\u1ed9ng t\u00e1c Kocher. C\u1eaft d\u00e2y ch\u1eb1ng gan t\u00e1 tr\u00e0ng, gan \u0111\u1ea1i tr\u00e0ng. H\u1ea1 to\u00e0n b\u1ed9 \u0111\u1ea1i tr\u00e0ng g\u00f3c gan. Gi\u1ea3i ph\u00f3ng t\u00e1 tr\u00e0ng nh\u00ecn r\u00f5 b\u1edd tr\u00e1i \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng, t\u0129nh m\u1ea1ch th\u1eadn tr\u00e1i.<\/p>\n

–\u00a0<\/b>B\u01b0\u1edbc 4: t\u00e1ch m\u1ea1c n\u1ed1i l\u1edbn kh\u1ecfi \u0111\u1ea1i tr\u00e0ng<\/p>\n

–\u00a0<\/b>B\u01b0\u1edbc 5: th\u1eaft c\u00e1c m\u1ea1ch v\u1ecb ph\u1ea3i, v\u1ecb tr\u00e1i, v\u1ecb m\u1ea1c n\u1ed1i ph\u1ea3i, v\u1ecb m\u1ea1c n\u1ed1i tr\u00e1i s\u00e1t g\u1ed1c: n\u1ea1o v\u00e9t h\u1ea1ch nh\u00f3m 1, 7, 8 9, 11, 12. Ph\u1eabu t\u00edch l\u1ea5y m\u1ea1c n\u1ed1i nh\u1ecf l\u00ean s\u00e1t th\u1ef1c qu\u1ea3n b\u1ee5ng.<\/p>\n

–\u00a0<\/b>B\u01b0\u1edbc 6: \u0111\u00f3ng m\u1ecfm t\u00e1 tr\u00e0ng (n\u1ed1i Billroth II). C\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ecfm 2 hay 3 l\u1edbp t\u00f9y ph\u1eabu thu\u1eadt vi\u00ean.<\/p>\n

–\u00a0<\/b>B\u01b0\u1edbc 7: c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y v\u00e0 n\u1ed1i th\u1ef1c qu\u1ea3n h\u1ed7ng tr\u00e0ng Roux-en-Y<\/p>\n

. C\u1eaft \u0111\u00f4i quai h\u1ed7ng tr\u00e0ng \u0111\u1ea7u ti\u00ean, t\u1ea1o quai Y d\u00e0i 40-60 cm. ch\u00fa \u00fd kh\u00f4ng \u0111\u1ec3 quai Y ng\u1eafn qu\u00e1 ho\u1eb7c d\u00e0i qu\u00e1 g\u00e2y n\u00ean h\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c v\u00e0 quai Y. \u0111\u01b0a quai h\u1ed7ng tr\u00e0ng l\u00ean n\u1ed1i th\u1ef1c qu\u1ea3n qua m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng ngang<\/p>\n

– B\u01b0\u1edbc 8: c\u1ed1 \u0111\u1ecbnh m\u1ea1c treo, c\u1ea7m m\u00e1u k\u1ef9 di\u1ec7n b\u00f3c t\u00e1ch v\u00e0 \u0111\u1eb7t d\u1eabn l\u01b0u d\u01b0\u1edbi gan.<\/p>\n

– B\u01b0\u1edbc 9: \u0111\u00f3ng b\u1ee5ng theo b\u00ecnh di\u1ec7n gi\u1ea3i ph\u1eabu.<\/p>\n

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

–\u00a0<\/b>Ch\u1ea3y m\u00e1u: th\u01b0\u1eddng trong 48h \u0111\u1ea7u ho\u1eb7c nh\u1eefng ng\u00e0y ti\u1ebfp theo. Ch\u1ea3y m\u00e1u \u0111\u1ecf t\u01b0\u01a1i, s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u qua d\u1eabn l\u01b0u, to\u00e0n tr\u1ea1ng thay \u0111\u1ed5i (nh\u1ee3t, lo \u00e2u, m\u1ea1ch nhanh, huy\u1ebft \u00e1p t\u1ee5t) c\u1ea7n m\u1ed5 ki\u1ec3m tra l\u1ea1i, c\u1ea7m m\u00e1u.<\/p>\n

–\u00a0<\/b>Theo d\u00f5i \u00e1p xe t\u1ed3n d\u01b0, t\u00ecnh tr\u1ea1ng b\u1ee5c mi\u1ec7ng n\u1ed1i, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 \u0111\u1ec3 c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n

–\u00a0<\/b>Theo d\u00f5i t\u00ecnh tr\u1ea1ng chung: m\u1ea1ch, huy\u1ebft \u00e1p, vi\u00eam ph\u1ed5i<\/p>\n

–\u00a0<\/b>Truy\u1ec1n d\u1ecbch: t\u00ednh \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng, l\u01b0\u1ee3ng d\u1ecbch v\u00e0o cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh c\u1ee5 th\u1ec3.<\/p>\n

–\u00a0<\/b>Kh\u00e1ng sinh: s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng ho\u1eb7c s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh, t\u00f9y thu\u1ed9c ho\u00e0n c\u1ea3nh c\u1ee5 th\u1ec3.<\/p>\n

–\u00a0<\/b>Cho ng\u01b0\u1eddi b\u1ec7nh \u0103n l\u1ea1i khi c\u00f3 trung ti\u1ec7n.<\/p>\n

6. \u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y<\/h2>\n

– Gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 b\u1ec7nh l\u00fd c\u1ee7a d\u1ea1 d\u00e0y v\u00e0 ng\u0103n ch\u1eb7n s\u1ef1 lan r\u1ed9ng c\u1ee7a b\u1ec7nh.
\n– C\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch gi\u1ea3m \u0111au v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a b\u1ec7nh.
\n– Gi\u1ea3m nguy c\u01a1 ung th\u01b0 d\u1ea1 d\u00e0y v\u00ec ph\u1ea7n l\u1edbn ung th\u01b0 d\u1ea1 d\u00e0y b\u1eaft ngu\u1ed3n t\u1eeb ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.
\n– \u0110i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng c\u1ee7a d\u1ea1 d\u00e0y.
\n– K\u00edch ho\u1ea1t ch\u1ee9c n\u0103ng thay th\u1ebf \u0111\u1ec3 ti\u00eau h\u00f3a th\u1ee9c \u0103n.<\/p>\n

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

– Nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u, \u0111au v\u00e0 s\u01b0ng.
\n– Th\u1eddi gian h\u1ed3i ph\u1ee5c k\u00e9o d\u00e0i v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng.
\n– Chi ph\u00ed cao, bao g\u1ed3m chi ph\u00ed ph\u1eabu thu\u1eadt, c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 thu\u1ed1c.
\n– Nguy c\u01a1 ph\u1eabu thu\u1eadt kh\u00f4ng th\u00e0nh c\u00f4ng, t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan xung quanh v\u00e0 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.
\n– Kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u01b0 b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng kh\u00e1c ho\u1eb7c b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1edbn.<\/p>\n

B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 c\u00e1c \u01b0u \u0111i\u1ec3m v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y 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":"

Ung th\u01b0 d\u1ea1 d\u00e0y \u0111\u1ee9ng h\u00e0ng \u0111\u1ea7u trong c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 t\u1ea1i Vi\u1ec7t Nam. Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng \u0111\u1ebfn trong giai \u0111o\u1ea1n mu\u1ed9n, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb s\u1ed1ng sau 5 n\u0103m kh\u00f4ng cao. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 […]<\/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":"\nQuy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...\" \/>\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=\"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-01T00:04:19+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1143197585-612x612-1-300x200.jpg\" \/>\n<meta name=\"author\" content=\"mitkaka mitkaka\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"mitkaka mitkaka\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/\",\"name\":\"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-01T00:04:19+00:00\",\"dateModified\":\"2023-05-01T00:04:19+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\",\"name\":\"mitkaka mitkaka\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g\",\"caption\":\"mitkaka mitkaka\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec","description":"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec","og_description":"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/","og_site_name":"Vinmec","article_published_time":"2023-05-01T00:04:19+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1143197585-612x612-1-300x200.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/","name":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-01T00:04:19+00:00","dateModified":"2023-05-01T00:04:19+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"Ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 d\u1ea1 d\u00e0y, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 v\u1ea5n \u0111\u1ec1 v\u00e0 c\u1ea3i thi\u1ec7n ...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/quy-trinh-phau-thuat-cat-toan-bo-da-day\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt c\u1eaft to\u00e0n b\u1ed9 d\u1ea1 d\u00e0y"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c","name":"mitkaka mitkaka","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/f102cd9b17e5dabdddda292eb3a7dd3d?s=96&d=mm&r=g","caption":"mitkaka mitkaka"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/mitkaka2009mitkaka2009gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29821"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29821"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29821\/revisions"}],"predecessor-version":[{"id":29951,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29821\/revisions\/29951"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29821"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29821"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29821"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}