{"id":30109,"date":"2023-05-02T15:57:48","date_gmt":"2023-05-02T08:57:48","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30109"},"modified":"2023-05-02T15:57:48","modified_gmt":"2023-05-02T08:57:48","slug":"phuong-phap-phau-thuat-dieu-tri-teo-thuc-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/phuong-phap-phau-thuat-dieu-tri-teo-thuc-quan\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb teo th\u1ef1c qu\u1ea3n"},"content":{"rendered":"

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb teo th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y, gi\u00fap b\u1ec7nh nh\u00e2n ti\u00eau ho\u00e1 th\u1ee9c \u0103n d\u1ec5 d\u00e0ng h\u01a1n. N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt k\u1ecbp th\u1eddi, teo th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Do \u0111\u00f3, ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb teo th\u1ef1c qu\u1ea3n l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh l\u00fd n\u00e0y 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. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n

B\u1ec7nh teo th\u1ef1c qu\u1ea3n l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a r\u1ed1i lo\u1ea1n trong qu\u00e1 tr\u00ecnh t\u1ea1o ph\u00f4i gi\u1eefa tu\u1ea7n th\u1ee9 4 v\u00e0 tu\u1ea7n th\u1ee9 6, \u0111i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch cho hi\u1ec7n t\u01b0\u1ee3ng teo th\u1ef1c qu\u1ea3n th\u01b0\u1eddng k\u00e8m theo nhi\u1ec1u d\u1ecb t\u1eadt ph\u1ed1i h\u1ee3p kh\u00e1c.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n<\/a> th\u01b0\u1eddng d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng v\u00e0 X quang ngay sau sinh.<\/p>\n

Teo th\u1ef1c qu\u1ea3n c\u00f3 5 d\u1ea1ng:<\/p>\n

– Type I<\/b>: Theo ph\u1ea7n l\u1edbn t\u00e1c gi\u1ea3, th\u1ec3 n\u00e0y ch\u1ec9 g\u1eb7p trong ch\u01b0a \u0111\u1ebfn 10% t\u1ed5ng s\u1ed1 tr\u01b0\u1eddng h\u1ee3p teo th\u1ef1c qu\u1ea3n. Trong teo th\u1ef1c qu\u1ea3n type I, 2 t\u00fai b\u1ecbt th\u1ef1c qu\u1ea3n \u1edf 2 \u0111\u1ea7u n\u1eb1m c\u00e1ch xa nhau, th\u01b0\u1eddng kho\u1ea3ng c\u00e1ch gi\u1eefa 2 t\u00fai b\u1ecbt n\u00e0y d\u00e0i tr\u00ean 4 \u0111\u1ed1t s\u1ed1ng, l\u00e0m cho vi\u1ec7c th\u1ef1c hi\u1ec7n mi\u1ec7ng n\u1ed1i m\u1ed9t th\u00ec r\u1ea5t kh\u00f3 kh\u0103n. Trong type n\u00e0y, c\u0169ng kh\u00f4ng c\u00f3 r\u00f2 kh\u00ed- th\u1ef1c qu\u1ea3n.<\/p>\n

–\u00a0Type II<\/b>: Hi\u1ebfm, ch\u1ec9 chi\u1ebfm ch\u01b0a \u0111\u1ebfn 1% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. V\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu b\u1ec7nh, type n\u00e0y bao g\u1ed3m t\u00fai b\u1ecbt th\u1ef1c qu\u1ea3n \u1edf c\u1ea3 2 \u0111\u1ea7u nh\u01b0ng c\u00f3 th\u00eam \u0111\u01b0\u1eddng r\u00f2 kh\u00ed- th\u1ef1c qu\u1ea3n \u1edf \u0111\u1ea7u tr\u00ean.<\/p>\n

–\u00a0Type III v\u00e0 type IV<\/b>: Teo th\u1ef1c qu\u1ea3n type III l\u00e0 th\u1ec3 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, n\u00f3 chi\u1ebfm kho\u1ea3ng 75% tr\u01b0\u1eddng h\u1ee3p teo th\u1ef1c qu\u1ea3n. V\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu b\u1ec7nh h\u1ecdc, th\u1ec3 n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00fai b\u1ecbt th\u1ef1c qu\u1ea3n \u1edf \u0111\u1ea7u tr\u00ean, v\u00e0 \u0111\u01b0\u1eddng r\u00f2 kh\u00ed-th\u1ef1c qu\u1ea3n \u1edf \u0111\u1ea7u d\u01b0\u1edbi. \u0110\u01b0\u1eddng r\u00f2 n\u00e0y c\u00f3 th\u1ec3 gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 kh\u00ed qu\u1ea3n, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 nh\u00e1nh ph\u1ebf qu\u1ea3n g\u1ed1c b\u00ean tr\u00e1i. Khi t\u1ed5n th\u01b0\u01a1ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u00f4 t\u1ea3 b\u00ean tr\u00ean, nh\u01b0ng r\u00f2 n\u1eb1m gi\u1eefa th\u1ef1c qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n g\u1ed1c ph\u1ea3i, Ladd ph\u00e2n n\u00f3 th\u00e0nh teo th\u1ef1c qu\u1ea3n type IV. Teo th\u1ef1c qu\u1ea3n type III \u0111\u01b0\u1ee3c xem l\u00e0 thu\u1eadn l\u1ee3i v\u1ec1 m\u1eb7t ph\u1eabu thu\u1eadt, b\u1edfi v\u00ec th\u00f4ng th\u01b0\u1eddng, kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c t\u00fai b\u1ecbt th\u1ef1c qu\u1ea3n kh\u00f4ng d\u00e0i qu\u00e1 3 \u0111\u1ed1t s\u1ed1ng.<\/p>\n

–\u00a0Type V<\/b>: Th\u1ec3 n\u00e0y \u0111\u01b0\u1ee3c xem l\u00e0 ngo\u1ea1i l\u1ec7 v\u00ec n\u00f3 chi\u1ebfm ch\u01b0a \u0111\u1ebfn 0,5% t\u1ed5ng s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p teo th\u1ef1c qu\u1ea3n. V\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu b\u1ec7nh, n\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi 2 \u0111\u01b0\u1eddng r\u00f2 v\u1edbi kh\u00ed qu\u1ea3n, m\u1ed9t c\u1ee7a t\u00fai b\u1ecbt tr\u00ean v\u00e0 m\u1ed9t c\u1ee7a t\u00fai b\u1ecbt th\u1ef1c qu\u1ea3n d\u01b0\u1edbi. V\u00e0 th\u01b0\u1eddng th\u00ec 2 t\u00fai b\u1ecbt n\u00e0y n\u1eb1m s\u00e1t nhau.<\/p>\n

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

Type I v\u00e0 II: Ph\u1ea7n l\u1edbn t\u00e1c gi\u1ea3 \u0111\u1ed3ng \u00fd l\u00e0 ch\u1ec9 n\u00ean l\u00e0m m\u1edf th\u00f4ng th\u1ef1c qu\u1ea3n c\u1ed5 v\u00e0 m\u1edf th\u00f4ng d\u1ea1 d\u00e0y nu\u00f4i d\u01b0\u1ee1ng trong giai \u0111o\u1ea1n s\u01a1 sinh. Sau 4 – 12 th\u00e1ng, t\u1ea1o h\u00ecnh thay th\u1ebf th\u1ef1c qu\u1ea3n.M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 m\u1ed5 n\u1ed1i ngay th\u00ec \u0111\u1ea7u, tuy nhi\u00ean, t\u1ef7 l\u1ec7 th\u1ea5t b\u1ea1i c\u0169ng nh\u01b0 bi\u1ebfn ch\u1ee9ng cao.<\/p>\n

Type III v\u00e0 IV: Xu h\u01b0\u1edbng hi\u1ec7n nay: Ph\u1eabu thu\u1eadt \u0111\u00f3ng \u0111\u01b0\u1eddng r\u00f2 v\u00e0 n\u1ed1i m\u1ed9t th\u00ec.<\/p>\n

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

C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee5 th\u1ec3 trong ph\u1eabu thu\u1eadt teo th\u1ef1c qu\u1ea3n bao g\u1ed3m:<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p tr\u1ebb qu\u00e1 thi\u1ebfu c\u00e2n (< 2000g) v\u00e0\/ho\u1eb7c t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n hay h\u00f4 h\u1ea5p x\u1ea5u, c\u00f3 th\u1ec3 ch\u1ec9 m\u1edf th\u00f4ng d\u1ea1 d\u00e0y nu\u00f4i d\u01b0\u1ee1ng v\u00e0 h\u00fat \u0111\u1ea7u tr\u00ean li\u00ean t\u1ee5c trong l\u00fac ch\u1edd ph\u1eabu thu\u1eadt tri\u1ec7t \u0111\u1ec3 khi t\u00ecnh tr\u1ea1ng tr\u1ebb cho ph\u00e9p. Tuy nhi\u00ean, ch\u1ec9 \u0111\u1ecbnh n\u00e0y ng\u00e0y c\u00e0ng tr\u1edf n\u00ean hi\u1ebfm.<\/p>\n

– Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb teo th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng to\u00e0n th\u00e2n y\u1ebfu, b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p nghi\u00eam tr\u1ecdng ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch.<\/p>\n

Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt teo th\u1ef1c qu\u1ea3n, b\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n m\u1ed9t lo\u1ea1t c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ph\u1eabu thu\u1eadt kh\u00f4ng g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho b\u1ec7nh nh\u00e2n.<\/p>\n

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

4.1. 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 nhi khoa<\/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

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

Ngay khi \u0111\u00e3 \u0111\u1ecbnh b\u1ec7nh, chuy\u1ec3n b\u00e9 \u0111\u1ebfn khoa ngo\u1ea1i gi\u1ecfi v\u1edbi m\u1ed9t \u1ed1ng h\u00fat n\u01b0\u1edbc b\u1ecdt li\u00ean t\u1ee5c v\u00e0 t\u01b0 th\u1ebf l\u01b0ng nghi\u00eang tr\u01b0\u1edbc 45o<\/p>\n

Kh\u00f4ng ch\u00edch thu\u1ed1c c\u1ea3n quang v\u00e0o trong t\u00fai c\u00f9ng tr\u00ean c\u1ee7a th\u1ef1c qu\u1ea3n<\/p>\n

\u0110\u1ec3 tr\u1ebb th\u1edf t\u1ef1 nhi\u00ean h\u1ea7u tr\u00e1nh s\u1ef1 d\u00e3n c\u0103ng d\u1ea1 d\u00e0y do th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o nh\u1ea5t l\u00e0 n\u1ebfu c\u00f3 l\u1ed7 d\u00f2 kh\u00ed qu\u1ea3n – th\u1ef1c qu\u1ea3n<\/p>\n

Si\u00eau \u00e2m tim \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed9t b\u1ec7nh tim ho\u1eb7c m\u1ed9t b\u1ea5t th\u01b0\u1eddng c\u1ee7a v\u1ecb tr\u00ed \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/p>\n

Ph\u1eabu thu\u1eadt th\u1ef1c hi\u1ec7n trong v\u00f2ng 24 gi\u1edd sau khi gi\u1ea3i th\u00edch k\u1ef9 cho b\u1ed1, m\u1eb9 v\u00e0 ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nhi v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 c\u00e1c nguy c\u01a1 r\u1ee7i ro c\u00f3 th\u1ec3 x\u1ea3y ra, k\u1ec3 c\u1ea3 t\u1eed vong.<\/p>\n

4.3. 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

4.4. D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt: <\/b>120 ph\u00fat<\/h3>\n

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

B\u01b0\u1edbc 1:\u00a0<\/b>Th\u1ef1c hi\u1ec7n m\u1edf ng\u1ef1c b\u00ean ph\u1ea3i.<\/p>\n

B\u01b0\u1edbc 2:\u00a0<\/b>\u0110\u00f3ng l\u1ed7 d\u00f2 th\u1ef1c qu\u1ea3n – kh\u00ed qu\u1ea3n.<\/p>\n

B\u01b0\u1edbc 3:\u00a0<\/b>N\u1ed1i t\u1eadn – t\u1eadn gi\u1eefa hai ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0 \u0111\u1eb7t m\u1ed9t th\u00f4ng n\u00e2ng \u0111\u1ee1 qua \u0111\u01b0\u1eddng m\u0169i.<\/p>\n

B\u01b0\u1edbc 4:\u00a0<\/b>M\u1edf d\u1ea1 d\u00e0y trong tr\u01b0\u1eddng h\u1ee3p khi\u1ebfm khuy\u1ebft l\u1edbn: m\u1edf th\u1ef1c qu\u1ea3n ph\u1ea7n c\u1ed5 cho ph\u00e9p v\u1ec1 nh\u00e0 nh\u01b0ng ph\u1ea3i thay th\u1ef1c qu\u1ea3n l\u1ea7n hai ho\u1eb7c ti\u1ebfp t\u1ee5c h\u00fat qua th\u1ef1c qu\u1ea3n li\u00ean t\u1ee5c \u1edf b\u1ec7nh vi\u1ec7n nh\u01b0ng kh\u1ea3 n\u0103ng gi\u1eef m\u1ecdi l\u1ef1a ch\u1ecdn t\u00e1i t\u1ea1o v\u1ec1 sau n\u00e0y.<\/p>\n

B\u01b0\u1edbc 5:\u00a0<\/b>\u0110\u1eb7t m\u1ed9t \u1ed1ng d\u1eabn l\u01b0u sau khi l\u00e0m th\u00f4ng n\u1ed1i.<\/p>\n

B\u01b0\u1edbc 6:\u00a0<\/b>\u0110\u1eb7t \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch trung \u01b0\u01a1ng \u0111\u1ec3 nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng m\u1ea1ch<\/p>\n

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

H\u00f4 h\u1ea5p: 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

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

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb teo th\u1ef1c qu\u1ea3n c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y, gi\u00fap b\u1ec7nh nh\u00e2n ti\u00eau ho\u00e1 th\u1ee9c \u0103n d\u1ec5 d\u00e0ng h\u01a1n. 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