{"id":33316,"date":"2023-05-13T20:06:49","date_gmt":"2023-05-13T13:06:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33316"},"modified":"2023-05-13T20:06:49","modified_gmt":"2023-05-13T13:06:49","slug":"thu-thuat-phong-be-va-huy-than-kinh-de-giam-dau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/thu-thuat-phong-be-va-huy-than-kinh-de-giam-dau\/","title":{"rendered":"Th\u1ee7 thu\u1eadt phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh \u0111\u1ec3 gi\u1ea3m \u0111au"},"content":{"rendered":"

Phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin chi ti\u1ebft v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/span><\/p>\n

\"phong
Phong b\u1ebf th\u1ea7n kinh<\/figcaption><\/figure>\n

1. Phong b\u1ebf (Nerve block)<\/span><\/h2>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt can thi\u1ec7p \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00edn hi\u1ec7u \u0111au \u0111\u01b0\u1ee3c truy\u1ec1n t\u1eeb c\u00e1c d\u00e2y th\u1ea7n kinh \u0111\u1ebfn n\u00e3o b\u1ed9. Phong b\u1ebf th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0 c\u00f3 \u0111au do ung th\u01b0 lan t\u1ecfa \u0111\u1ebfn c\u00e1c v\u00f9ng kh\u00e1c trong c\u01a1 th\u1ec3. Phong b\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch ti\u00eam thu\u1ed1c g\u00e2y t\u00ea tr\u1ef1c ti\u1ebfp v\u00e0o c\u00e1c th\u1ea7n kinh ho\u1eb7c b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb h\u00ecnh \u1ea3nh \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn \u0111\u01b0a kim ti\u00eam v\u00e0o v\u1ecb tr\u00ed ch\u00ednh x\u00e1c.<\/span><\/p>\n

2. Hu\u1ef7 th\u1ea7n kinh (Neurolysis)<\/span><\/h2>\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt can thi\u1ec7p \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c th\u1ea7n kinh \u0111au b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t h\u00f3a h\u1ecdc ho\u1eb7c nhi\u1ec7t \u0111\u1ed9 cao. Hu\u1ef7 th\u1ea7n kinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho c\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0 c\u00f3 \u0111au do ung th\u01b0 lan t\u1ecfa \u0111\u1ebfn c\u00e1c th\u1ea7n kinh c\u1ee5c b\u1ed9. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch ti\u00eam thu\u1ed1c g\u00e2y \u0111\u00f4ng m\u00e1u ho\u1eb7c g\u00e2y t\u00ea tr\u1ef1c ti\u1ebfp v\u00e0o c\u00e1c th\u1ea7n kinh ho\u1eb7c b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb h\u00ecnh \u1ea3nh \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn \u0111\u01b0a kim ti\u00eam v\u00e0o v\u1ecb tr\u00ed ch\u00ednh x\u00e1c.<\/span><\/p>\n

3. Ph\u00e2n bi\u1ec7t\u00a0<\/span><\/h2>\n

Th\u00eam v\u00e0o nh\u1eefng g\u00ec \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh \u0111\u1ec1u l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0, nh\u01b0ng ch\u00fang c\u00f3 nh\u1eefng \u0111i\u1ec3m kh\u00e1c nhau nh\u01b0 sau:<\/span><\/p>\n

    \n
  • M\u1ee5c \u0111\u00edch s\u1eed d\u1ee5ng<\/strong>: Phong b\u1ebf \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ch\u1eb7n truy\u1ec1n t\u00edn hi\u1ec7u \u0111au t\u1eeb d\u00e2y th\u1ea7n kinh \u0111\u1ebfn n\u00e3o b\u1ed9. Trong khi \u0111\u00f3, hu\u1ef7 th\u1ea7n kinh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c th\u1ea7n kinh \u0111au g\u00e2y ra \u0111au cho b\u1ec7nh nh\u00e2n.<\/span><\/li>\n
  • Th\u1eddi gian gi\u1ea3m \u0111au<\/strong>: Th\u1eddi gian gi\u1ea3m \u0111au khi s\u1eed d\u1ee5ng phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh c\u00f3 th\u1ec3 kh\u00e1c nhau. Phong b\u1ebf c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au trong m\u1ed9t th\u1eddi gian ng\u1eafn h\u01a1n so v\u1edbi hu\u1ef7 th\u1ea7n kinh. Tuy nhi\u00ean, phong b\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nhi\u1ec1u l\u1ea7n \u0111\u1ec3 gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i h\u01a1n.<\/span><\/li>\n
  • S\u1ef1 l\u1ef1a ch\u1ecdn<\/strong>: Vi\u1ec7c l\u1ef1a ch\u1ecdn gi\u1eefa phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng v\u00e0 v\u1ecb tr\u00ed c\u1ee7a \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng phong b\u1ebf, trong khi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng hu\u1ef7 th\u1ea7n kinh.<\/span><\/li>\n<\/ul>\n

    C\u1ea3 phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh \u0111\u1ec1u l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. Tuy nhi\u00ean, tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o, b\u1ec7nh nh\u00e2n n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u c\u00e1c t\u00f9y ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho tr\u01b0\u1eddng h\u1ee3p c\u1ee7a h\u1ecd.<\/span><\/p>\n

    4. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p<\/span><\/h2>\n

    C\u1ea3 phong b\u1ebf v\u00e0 h\u1ee7y th\u1ea7n kinh \u0111\u1ec1u l\u00e0 c\u00e1c th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 t\u00ea li\u1ec7t t\u1ea1i m\u1ed9t v\u00f9ng c\u01a1 th\u1ec3 c\u1ee5 th\u1ec3. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt n\u00e0o, ch\u00fang c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a phong b\u1ebf v\u00e0 h\u1ee7y th\u1ea7n kinh v\u00e0 c\u00e1ch qu\u1ea3n l\u00fd ch\u00fang:<\/span><\/p>\n

    4.1 T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a phong b\u1ebf<\/strong><\/h3>\n
      \n
    • \u0110au ho\u1eb7c kh\u00f3 ch\u1ecbu t\u1ea1i v\u1ecb tr\u00ed phong b\u1ebf: \u0110\u1ec3 gi\u1ea3m \u0111au v\u00e0 s\u01b0ng, c\u00f3 th\u1ec3 \u00e1p m\u1ed9t g\u00f3i \u0111\u00e1 l\u00ean v\u00f9ng \u0111\u00f3 trong v\u00e0i ng\u00e0y sau ph\u1eabu thu\u1eadt v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au theo ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/span><\/li>\n
    • T\u00ea ho\u1eb7c y\u1ebfu: T\u00ea ho\u1eb7c y\u1ebfu c\u00f3 th\u1ec3 x\u1ea3y ra t\u1ea1i v\u00f9ng \u0111\u01b0\u1ee3c phong b\u1ebf v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y. B\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/span><\/li>\n
    • Nhi\u1ec5m tr\u00f9ng: Nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u00f9ng phong b\u1ebf c\u0169ng l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra, nh\u01b0ng r\u1ea5t hi\u1ebfm. B\u1ec7nh nh\u00e2n n\u00ean theo d\u00f5i v\u1ebft m\u1ed5 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ecf, s\u01b0ng ho\u1eb7c c\u00f3 d\u1ecbch ra. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0y x\u1ea3y ra, h\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n ngay l\u1eadp t\u1ee9c.<\/span><\/li>\n<\/ul>\n

      4.2 T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a h\u1ee7y th\u1ea7n kinh kh\u00e1c v\u1edbi phong b\u1ebf<\/strong><\/h3>\n
        \n
      • \u0110au ho\u1eb7c kh\u00f3 ch\u1ecbu t\u1ea1i v\u1ecb tr\u00ed ti\u00eam: C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng s\u1ebd gi\u1ea3m d\u1ea7n sau v\u00e0i ng\u00e0y.<\/span><\/li>\n
      • T\u00ea ho\u1eb7c y\u1ebfu: T\u00ea ho\u1eb7c y\u1ebfu c\u00f3 th\u1ec3 x\u1ea3y ra t\u1ea1i v\u00f9ng \u0111\u01b0\u1ee3c h\u1ee7y th\u1ea7n kinh v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y. B\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/span><\/li>\n
      • Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong h\u1ee7y th\u1ea7n kinh l\u00e0 r\u1ea5t hi\u1ebfm. Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0 ph\u00e1t ban, kh\u00f3 th\u1edf ho\u1eb7c s\u01b0ng m\u1eb7t, m\u00f4i ho\u1eb7c l\u01b0\u1ee1i, h\u1ecd n\u00ean li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c.<\/span><\/li>\n
      • Nhi\u1ec5m tr\u00f9ng: Nhi\u1ec5m tr\u00f9ng c\u0169ng l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra sau h\u1ee7y th\u1ea7n kinh. B\u1ec7nh nh\u00e2n n\u00ean theo d\u00f5i v\u00f9ng ti\u00eam \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng v\u00e0 li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o.<\/span><\/li>\n
      • T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m huy\u1ebft kh\u1ed1i, t\u1ed5n th\u01b0\u01a1ng t\u1ea1i v\u00f9ng ti\u00eam, ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng t\u1ea1i v\u00f9ng \u0111\u01b0\u1ee3c h\u1ee7y th\u1ea7n kinh.<\/span><\/li>\n<\/ul>\n

        \u0110\u1ec3 tr\u00e1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a phong b\u1ebf v\u00e0 h\u1ee7y th\u1ea7n kinh, b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng k\u1ef9 c\u00e0ng. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t k\u1ef3 lo ng\u1ea1i n\u00e0o v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a th\u1ee7 thu\u1eadt, h\u1ecd n\u00ean li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

        5. K\u1ebft lu\u1eadn\u00a0<\/span><\/h2>\n

        C\u1ea3 phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh \u0111\u1ec1u c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n ung th\u01b0. Tuy nhi\u00ean, nh\u01b0 b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p n\u00e0o kh\u00e1c, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1ea5t \u0111\u1ecbnh v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c chuy\u00ean gia c\u00f3 kinh nghi\u1ec7m. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u0169ng n\u00ean th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 t\u00ecm hi\u1ec3u c\u00e1c t\u00f9y ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho tr\u01b0\u1eddng h\u1ee3p c\u1ee7a h\u1ecd.<\/span><\/p>\n

        Ngu\u1ed3n Pubmed<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

        Phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin chi ti\u1ebft v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. 1. Phong b\u1ebf (Nerve block) Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt can thi\u1ec7p \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00edn hi\u1ec7u […]<\/p>\n","protected":false},"author":57,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[],"yoast_head":"\nTh\u1ee7 thu\u1eadt phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh \u0111\u1ec3 gi\u1ea3m \u0111au - Vinmec<\/title>\n<meta name=\"description\" content=\"Phong b\u1ebf v\u00e0 hu\u1ef7 th\u1ea7n kinh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. 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