{"id":30105,"date":"2023-05-02T15:57:05","date_gmt":"2023-05-02T08:57:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30105"},"modified":"2023-05-02T15:57:05","modified_gmt":"2023-05-02T08:57:05","slug":"thay-the-thuc-quan-bang-da-day-trong-dieu-tri-seo-hep-thuc-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/thay-the-thuc-quan-bang-da-day-trong-dieu-tri-seo-hep-thuc-quan\/","title":{"rendered":"Thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y trong \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n"},"content":{"rendered":"

T\u1ed5n th\u01b0\u01a1ng b\u1ecfng th\u1ef1c qu\u1ea3n do h\u00f3a ch\u1ea5t r\u1ea5t \u00edt khi g\u1eb7p, ph\u1eabu thu\u1eadt thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/a> t\u1ed1i \u01b0u. Thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n nghi\u00eam tr\u1ecdng, gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nu\u1ed1t th\u1ee9c \u0103n m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. Tuy nhi\u00ean, ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 nguy c\u01a1 cao v\u00e0 c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. Quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u1eabu thu\u1eadt.<\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y trong \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n<\/h2>\n

S\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n<\/p>\n

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

Thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y trong \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u1ea5t \u0111\u1ecbnh. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh th\u01b0\u1eddng g\u1eb7p:<\/p>\n

– Tu\u1ed5i cao: Thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt n\u1eb7ng v\u00e0 c\u00f3 nguy c\u01a1 cao. Nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i h\u01a1n 70 tu\u1ed5i c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt n\u00e0y.<\/p>\n

– B\u1ec7nh to\u00e0n th\u00e2n n\u1eb7ng: Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, cao huy\u1ebft \u00e1p, t\u1ed5n th\u01b0\u01a1ng th\u1eadn, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o ho\u1eb7c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao v\u00e0 kh\u00f4ng n\u00ean ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n

– Suy ki\u1ec7t: Nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy ki\u1ec7t n\u1eb7ng c\u0169ng kh\u00f4ng n\u00ean ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y.<\/p>\n

C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh n\u00e0y \u0111\u01b0\u1ee3c \u0111\u01b0a ra \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra sau khi tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

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

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

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

– 02 ph\u1ee5 m\u1ed5<\/p>\n

– K\u00edp g\u00e2y m\u00ea: 01 B\u00e1c s\u0129 g\u00e2y m\u00ea, 01 \u0110i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 g\u00e2y m\u00ea<\/p>\n

– K\u00edp d\u1ee5ng c\u1ee5: 01 D\u1ee5ng c\u1ee5 vi\u00ean, 01 nh\u00e2n vi\u00ean ch\u1ea1y ngo\u00e0i<\/p>\n

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

– \u0110\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh, x\u00e9t nghi\u1ec7m sinh h\u1ecdc, \u0111\u00e1nh gi\u00e1 to\u00e0n tr\u1ea1ng b\u1ec7nh ph\u1ed1i h\u1ee3p v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nu\u00f4i d\u01b0\u1ee1ng, c\u00e2n b\u1eb1ng \u0111\u1ee7 \u0111\u1ea3m b\u1ea3o cho cu\u1ed9c ph\u1eabu thu\u1eadt d\u1ef1 ki\u1ebfn.<\/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\u2026<\/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

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

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

B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu, dao si\u00eau \u00e2m, Ligasure, ch\u1ec9 ph\u1eabu thu\u1eadt, thu\u1ed1c, d\u1ecbch truy\u1ec1n,\u2026<\/p>\n

3.4. D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>240 ph\u00fat<\/h3>\n

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

4.1. Th\u00ec b\u1ee5ng<\/b><\/h3>\n

–\u00a0T\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh:\u00a0<\/i>n\u1eb1m ng\u1eeda, k\u00ea g\u1ed1i d\u01b0\u1edbi vai, c\u1ed5 nghi\u00eang sang ph\u1ea3i.<\/p>\n

– Gi\u1ea3i ph\u00f3ng d\u1ea1 d\u00e0y: Gi\u1ea3i ph\u00f3ng d\u1ea1 d\u00e0y kh\u1ecfi ch\u1ed7 b\u00e1m c\u1ee7a ph\u00fac m\u1ea1c v\u00e0 m\u1ea1c n\u1ed1i l\u1edbn, b\u1ea3o v\u1ec7 2 cu\u1ed1ng m\u1ea1ch nu\u00f4i l\u00e0 v\u1ecb m\u1ea1c n\u1ed1i ph\u1ea3i v\u00e0 m\u00f4n v\u1ecb. Th\u1eaft v\u00e0 th\u1eaft s\u00e1t g\u1ed1c c\u00e1c cu\u1ed1ng m\u1ea1ch v\u00e0nh v\u1ecb v\u00e0 v\u1ecb m\u1ea1c n\u1ed1i tr\u00e1i, c\u00e1c m\u1ea1ch v\u1ecb ng\u1eafn. Th\u1eaft v\u00e0 c\u1eaft \u0110M, TM m\u00f4n v\u1ecb c\u00e1ch m\u00f4n v\u1ecb kho\u1ea3ng 5 cm, b\u00f3c t\u00e1ch b\u1edd cong nh\u1ecf t\u1edbi nh\u00e1nh th\u1ee9 5 c\u1ee7a \u0110M v\u00e0nh v\u1ecb. Gi\u1ea3i ph\u00f3ng r\u1ed9ng c\u1ea3 \u0111\u1ea7u t\u1ee5y v\u00e0 t\u00e1 tr\u00e0ng.<\/p>\n

– T\u1ea1o \u1ed1ng d\u1ea1 d\u00e0y \u0111\u1ec3 thay th\u1ebf th\u1ef1c qu\u1ea3n:<\/i>\u00a0Ph\u1ea7n b\u1edd cong nh\u1ecf b\u1ecb c\u1eaft b\u1ecf \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n b\u1edfi \u0111\u01b0\u1eddng n\u1ed1i gi\u1eefa d\u1ec9nh ph\u00ecnh v\u1ecb, \u0111i song song b\u1edd cong l\u1edbn, c\u00e1ch b\u1edd cong l\u1edbn 5 cm, t\u1edbi b\u1edd cong nh\u1ecf c\u00e1ch m\u00f4n v\u1ecb kho\u1ea3ng 4 cm. Vi\u1ec7c c\u1eaft b\u1ecf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng m\u00e1y GIA. Ho\u1eb7c b\u1eb1ng c\u00e1c k\u1eb9p m\u1ec1m, cong d\u1ecdc \u0111\u01b0\u1eddng c\u1eaft, v\u00e0 kh\u00e2u l\u1ea1i b\u1eb1ng m\u0169i r\u1eddi ho\u1eb7c kh\u00e2u v\u1eaft 2 l\u1edbp.<\/p>\n

T\u1ea1o h\u00ecnh m\u00f4n v\u1ecb tr\u00e1nh \u1ee9 \u0111\u1ecdng d\u1ea1 d\u00e0y v\u00e0 m\u1edf th\u00f4ng h\u1ed7ng tr\u00e0ng \u0111\u1ec3 cho \u0103n s\u1edbm.<\/p>\n

4.2. Th\u00ec c\u1ed5<\/b><\/h3>\n

–\u00a0\u0110\u01b0\u1eddng r\u1ea1ch da\u00a0<\/i>ch\u1eef J b\u1edd tr\u01b0\u1edbc c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m tr\u00e1i. C\u1eaft c\u01a1 vai m\u00f3ng, th\u1eaft v\u00e0 c\u1eaft TM gi\u00e1p d\u01b0\u1edbi, \u0111i qua khe gi\u1eefa th\u00f9y tr\u00e1i tuy\u1ebfn gi\u00e1p \u1edf trong v\u00e0 b\u00f3 m\u1ea1ch c\u1ea3nh \u1edf ngo\u00e0i \u0111\u1ec3 ph\u1eabu t\u00edch v\u00e0o b\u1edd tr\u00e1i c\u1ee7a th\u1ef1c qu\u1ea3n. d\u00f9ng tampon ho\u1eb7c ng\u00f3n tay t\u00e1ch v\u00e0o khoang tr\u01b0\u1edbc c\u1ed9t s\u1ed1ng \u0111\u1ec3 v\u00e0o ph\u1eabu t\u00edch m\u1eb7t sau th\u1ef1c qu\u1ea3n. Ph\u1eabu t\u00edch th\u1ef1c qu\u1ea3n kh\u1ecfi kh\u00ed qu\u1ea3n. Ph\u1eabu t\u00edch s\u00e1t b\u1edd ph\u1ea3i th\u1ef1c qu\u1ea3n, tr\u00e1nh l\u00e0m t\u1ed5n th\u01b0\u01a1ng d\u00e2y TK qu\u1eb7t ng\u01b0\u1ee3c ph\u1ea3i. Lu\u1ed3n m\u1ed9t \u1ed1ng sonde N\u00e9laton qua th\u1ef1c qu\u1ea3n, k\u00e9o l\u00ean \u0111\u1ec3 ph\u1eabu t\u00edch m\u1eb7t sau th\u1ef1c qu\u1ea3n l\u00ean tr\u00ean v\u00e0 xu\u1ed1ng d\u01b0\u1edbi ng\u1ef1c. C\u1eaft \u0111\u00f4i th\u1ef1c qu\u1ea3n c\u1ed5, kh\u00e2u k\u00edn \u0111\u1ea7u d\u01b0\u1edbi th\u1ef1c qu\u1ea3n v\u00e0 k\u00e9o to\u00e0n b\u1ed9 th\u1ef1c qu\u1ea3n xu\u1ed1ng b\u1ee5ng.<\/p>\n

–\u00a0T\u1ea1o \u0111\u01b0\u1eddng h\u1ea7m sau x\u01b0\u01a1ng \u1ee9c<\/i>: C\u1eaft ch\u1ed7 b\u00e1m c\u1ee7a c\u01a1 ho\u00e0nh b\u1eb1ng dao \u0111i\u1ec7n, d\u00f9ng m\u1ed9t tampon nh\u1ecf \u0111\u1ea9y nh\u1eb9 nh\u00e0ng l\u00ean s\u00e1t sau x\u01b0\u01a1ng \u1ee9c, d\u00f9ng tay m\u1ed9t \u1edf d\u01b0\u1edbi b\u1ee5ng l\u00ean, m\u1ed9t \u1edf tr\u00ean c\u1ed5 xu\u1ed1ng cho t\u1edbi khi 2 tay g\u1eb7p nhau<\/p>\n

–\u00a0L\u00e0m mi\u1ec7ng n\u1ed1i d\u1ea1 d\u00e0y – th\u1ef1c qu\u1ea3n<\/i>: kh\u00e2u c\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y b\u1eb1ng m\u1ed9t s\u1ee3i ch\u1ec9 ch\u1eafc lu\u1ed3n qua \u0111\u01b0\u1eddng h\u1ea7m sau x\u01b0\u01a1ng \u1ee9c ho\u1eb7c trung th\u1ea5t sau \u0111\u1ec3 k\u00e9o d\u1ea1 d\u00e0y l\u00ean c\u1ed5 l\u00e0m mi\u1ec7ng n\u1ed1i. Mi\u1ec7ng n\u1ed1i t\u1eadn b\u00ean \u1edf m\u1eb7t sau d\u1ea1 d\u00e0y \u0111\u1ec3 gi\u1ea3m g\u1eadp g\u00f3c gi\u1eefa d\u1ea1 d\u00e0y v\u00e0 th\u1ef1c qu\u1ea3n, kh\u00e2u v\u1eaft m\u1ed9t l\u1edbp to\u00e0n th\u1ec3 ph\u00eda th\u1ef1c qu\u1ea3n v\u00e0 thanh c\u01a1 ph\u00eda d\u1ea1 d\u00e0y v\u1edbi ch\u1ec9 ti\u00eau ch\u1eadm 4.0.<\/p>\n

5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n

H\u00f4 h\u1ea5p: ng\u1ed3i d\u1eady, v\u1ed7 rung, l\u00fd li\u1ec7u ph\u00e1p<\/p>\n

R\u00f2 mi\u1ec7ng n\u1ed1i: nu\u00f4i d\u01b0\u1ee1ng qua m\u1edf th\u00f4ng h\u1ed7ng tr\u00e0ng<\/p>\n

Ch\u1ea3y m\u00e1u: t\u00f9y m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u m\u00e0 c\u00f3 th\u00e1i \u0111\u1ed9 x\u1eed tr\u00ed: b\u1ea3o t\u1ed3n ho\u1eb7c m\u1ed5 l\u1ea1i<\/p>\n

R\u00f2 d\u01b0\u1ee1ng ch\u1ea5p: \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/p>\n

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

T\u1ed5n th\u01b0\u01a1ng b\u1ecfng th\u1ef1c qu\u1ea3n do h\u00f3a ch\u1ea5t r\u1ea5t \u00edt khi g\u1eb7p, ph\u1eabu thu\u1eadt thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u. Thay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n nghi\u00eam tr\u1ecdng, gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nu\u1ed1t th\u1ee9c \u0103n […]<\/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":"\nThay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y trong \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt hay th\u1ebf th\u1ef1c qu\u1ea3n b\u1eb1ng d\u1ea1 d\u00e0y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1eb9o h\u1eb9p th\u1ef1c qu\u1ea3n b\u1eb1ng c\u00e1ch gi\u1ea3i ph\u00f2ng ...\" \/>\n<meta name=\"robots\" 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