{"id":31443,"date":"2023-05-04T16:24:23","date_gmt":"2023-05-04T09:24:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31443"},"modified":"2023-05-04T16:24:23","modified_gmt":"2023-05-04T09:24:23","slug":"quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/","title":{"rendered":"Quy tr\u00ecnh k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa c\u00e1c t\u1ea1ng \u0111\u00f3 \u1edf trong ph\u00fac m\u1ea1c. Qua soi \u1ed5 b\u1ee5ng c\u00f2n c\u00f3 th\u1ec3 sinh thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. Ph\u01b0\u01a1ng ph\u00e1p soi \u1ed5 b\u1ee5ng v\u1eabn t\u1ed3n t\u1ea1i v\u00e0 ph\u00e1t huy \u01b0u th\u1ebf c\u1ee7a n\u00f3 \u0111\u1eb7c bi\u1ec7t trong soi \u1ed5 b\u1ee5ng \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 thay th\u1ebf d\u1ea7n m\u1ed9t s\u1ed1 ph\u1eabu thu\u1eadt th\u00f4ng th\u01b0\u1eddng trong c\u1eaft t\u00fai m\u1eadt, c\u1eaft d\u1ea1 d\u00e0y.<\/span><\/strong><\/p>\n

\"\"<\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh\u00a0n\u1ed9i soi \u1ed5 b\u1ee5ng<\/span><\/b><\/h2>\n

1.1. Ch\u1ec9 \u0111\u1ecbnh soi \u1ed5 b\u1ee5ng<\/span><\/b><\/h3>\n

– B\u1ec7nh l\u00fd gan: vi\u00eam gan c\u1ea5p t\u00ednh, m\u1ea1n t\u00ednh, apxe gan, x\u01a1 gan<\/a>, ung th\u01b0 gan, kh\u1ed1i u gan<\/span><\/p>\n

– B\u1ec7nh l\u00fd c\u1ee7a t\u00fai m\u1eadt, \u1ee9 m\u1eadt c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y gi\u00e1n ti\u1ebfp h\u00ecnh \u1ea3nh \u1ee9 m\u1eadt \u1edf m\u1eb7t gan<\/span><\/p>\n

– B\u1ec7nh l\u00fd c\u1ee7a l\u00e1ch ( lo\u1ea1i tr\u1eeb l\u00e1ch to do b\u1ec7nh l\u00fd c\u1ee7a m\u00e1u): U l\u00e1ch, apxe l\u00e1ch- quan s\u00e1t h\u00ecnh \u1ea3nh t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda qua c\u00e1c m\u1ea1ch m\u00e1u gi\u00e3n<\/span><\/p>\n

– B\u1ec7nh l\u00fd c\u1ee7a ph\u00fac m\u1ea1c: nghi lao ph\u00fac m\u1ea1c, ung th\u01b0 ph\u00fac m\u1ea1c, ho\u1eb7c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 c\u1ed5 ch\u01b0\u1edbng ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n<\/span><\/p>\n

– B\u1ec7nh l\u00fd c\u1ee7a m\u1ea1c n\u1ed1i l\u1edbn, nghi ng\u1edd ung th\u01b0 m\u1ea1c n\u1ed1i, kh\u1ed1i u \u1edf m\u1ea1c n\u1ed1i l\u1edbn, m\u1ea1c n\u1ed1i nh\u1ecf.<\/span><\/p>\n

– B\u1ec7nh l\u00fd c\u1ee7a t\u1eed cung, bu\u1ed3ng tr\u1ee9ng: u nang bu\u1ed3ng tr\u1ee9ng, ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, ch\u1eeda ngo\u00e0i t\u1eed cung, u t\u1eed cung v.v<\/span><\/p>\n

– Ch\u1ec9 \u0111\u1ecbnh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00e1c kh\u1ed1i u \u1edf \u1ed5 b\u1ee5ng ch\u01b0a r\u00f5 ngu\u1ed3n g\u1ed1c<\/span><\/p>\n

B\u1ec7nh l\u00fd c\u1ee7a d\u1ea1 d\u00e0y, ru\u1ed9t non, \u0111\u1ea1i tr\u00e0ng, soi \u1ed5 b\u1ee5ng ch\u1ec9 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c h\u00ecnh th\u00e1i m\u1eb7t ngo\u00e0i c\u1ee7a th\u00e0nh c\u00e1c t\u1ea1ng r\u1ed7ng . V\u00ec v\u1eady ch\u1ec9 n\u00ean coi soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng sau khi l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3.<\/span><\/p>\n

1.2. Ch\u1ec9 \u0111\u1ecbnh soi \u1ed5 b\u1ee5ng c\u1ea5p c\u1ee9u<\/span><\/b><\/h3>\n

– Vi\u00eam t\u00fai m\u1eadt c\u1ea5p<\/span><\/p>\n

– Vi\u00eam t\u1ee5y c\u1ea5p<\/span><\/p>\n

– Vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p<\/span><\/p>\n

– Th\u1ee7ng d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng . Trong tr\u01b0\u1eddng h\u1ee3p th\u1ee7ng b\u00edt c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y h\u00ecnh \u1ea3nh gi\u00e1n ti\u1ebfp l\u00e0 m\u1ea3ng fibrin ho\u1eb7c d\u00e0y d\u00ednh v\u00e0o ph\u00fac m\u1ea1c<\/span><\/p>\n

– Ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng: v\u1ee1 c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng<\/span><\/p>\n

– Ch\u1eeda ngo\u00e0i t\u1eed cung v\u1ee1, u nang bu\u1ed3ng tr\u1ee9ng xo\u1eafn<\/span><\/p>\n

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

2.1. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i<\/span><\/b><\/h3>\n

– C\u01a1 \u0111\u1ecba ch\u1ea3y m\u00e1u: Bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u00eam m\u00e1u. M\u00e1u ch\u1ea3y, m\u00e1u \u0111\u00f4ng k\u00e9o d\u00e0i, t\u1ef7 l\u1ec7 prothrombin gi\u1ea3m d\u01b0\u1edbi 50 %<\/span><\/p>\n

– C\u1ed5 ch\u01b0\u1edbng c\u00f3 m\u00e1u<\/span><\/p>\n

– Tho\u00e1t v\u1ecb ho\u00e0nh<\/span><\/p>\n

– Suy tim<\/span><\/p>\n

– Suy h\u00f4 h\u1ea5p c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 y\u1ebfu kh\u00f4ng ch\u1ecbu \u0111\u1ef1ng n\u1ed5i th\u1ee7 thu\u1eadt<\/span><\/p>\n

2.2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i<\/span><\/b><\/h3>\n

– Ng\u01b0\u1eddi b\u1ec7nh n\u1ea5c, b\u1ee5ng ch\u01b0\u1edbng h\u01a1i, ho nhi\u1ec1u<\/span><\/p>\n

– C\u00f3 tho\u00e1t v\u1ecb r\u1ed1n, b\u1eb9n<\/span><\/p>\n

– C\u00f3 ph\u1eabu thu\u1eadt c\u0169 \u1edf b\u1ee5ng – \u0111\u01b0\u1eddng \u0111\u01b0a m\u00e1y soi kh\u00f3<\/span><\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh t\u00e2m th\u1ea7n<\/span><\/p>\n

– Tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 \u1edf b\u1ee5ng qu\u00e1 nhi\u1ec1u<\/span><\/p>\n

– C\u00e1c b\u1ec7nh t\u00edch \u1edf ngo\u00e0i da b\u1ee5ng v\u1ecb tr\u00ed \u0111\u1ecbnh soi nh\u01b0: Nhi\u1ec5m tr\u00f9ng, h\u1eafc l\u00e0o, gh\u1ebb\u2026khi soi c\u00f3 th\u1ec3 \u0111\u01b0a c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0o trong \u1ed5 b\u1ee5ng.<\/span><\/p>\n

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

T\u1ea5t c\u1ea3 d\u1ee5ng c\u1ee5 c\u1ea7n thi\u1ebft cho n\u1ed9i soi c\u1ea7n ph\u1ea3i ti\u1ec7t tr\u00f9ng tuy\u1ec7t \u0111\u1ed1i nh\u01b0 ph\u1eabu thu\u1eadt \u1ed5 b\u1ee5ng . Ph\u00f2ng soi ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c ti\u1ec7t tr\u00f9ng b\u1eb1ng tia c\u1ef1c t\u00edm.<\/span><\/p>\n

3.1. Chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh<\/span><\/b><\/h3>\n

– Gi\u1ea3i th\u00edch v\u1ec1 m\u1ee5c \u0111\u00edch soi \u1ed5 b\u1ee5ng \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh y\u00ean t\u00e2m<\/span><\/p>\n

– H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh l\u00e0m v\u1ec7 sinh v\u00f9ng b\u1ee5ng, n\u1ebfu c\u00f3 l\u00f4ng \u1edf v\u00f9ng b\u1ee5ng ph\u1ea3i c\u1ea1o s\u1ea1ch.<\/span><\/p>\n

– Th\u1ee5t th\u00e1o ph\u00e2n l\u1ea7n 1 v\u00e0o t\u1ed1i h\u00f4m tr\u01b0\u1edbc soi \u1ed5 b\u1ee5ng, th\u1ee5t th\u00e1o l\u1ea7n 2 v\u00e0o 6 h s\u00e1ng h\u00f4m soi \u1ed5 b\u1ee5ng.<\/span><\/p>\n

– D\u1eb7n ng\u01b0\u1eddi b\u1ec7nh nh\u1ecbn \u0103n s\u00e1ng h\u00f4m soi \u1ed5 b\u1ee5ng.<\/span><\/p>\n

– Cho ng\u01b0\u1eddi b\u1ec7nh \u0111i ti\u1ec3u ho\u1eb7c \u0111\u1ea1i ti\u1ec7n tr\u01b0\u1edbc khi soi.<\/span><\/p>\n

– \u0110o m\u1ea1ch, huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9 tr\u01b0\u1edbc khi soi cho ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

– Ki\u1ec3m tra x\u00e9t nghi\u1ec7m v\u1ec1 m\u00e1u ch\u1ea3y, m\u00e1u \u0111\u00f4ng, t\u1ef7 l\u1ec7 prothrombin tr\u01b0\u1edbc khi soi<\/span><\/p>\n

3.2. Chu\u1ea9n b\u1ecb d\u1ee5ng c\u1ee5<\/span><\/b><\/h3>\n

– Ph\u1ea3i ti\u1ec7t tr\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 kh\u00f4ng th\u1ec3 h\u1ea5p s\u1ea5y \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch chi\u1ebfu tia c\u1ef1c t\u00edm trong 1 gi\u1edd tr\u01b0\u1edbc khi soi g\u1ed3m: \u0111\u00e8n soi, d\u00e2y d\u1eabn \u00e1nh s\u00e1ng, d\u00e2y d\u1eabn b\u01a1m h\u01a1i, g\u0103ng cao su<\/span><\/p>\n

– D\u1ee5ng c\u1ee5 v\u00f4 khu\u1ea9n \u0111\u01b0\u1ee3c h\u1ea5p s\u1ea5y \u01b0\u1edbt 200\u00a0<\/span>o<\/span><\/sup>C g\u1ed3m: \u0111\u1ed3 v\u1ea3i, \u00e1o m\u0169 kh\u1ea9u trang ph\u1eabu thu\u1eadt, kh\u0103n m\u1ed5, g\u0103ng tay, b\u00f4ng g\u1ea1c.<\/span><\/p>\n

– D\u1ee5ng c\u1ee5 kim lo\u1ea1i h\u1ea5p s\u1ea5y kh\u00f4 120<\/span>\u00a0o<\/sup><\/span>C:<\/span><\/p>\n

D\u1ee5ng c\u1ee5 g\u00e2y t\u00ea: b\u00e1t \u0111\u1ef1ng lidocain 2 %, b\u01a1m ti\u00eam 5-10 ml, kim g\u00e2y t\u00ea.<\/span><\/p>\n

B\u1ed9 d\u1ee5ng c\u1ee5 b\u01a1m h\u01a1i g\u1ed3m: kim b\u01a1m h\u01a1i, b\u01a1m ti\u00eam 20 ml, dao ch\u00edch.<\/span><\/p>\n

– B\u1ed9 d\u1ee5ng c\u1ee5 m\u00e1y soi g\u1ed3m: Trocar, kim th\u0103m d\u00f2 \u0111\u1ea7u t\u00f9, kim sinh thi\u1ebft gan, kim sinh thi\u1ebft ph\u00fac m\u1ea1c, k\u00e9o, k\u1eb9p kocher c\u00f3 r\u0103ng, k\u1eb9p kocher kh\u00f4ng r\u0103ng \u0111\u1ec3 c\u1ea7m m\u00e1u, k\u1eb9p kocher b\u00f3c t\u00e1ch nh\u1ecf, kim ch\u1ec9 kh\u00e2u ho\u1eb7c k\u1eb9p arap.<\/span><\/p>\n

– D\u1ee5ng c\u1ee5 s\u1ea1ch: Khay qu\u1ea3 \u0111\u1eadu, c\u1ed1c c\u00f3 chia \u0111\u1ed9, c\u1ed3n 70<\/span>0\u00a0<\/span>C v\u00e0 c\u1ed3n iod, c\u00e1c \u1ed1ng x\u00e9t nghi\u1ec7m d\u1ecbch th\u00f4ng th\u01b0\u1eddng, l\u1ecd \u0111\u1ef1ng b\u1ec7nh ph\u1ea9m sinh thi\u1ebft, lam k\u00ednh l\u00e0m x\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc.<\/span><\/p>\n

– Ki\u1ec3m tra: Ngu\u1ed3n s\u00e1ng v\u00e0 m\u00e1y b\u01a1m h\u01a1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, ki\u1ec3m tra ho\u1ea1t \u0111\u1ed9ng c\u1ee7a camera (n\u1ebfu c\u00f3 trang b\u1ecb).<\/span><\/p>\n

3.3. Th\u1ee7 thu\u1eadt vi\u00ean v\u00e0 tr\u1ee3 th\u1ee7 vi\u00ean<\/span><\/b><\/h3>\n

– Hai b\u00e1c s\u1ef9 n\u1ed9i soi \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o k\u1ef9 thu\u1eadt soi \u1ed5 b\u1ee5ng<\/span><\/p>\n

– M\u1ed9t \u0111i\u1ec1u d\u01b0\u1ee1ng chuy\u00ean n\u1ed9i soi<\/span><\/p>\n

Th\u1ee7 thu\u1eadt vi\u00ean v\u00e0 tr\u1ee3 th\u1ee7 vi\u00ean ph\u1ea3i tu\u00e2n theo quy ch\u1ebf v\u00f4 tr\u00f9ng tuy\u1ec7t \u0111\u1ed1i c\u1ee7a ngo\u1ea1i khoa: \u00e1o, m\u0169, kh\u1ea9u trang, g\u0103ng tay v\u00f4 tr\u00f9ng<\/span><\/p>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh <\/span><\/b>n\u1ed9i soi \u1ed5 b\u1ee5ng<\/span><\/b><\/h2>\n

– V\u1ecb tr\u00ed \u0111\u1ec3 ti\u1ebfn h\u00e0nh \u0111\u01b0a Trocar v\u00e0 \u0111\u1ea7u n\u1ed9i soi v\u00e0o trong \u1ed5 b\u1ee5ng, th\u01b0\u1eddng d\u00f9ng c\u00e1c \u0111i\u1ec3m kinh \u0111i\u1ec3n c\u1ee7a Kath.<\/span><\/p>\n

+ 3 cm tr\u00ean v\u00e0 d\u01b0\u1edbi r\u1ed1n<\/span><\/p>\n

+ 0,5 cm b\u00ean ph\u1ea3i v\u00e0 tr\u00e1i c\u00e1ch \u0111\u01b0\u1eddng tr\u1eafng gi\u1eefa.<\/span><\/p>\n

Trong soi \u1ed5 b\u1ee5ng c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn \u0111i\u1ec3m th\u1ea5p h\u01a1n b\u00ean tr\u00e1i th\u00e0nh b\u1ee5ng \u0111\u1ec3 t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 quan s\u00e1t c\u00e1c v\u00f9ng thu\u1eadn ti\u1ec7n h\u01a1n. Tr\u00e1nh c\u00e1c v\u1ecb tr\u00ed nguy hi\u1ec3m: v\u00f9ng t\u00fai m\u1eadt, v\u00f9ng c\u00f3 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\u2026Ch\u1ecdn \u0111i\u1ec3m ch\u1ecdc Trocar tr\u00e1nh xa c\u00e1c t\u1ea1ng \u0111\u1eb7c ho\u1eb7c ch\u1ed7 d\u00ednh, tr\u00e1nh c\u00e1c v\u00f9ng c\u00f3 tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7.<\/span><\/p>\n

– B\u01a1m h\u01a1i ph\u00fac m\u1ea1c: G\u00e2y t\u00ea theo t\u1eebng l\u1edbp t\u1eeb da v\u00e0o \u1ed5 b\u1ee5ng, ch\u1ecdc kim b\u01a1m h\u01a1i ph\u1ea3i th\u1eed ki\u1ec3m tra b\u1eb1ng b\u01a1m ti\u00eam k\u00edn x\u00e1c \u0111\u1ecbnh kim kh\u00f4ng n\u1eb1m trong m\u1ea1ch m\u00e1u- kim t\u1ef1 do trong ph\u00fac m\u1ea1c.<\/span><\/p>\n

– M\u1ee5c \u0111\u00edch b\u01a1m h\u01a1i ph\u00fac m\u1ea1c: T\u1ea1o l\u1edbp h\u01a1i \u0111\u1ec3 t\u00e1ch th\u00e0nh b\u1ee5ng v\u1edbi c\u00e1c ph\u1ee7 t\u1ea1ng:<\/span><\/p>\n

+ Chu\u1ea9n b\u1ecb ch\u1ecdc Trocar an to\u00e0n<\/span><\/p>\n

+ Khi soi di chuy\u1ec3n \u0111\u00e8n d\u1ec5 d\u00e0ng<\/span><\/p>\n

+ Gi\u00fap \u00e1nh s\u00e1ng \u0111\u00e8n t\u1ed1t h\u01a1n<\/span><\/p>\n

– Ch\u1ecdc Trocar \u0111\u01b0a \u0111\u00e8n soi v\u00e0o \u1ed5 b\u1ee5ng: Qui t\u1eafc quan s\u00e1t c\u1ea7n tu\u00e2n th\u1ee7 nguy\u00ean t\u1eafc quan s\u00e1t to\u00e0n c\u1ea3nh v\u00e0 nh\u1eafm \u0111\u00edch (t\u1eeb xa \u0111\u1ebfn g\u1ea7n, c\u01a1 quan l\u00e0nh m\u1ea1nh \u0111\u1ebfn c\u01a1 quan t\u1ed5n th\u01b0\u01a1ng).<\/span><\/p>\n

Th\u01b0\u1eddng quan s\u00e1t t\u1eeb tr\u00e1i qua ph\u1ea3i, chia \u01b0\u1edbc l\u01b0\u1ee3ng \u1ed5 b\u1ee5ng th\u00e0nh c\u00e1c khu v\u1ef1c \u0111\u1ec3 tr\u00e1nh b\u1ecf s\u00f3t.<\/span><\/p>\n

+ \u00d4 vu\u00f4ng ph\u1ea3i tr\u00ean: quan s\u00e1t th\u00f9y ph\u1ea3i gan, d\u00e2y ch\u1eb1ng li\u1ec1m, d\u00e2y ch\u1eb1ng tr\u00f2n, t\u00fai m\u1eadt, n\u1eeda b\u00ean ph\u1ea3i c\u01a1 ho\u00e0nh, m\u1ea1c n\u1ed1i l\u1edbn v\u00e0 ph\u1ea7n ru\u1ed9t n\u1eb1m \u1edf v\u00f9ng n\u00e0y.<\/span><\/p>\n

+ \u00d4 vu\u00f4ng tr\u00e1i tr\u00ean: quan s\u00e1t th\u00f9y gan tr\u00e1i, d\u1ea1 d\u00e0y, n\u1eeda tr\u00e1i c\u01a1 ho\u00e0nh, m\u1ed9t ph\u1ea7n m\u1ea1c n\u1ed1i ru\u1ed9t l\u00e1ch.<\/span><\/p>\n

+ \u1ed4 b\u1ee5ng b\u00ean ph\u1ea3i, b\u00ean tr\u00e1i ph\u00eda d\u01b0\u1edbi \u0111\u1ea1i tr\u00e0ng- ru\u1ed9t non, b\u00e0ng quang.<\/span><\/p>\n

+ H\u1ed1 ch\u1eadu ph\u1ea3i, tr\u00e1i: quan s\u00e1t c\u00e1c c\u01a1 quan n\u1eb1m trong v\u00f9ng n\u00e0y (bu\u1ed3ng tr\u1ee9ng, t\u1eed cung\u2026).<\/span><\/p>\n

+ Quan s\u00e1t th\u00e0nh ph\u00fac m\u1ea1c: ph\u00eda tr\u01b0\u1edbc th\u00e0nh b\u1ee5ng, th\u00e0nh sau \u1ed5 b\u1ee5ng (t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang).<\/span><\/p>\n

Khi quan s\u00e1t c\u00e1c v\u00f9ng \u1edf \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 nghi\u00eang ph\u1ea3i,nghi\u00ean tr\u00e1i,t\u01b0 th\u1ebf Fowler \u0111\u1ea7u cao,\u0111\u1ea7u th\u1ea5p\u2026 t\u00f9y theo c\u01a1 quan c\u1ea7n quan s\u00e1t, do thay \u0111\u1ed5i t\u01b0 th\u1ebf k\u1ebft h\u1ee3p v\u1edbi que th\u0103m d\u00f2 b\u1ed9c l\u1ed9 c\u00e1c c\u01a1 quan c\u1ea7n quan s\u00e1t.<\/span><\/p>\n

– B\u00e0n n\u1ed9i soi ph\u1ea3i \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u gi\u00fap thay \u0111\u1ed5i t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh khi l\u00e0m th\u1ee7 thu\u1eadt.<\/span><\/p>\n

– Khi quan s\u00e1t c\u00e1c c\u01a1 quan c\u1ea7n ch\u00fa \u00fd: H\u00ecnh th\u00f9, k\u00edch th\u01b0\u1edbc c\u00e1c c\u01a1 quan,m\u00e0u s\u1eafc,t\u00ednh ch\u1ea5t b\u1ec1 m\u1eb7t (nh\u1eb5n,g\u1ed3 gh\u1ec1), m\u1eadt \u0111\u1ed9, m\u1ea1ch m\u00e1u,m\u1ed1i quan h\u1ec7 gi\u1eefa c\u00e1c c\u01a1 quan.<\/span><\/p>\n

– Trong khi soi \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p c\u00e1c th\u1ee7 thu\u1eadt gi\u00fap ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh:<\/span><\/p>\n

+ Sinh thi\u1ebft gan, sinh thi\u1ebft ph\u00fac m\u1ea1c<\/span><\/p>\n

+ Ch\u1ecdc h\u00fat t\u1ebf b\u00e0o<\/span><\/p>\n

+ Ch\u1ee5p \u0111\u01b0\u1eddng m\u1eadt<\/span><\/p>\n

+ Ch\u1ecdc c\u00e1c \u1ed5 apxe nh\u01b0: apxe gan, apxe th\u00e0nh b\u1ee5ng<\/span><\/p>\n

+ D\u00f9ng kim th\u0103m d\u00f2 \u0111\u1ec3 n\u00e2ng b\u1edd gan quan s\u00e1t t\u00fai m\u1eadt, b\u1ed9c l\u1ed9 c\u00e1c t\u1ea1ng khi b\u1ecb m\u1ea1c n\u1ed1i ho\u1eb7c c\u00e1c t\u1ea1ng kh\u00e1c che ph\u1ee7, th\u0103m d\u00f2 m\u1eadt \u0111\u1ed9 c\u00e1c c\u01a1 quan \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 m\u1ec1m c\u1ee9ng.<\/span><\/p>\n

+ C\u1eaft d\u00e2y d\u00ednh<\/span><\/p>\n

– K\u1ebft th\u00fac soi \u1ed5 b\u1ee5ng:<\/span><\/p>\n

+ \u0110\u01b0a \u0111\u00e8n soi v\u1ec1 v\u1ecb tr\u00ed n\u1eb1m ngang<\/span><\/p>\n

+ R\u00fat \u0111\u00e8n soi ra kh\u1ecfi \u1ed5 b\u1ee5ng<\/span><\/p>\n

+ Cho h\u01a1i ra kh\u1ecfi \u1ed5 b\u1ee5ng qua Trocar<\/span><\/p>\n

+ Kh\u00e2u ho\u1eb7c k\u1eb9p arap l\u1ea1i v\u1ebft r\u1ea1ch \u1ed5 b\u1ee5ng<\/span><\/p>\n

+ S\u00e1t tr\u00f9ng v\u1ecb tr\u00ed soi.<\/span><\/p>\n

5. Theo d\u00f5i<\/span><\/b><\/h2>\n

– Sau soi \u1ed5 b\u1ee5ng ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n n\u1eb1m ngh\u1ec9 t\u1ea1i gi\u01b0\u1eddng, tr\u00e1nh \u0111i l\u1ea1i, c\u00f3 th\u1ec3 cho \u0103n th\u1ee9c \u0103n l\u1ecfng d\u1ec5 ti\u00eau h\u00f3a<\/span><\/p>\n

– Sau soi \u1ed5 b\u1ee5ng c\u1ea7n theo d\u00f5i trong 24gi\u1edd \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c tai bi\u1ebfn sau soi, c\u00f3 tai bi\u1ebfn \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi tr\u00e1nh nguy hi\u1ec3m cho ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

+ Theo d\u00f5i to\u00e0n th\u00e2n: Nhi\u1ec7t \u0111\u1ed9, nh\u1ecbp th\u1edf, m\u1ea1ch huy\u1ebft \u00e1p, tr\u00e0n kh\u00ed d\u01b0\u1edbi da ho\u1eb7c tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, n\u00f4n m\u1eeda, t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u\u2026<\/span><\/p>\n

+ Theo d\u00f5i th\u00e0nh b\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng ngo\u1ea1i khoa.<\/span><\/p>\n

– Ghi ch\u00e9p s\u1ed5 s\u00e1ch soi \u1ed5 b\u1ee5ng l\u00e0 c\u1ea7n thi\u1ebft v\u00ec:<\/span><\/p>\n

+ L\u00e0 v\u0103n b\u1ea3n chuy\u00ean m\u00f4n cung c\u1ea5p t\u00e0i li\u1ec7u ch\u00ednh x\u00e1c c\u1ee5 th\u1ec3 gi\u00fap cho ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

+ L\u00e0 v\u0103n b\u1ea3n ph\u00e1p l\u00fd cho ng\u01b0\u1eddi l\u00e0m th\u1ee7 thu\u1eadt.<\/span><\/p>\n

+ Gi\u00fap nghi\u00ean c\u1ee9u khoa h\u1ecdc.<\/span><\/p>\n

– Ghi ch\u00e9p bi\u00ean b\u1ea3n soi:<\/span><\/p>\n

+ Th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh: ng\u00e0y soi, h\u1ecd t\u00ean ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ecba ch\u1ec9 ngh\u1ec1 nghi\u1ec7p<\/span><\/p>\n

+ K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m kh\u00e1c<\/span><\/p>\n

+ Ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc khi soi \u1ed5 b\u1ee5ng<\/span><\/p>\n

+ M\u1ee5c \u0111\u00edch soi \u1ed5 b\u1ee5ng<\/span><\/p>\n

+ M\u00f4 t\u1ea3 \u1ed5 b\u1ee5ng theo tr\u00ecnh t\u1ef1 \u0111\u00e3 n\u00eau ph\u1ea7n k\u1ef9 thu\u1eadt<\/span><\/p>\n

+ K\u1ebft lu\u1eadn: m\u00f4 t\u1ea3 h\u00ecnh \u1ea3nh qua soi \u1ed5 b\u1ee5ng n\u1ebfu ch\u01b0a r\u00f5. K\u1ebft lu\u1eadn b\u1ec7nh l\u00fd c\u00f3 t\u00ednh ch\u1ea5t kh\u1eb3ng \u0111\u1ecbnh.<\/span><\/p>\n

6. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/span><\/b><\/h2>\n

6.1. Tai bi\u1ebfn do g\u00e2y t\u00ea<\/span><\/i><\/b><\/h3>\n

– Khi soi \u1ed5 b\u1ee5ng cho tr\u1ebb em n\u00ean g\u00e2y m\u00ea, \u1edf ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 g\u00e2y ti\u1ec1n m\u00ea ho\u1eb7c ch\u1ec9 g\u00e2y t\u00ea t\u00f9y theo t\u1eebng ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 ch\u1ecd ph\u01b0\u01a1ng ph\u00e1p th\u00edch h\u1ee3p.N\u00ean th\u1eed test lidocain tr\u01b0\u1edbc khi g\u00e2y t\u00ea tr\u00e1nh t\u00ecnh tr\u1ea1ng s\u1ed1c do d\u1ecb \u1ee9ng lidocain.<\/span><\/p>\n

– D\u00f9ng m\u1ed9t s\u1ed1 thu\u1ed1c g\u00e2y m\u00ea, ti\u1ec1n m\u00ea c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn gi\u1ea3m oxy m\u00f4, h\u1ea1 huy\u1ebft \u00e1p, n\u1eb7ng c\u00f3 th\u1ec3 ng\u1eebng tim \u0111\u1ed9t ng\u1ed9t – C\u1ea7n ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi, cho th\u1edf oxy v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea5p c\u1ee9u h\u1ed3i ph\u1ee5c tu\u1ea7n ho\u00e0n v\u00e0 h\u00f4 h\u1ea5p.<\/span><\/p>\n

6.2. Tai bi\u1ebfn b\u01a1m h\u01a1i v\u00e0o \u1ed5 b\u1ee5ng<\/span><\/i><\/b><\/h3>\n

– T\u1eafc m\u1ea1ch do kim b\u01a1m h\u01a1i v\u00e0o m\u1ea1ch m\u00e1u n\u00ean ph\u1ea3i th\u1eed kim th\u1eadn tr\u1ecdng.<\/span><\/p>\n

– G\u00e2y tr\u00e0n kh\u00ed d\u01b0\u1edbi da do \u0111\u1ea7u kim n\u1eb1m \u1edf t\u1ed5 ch\u1ee9c ngo\u00e0i ph\u00fac m\u1ea1c, \u00e1p l\u1ef1c b\u00ean trong \u1ed5 b\u1ee5ng l\u1edbn h\u01a1n, ph\u00e2n ra c\u00e1c t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft x\u1ed1p- c\u00f3 th\u1ec3 tr\u00e0n kh\u00ed d\u01b0\u1edbi da c\u1ed5, da b\u1ee5ng, da b\u00ecu.<\/span><\/p>\n

– Ch\u1ecdc th\u1ee7ng t\u1ea1ng r\u1ed7ng trong \u1ed5 b\u1ee5ng: Ru\u1ed9t, d\u1ea1 d\u00e0y<\/span><\/p>\n

– T\u1ee5 m\u00e1u lan r\u1ed9ng \u1edf th\u00e0nh b\u1ee5ng.<\/span><\/p>\n

– Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i c\u1ea5p: Sau sinh thi\u1ebft gan ch\u1ecdc kim qua m\u00e0ng ph\u1ecfi. C\u1ea7n h\u00fat kh\u00ed ra kh\u1ecfi m\u00e0ng ph\u1ed5i, cho th\u1edf oxy v\u00e0 t\u1ee3 tim m\u1ea1ch.<\/span><\/p>\n

– T\u1eafc m\u1ea1ch kh\u00ed n\u1eb7ng nh\u1ea5t . Khi h\u01a1i v\u00e0o m\u1ea1ch m\u00e1u l\u1edbn c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng.<\/span><\/p>\n

6.3. Bi\u1ebfn ch\u1ee9ng trong khi soi<\/span><\/i><\/b><\/h3>\n

– Ch\u1ea3y m\u00e1u do t\u1ed5n th\u01b0\u01a1ng \u1edf th\u00e0nh b\u1ee5ng, m\u1ea1c treo, \u1edf gan l\u00e1ch<\/span><\/p>\n

– Th\u1ee7ng ru\u1ed9t: hay g\u1eb7p th\u1ee7ng \u0111\u1ea1i tr\u00e0ng do ch\u1ecdc kim ho\u1eb7c ch\u1ecdc Troca. C\u1ea7n ph\u1eabu thu\u1eadt s\u1edbm.<\/span><\/p>\n

– Tr\u1ee5y tim m\u1ea1ch: M\u1ea1c n\u1ed1i l\u1edbn cu\u1ed9n v\u00e0o \u1ed1ng soi, ho\u1eb7c m\u1ea1c treo ch\u1eb9t v\u00e0o v\u1ecf Troca khi r\u00fat Troca. C\u1ea7n c\u1ea5p c\u1ee9u s\u1ed1c, h\u1ed3i ph\u1ee5c tu\u1ea7n ho\u00e0n, h\u00f4 h\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

6.4. Tai bi\u1ebfn do sinh thi\u1ebft, ch\u1ecdc d\u00f2 ph\u1ed1i h\u1ee3p khi soi \u1ed5 b\u1ee5ng<\/span><\/i><\/b><\/h3>\n

– Ch\u1ea3y m\u00e1u<\/span><\/p>\n

– Ch\u1ecdc v\u00e0o \u1ed5 m\u1ee7: G\u00e2y vi\u00eam ph\u00fac m\u1ea1c do m\u1ee7 ch\u1ea3y ra \u1ed5 b\u1ee5ng<\/span><\/p>\n

– Ch\u1ecdc v\u00e0o c\u00e1c t\u1ea1ng kh\u00e1c trong \u1ed5 b\u1ee5ng: C\u1ea7n th\u1eadn tr\u1ecdng quan s\u00e1t k\u1ef9 c\u01a1 quan v\u00e0 m\u1ed1i li\u00ean quan c\u01a1 quan \u0111\u1ecbnh l\u00e0m th\u1ee7 thu\u1eadt.<\/span><\/p>\n

– Tai bi\u1ebfn trong ph\u1eabu thu\u1eadt n\u1ed9i soi gi\u1ed1ng tai bi\u1ebfn khi l\u00e0m c\u00e1c th\u1ee7 thu\u1eadt k\u1ec3 tr\u00ean.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa c\u00e1c t\u1ea1ng \u0111\u00f3 \u1edf trong ph\u00fac m\u1ea1c. Qua soi \u1ed5 b\u1ee5ng c\u00f2n c\u00f3 th\u1ec3 sinh thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh. Ph\u01b0\u01a1ng ph\u00e1p soi \u1ed5 […]<\/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 k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...\" \/>\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 k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-04T09:24:23+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20200324_noi-soi-bung-1-300x285.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=\"10 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\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/\",\"name\":\"Quy tr\u00ecnh k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-04T09:24:23+00:00\",\"dateModified\":\"2023-05-04T09:24:23+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c\"},\"description\":\"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Quy tr\u00ecnh k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf\"}]},{\"@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 k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec","description":"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...","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 k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec","og_description":"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/","og_site_name":"Vinmec","article_published_time":"2023-05-04T09:24:23+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/20200324_noi-soi-bung-1-300x285.jpg"}],"author":"mitkaka mitkaka","twitter_card":"summary_large_image","twitter_misc":{"Written by":"mitkaka mitkaka","Est. reading time":"10 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/","name":"Quy tr\u00ecnh k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-04T09:24:23+00:00","dateModified":"2023-05-04T09:24:23+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/afa83c897f17e0b5f69265f912e0572c"},"description":"N\u1ed9i soi \u1ed5 b\u1ee5ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 tr\u1ef1c ti\u1ebfp v\u1ec1 h\u00ecnh th\u00e1i m\u1ed9t s\u1ed1 t\u1ea1ng trong \u1ed5 b\u1ee5ng, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u00e0 m\u1ed1i li\u00ean quan gi\u1eefa...","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/quy-trinh-ky-thuat-noi-soi-o-bung-theo-bo-y-te\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Quy tr\u00ecnh k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng theo B\u1ed9 Y t\u1ebf"}]},{"@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\/31443"}],"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=31443"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/31443\/revisions"}],"predecessor-version":[{"id":31623,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/31443\/revisions\/31623"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=31443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=31443"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=31443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}