{"id":35912,"date":"2023-06-30T16:12:17","date_gmt":"2023-06-30T09:12:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35912"},"modified":"2023-06-30T16:42:00","modified_gmt":"2023-06-30T09:42:00","slug":"thoat-vi-ben-nguyen-nhan-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/30\/thoat-vi-ben-nguyen-nhan-chan-doan-va-dieu-tri\/","title":{"rendered":"Tho\u00e1t v\u1ecb b\u1eb9n nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Tho\u00e1t v\u1ecb b\u1eb9n (inguinal hernia) l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c t\u1ea1ng b\u00ean trong\u00a0 <\/strong><strong>\u1ed5 ph\u00fac m\u1ea1c \u0111i ra ngo\u00e0i\u00a0 qua \u0111i\u1ec3m y\u1ebfu \u1edf th\u00e0nh sau\u00a0 \u1ed1ng b\u1eb9n. \u1ed0ng b\u1eb9n l\u00e0 m\u1ed9t khe n\u1eb1m gi\u1eefa c\u00e1c l\u1edbp c\u00e2n c\u01a1 c\u1ee7a th\u00e0nh b\u1ee5ng, \u0111i t\u1eeb l\u1ed7 b\u1eb9n s\u00e2u \u0111\u1ebfn l\u1ed7 b\u1eb9n n\u00f4ng, d\u00e0i kho\u1ea3ng 4 \u2013 6 cm; ch\u1ebfch t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi, v\u00e0o trong v\u00e0 ra tr\u01b0\u1edbc.\u00a0 \u1ede nam, \u1ed1ng b\u1eb9n l\u00e0 \u0111\u01b0\u1eddng \u0111i c\u1ee7a tinh ho\u00e0n t\u1eeb \u1ed5 b\u1ee5ng xu\u1ed1ng b\u00ecu trong l\u00fac ph\u00f4i thai. Khi tinh ho\u00e0n \u0111\u00e3 xu\u1ed1ng b\u00ecu, \u1ed1ng b\u1eb9n s\u1ebd ch\u1ee9a th\u1eebng tinh. \u1ede n\u1eef, trong \u1ed1ng b\u1eb9n c\u00f3 d\u00e2y ch\u1eb1ng tr\u00f2n.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35913 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/84f431b9-4f74-4d91-bd0e-000476073cda-300x300.jpg\" alt=\"thoat-vi-ben\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/84f431b9-4f74-4d91-bd0e-000476073cda-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/84f431b9-4f74-4d91-bd0e-000476073cda-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/84f431b9-4f74-4d91-bd0e-000476073cda-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/84f431b9-4f74-4d91-bd0e-000476073cda.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/h2>\n<p><strong>1.1 Gi\u1ea3i ph\u1eabu v\u00f9ng b\u1eb9n &#8211; \u1ed1ng \u0111\u00f9i <\/strong><\/p>\n<ul>\n<li>V\u00f9ng b\u1eb9n-\u0111\u00f9i l\u00e0 n\u01a1i ti\u1ebfp n\u1ed1i gi\u1eefa b\u1ee5ng v\u00e0 \u0111\u00f9i<\/li>\n<li>Tho\u00e1t v\u1ecb v\u00f9ng b\u1eb9n-\u0111\u00f9i th\u1ef1c ch\u1ea5t l\u00e0 tho\u00e1t v\u1ecb qua l\u1ed7 c\u01a1 l\u01b0\u1ee3c (LCL), trong \u0111\u00f3 \u1ed1ng b\u1eb9n (OB) v\u00e0 \u1ed1ng \u0111\u00f9i (O\u0110) \u0111\u1ec1u l\u00e0 th\u00e0nh ph\u1ea7n c\u1ee7a LCL.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>\u1ed0ng b\u1eb9n (OB) v\u00e0 tho\u00e1t v\u1ecb b\u1eb9n gi\u00e1n ti\u1ebfp<\/strong><\/p>\n<ul>\n<li>OB th\u1ef1c ch\u1ea5t l\u00e0 1 khe n\u1eb1m gi\u1eefa c\u00e1c c\u01a1 c\u1ee7a th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc d\u01b0\u1edbi, \u0111i theo h\u01b0\u1edbng t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi v\u00e0 t\u1eeb ngo\u00e0i v\u00e0o trong (d\u00e0i 3-5cm)<\/li>\n<li>OB ch\u1ee9a th\u1eebng tinh (\u1edf nam) ho\u1eb7c d\u00e2y ch\u1eb1ng tr\u00f2n (\u1edf n\u1eef)<\/li>\n<li>OB nh\u01b0 1 \u1ed1ng tr\u1ee5 c\u00f3 4 th\u00e0nh (tr\u00ean \u2013 d\u01b0\u1edbi \u2013 tr\u01b0\u1edbc \u2013 sau) v\u00e0 2 l\u1ed7 (l\u1ed7 b\u1eb9n s\u00e2u + l\u1ed7 b\u1eb9n n\u00f4ng):<\/li>\n<\/ul>\n<table width=\"782\">\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"782\"><strong>(Th\u00e0nh tr\u00ean)<\/strong><\/p>\n<p>B\u1edd d\u01b0\u1edbi c\u01a1 ch\u00e9o b\u1ee5ng trong + b\u1edd d\u01b0\u1edbi c\u00e2n c\u01a1 ngang b\u1ee5ng<\/td>\n<\/tr>\n<tr>\n<td width=\"315\"><strong>(Th\u00e0nh tr\u01b0\u1edbc)<\/strong><\/p>\n<p>ph\u1ea7n d\u01b0\u1edbi c\u1ee7a<\/p>\n<p>c\u00e2n c\u01a1 ch\u00e9o b\u1ee5ng ngo\u00e0i<\/td>\n<td width=\"467\"><strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (Th\u00e0nh sau)<\/strong><\/p>\n<p>m\u1ea1c ngang<\/p>\n<p>+ 1 \u00edt th\u1edb c\u00e2n c\u01a1 ngang b\u1ee5ng (ph\u00eda trong)<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"782\"><strong>(th\u00e0nh d\u01b0\u1edbi)<\/strong><\/p>\n<p>D\u00e2y ch\u1eb1ng b\u1eb9n + d\u1ea3i ch\u1eadu mu<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>L\u1ed7 b\u1eb9n s\u00e2u (\u1edf tr\u00ean)<\/strong>\n<ul>\n<li>L\u00e0 ch\u1ed7 l\u00f5m c\u1ee7a m\u1ea1c ngang, n\u01a1i th\u1eebng tinh b\u1eaft \u0111\u1ea7u chui qua.<\/li>\n<li>V\u1ecb tr\u00ed: ph\u00eda tr\u00ean d\u00e2y ch\u1eb1ng b\u1eb9n 1,5 \u2013 2 cm,<\/li>\n<li>C\u1ea5u t\u1ea1o:\n<ul>\n<li><em>ph\u00eda tr\u00ean ngo\u00e0i<\/em> \u0111\u01b0\u1ee3c bao b\u1edfi c\u00e2n c\u01a1 ch\u00e9o b\u1ee5ng trong + c\u01a1 ngang b\u1ee5ng<\/li>\n<li><em>ph\u00eda d\u01b0\u1edbi<\/em> l\u00e0 d\u1ea3i ch\u1eadu mu<\/li>\n<li><em>ph\u00eda trong<\/em> l\u00e0 \u0110M th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi + d\u00e2y ch\u1eb1ng Hasselbach.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><strong>L\u1ed7 b\u1eb9n n\u00f4ng (\u1edf d\u01b0\u1edbi)<\/strong>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>L\u00e0 l\u1ed7 n\u1eb1m gi\u1eefa 2 tr\u1ee5 ngo\u00e0i v\u00e0 tr\u1ee5 trong c\u1ee7a c\u00e2n c\u01a1 ch\u00e9o b\u1ee5ng ngo\u00e0i, n\u01a1i th\u1eebng tinh tho\u00e1t ra<\/li>\n<li>V\u1ecb tr\u00ed: n\u1eb1m s\u00e1t d\u01b0\u1edbi da, ph\u00eda tr\u00ean x\u01b0\u01a1ng mu<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>H\u1ed1 b\u1eb9n<\/strong><\/li>\n<\/ul>\n<p>C\u00f3 3 h\u1ed1 b\u1eb9n: h\u1ed1 b\u1eb9n ngo\u00e0i \u2013 trung gian \u2013 tr\u00ean b\u00e0ng quang, t\u1ea5t c\u1ea3 \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean b\u1edfi 3 n\u1ebfp r\u1ed1n (ngo\u00e0i \u2013 trung gan \u2013 gi\u1eefa)<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong><em>H\u1ed1 b\u1eb9n ngo\u00e0i<\/em><\/strong>: \u1edf ph\u00eda ngo\u00e0i c\u1ee7a n\u1ebfp r\u1ed1n ngo\u00e0i (\u0111\u1ed9ng m\u1ea1ch th\u01b0\u1ee3ng v\u1ecb d\u01b0\u1edbi), n\u01a1i t\u01b0\u01a1ng \u1ee9ng v\u1edbi l\u1ed7 b\u1eb9n s\u00e2u<\/li>\n<li><strong><em>H\u1ed1 b\u1eb9n trung gian<\/em><\/strong>: n\u1eb1m gi\u1eefa n\u1ebfp r\u1ed1n ngo\u00e0i v\u00e0 n\u1ebfp r\u1ed1n trung gian, ch\u1ec9 m\u1ea1c ngang ph\u1ee7 n\u00ean l\u00e0 n\u01a1i y\u1ebfu nh\u1ea5t c\u1ee7a th\u00e0nh b\u1ee5ng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Tho\u00e1t v\u1ecb b\u1eb9n tr\u1ef1c ti\u1ebfp v\u00e0 tho\u00e1t v\u1ecb \u0111\u00f9i<\/strong><\/p>\n<ul>\n<li><strong><em>H\u1ed1 b\u1eb9n tr\u00ean b\u00e0ng quang<\/em><\/strong>: n\u1eb1m gi\u1eefa n\u1ebfp r\u1ed1n trung gian v\u00e0 n\u1ebfp r\u1ed1n gi\u1eefa, c\u00f3 c\u01a1 th\u1eb3ng b\u1ee5ng bao ph\u1ee7 n\u00ean r\u1ea5t ch\u1eafc, kh\u00f3 x\u1ea3y ra tho\u00e1t v\u1ecb<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u1ed0ng \u0111\u00f9i (O\u0110)<\/strong><\/p>\n<ul>\n<li>O\u0110 l\u00e0 1 khoang \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n b\u1edfi:\n<ul>\n<li>v\u00f2ng \u0111\u00f9i (ph\u00eda tr\u00ean) v\u00e0 m\u1ea1c s\u00e0ng n\u01a1i c\u00f3 l\u1ed7 TM hi\u1ec3n l\u1edbn (ph\u00eda d\u01b0\u1edbi)<\/li>\n<li>d\u00e2y ch\u1eb1ng b\u1eb9n (ph\u00eda tr\u01b0\u1edbc) v\u00e0 d\u00e2y ch\u1eb1ng Cooper + m\u00e0o l\u01b0\u1ee3c x\u01b0\u01a1ng mu (ph\u00eda sau)<\/li>\n<li>TM \u0111\u00f9i (ph\u00eda ngo\u00e0i) v\u00e0 d\u00e2y ch\u1eb1ngkhuy\u1ebft Gimbernat (ph\u00eda trong)<\/li>\n<\/ul>\n<\/li>\n<li>T\u00fai tho\u00e1t v\u1ecb qua O\u0110 r\u1ed3i \u0111i ra m\u1ea1c \u0111\u00f9i, n\u01a1i \u0111\u00e2y m\u1ea1c c\u00f3 nhi\u1ec1u l\u1ed7 trong \u0111\u00f3 c\u00f3 l\u1ed7 \u0111\u1ec3 TM hi\u1ec3n l\u1edbn chui qua.<\/li>\n<\/ul>\n<p><strong>1.2 Nguy\u00ean nh\u00e2n tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/p>\n<p>B\u1ea8M SINH: T\u1ed3n t\u1ea1i \u1ed1ng ph\u00fac tinh m\u1ea1c<\/p>\n<p>M\u1eaeC PH\u1ea2I<\/p>\n<ul>\n<li>Suy y\u1ebfu th\u00e0nh b\u1ee5ng<\/li>\n<li>Tu\u1ed5i gi\u00e0<\/li>\n<li>B\u1ec7nh l\u00e0m m\u1ea5t collagen trong m\u00f4<\/li>\n<li>Suy dinh d\u01b0\u1ee1ng.<\/li>\n<li>V\u1ebft m\u1ed5 v\u00f9ng b\u1eb9n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n<p>C\u01a1 ch\u1ebf do s\u1ef1 t\u0103ng \u00e1p l\u1ef1c trong \u1ed5 b\u1ee5ng k\u00e9o d\u00e0i<\/p>\n<p>&#8211; T\u00e1o b\u00f3n kinh ni\u00ean v\u00f4 c\u0103n ho\u1eb7c do u \u0111\u1ea1i tr\u00e0ng<\/p>\n<p>&#8211; Ti\u1ec3u kh\u00f3 do b\u01b0\u1edbu\u00a0 l\u00e0nh ti\u1ec1n li\u1ec7t tuy\u1ebfn, h\u1eb9p ni\u1ec7u \u0111\u1ea1o<\/p>\n<p>&#8211; Ho k\u00e9o d\u00e0i do vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n<\/p>\n<p>&#8211; C\u00f3 thai, c\u1ed5 tr\u01b0\u1edbng, kh\u1ed1i u l\u1edbn trong b\u1ee5ng<\/p>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p><strong>2.1 L\u00e2m s\u00e0ng<\/strong><\/p>\n<p><strong>\u00a0\u00a0\u00a0\u00a0 <em>C\u01a1 n\u0103ng<\/em><\/strong><\/p>\n<ul>\n<li>Kh\u1ed1i ph\u1ed3ng (KP) v\u00f9ng b\u1eb9n xu\u1ea5t hi\u1ec7n khi r\u1eb7n\/ n\u00e2ng v\u1eadt n\u1eb7ng \u00b1 \u0111au<\/li>\n<li>\u0110au c\u00f3 th\u1ec3 lan xu\u1ed1ng b\u00ecu (tho\u00e1t v\u1ecb b\u1eb9n gi\u00e1n ti\u1ebfp)<\/li>\n<\/ul>\n<p><strong><em>Th\u1ef1c th\u1ec3<\/em><\/strong><\/p>\n<ul>\n<li>Nh\u00ecn\/ s\u1edd th\u1ea5y kh\u1ed1i ph\u1ed3ng \u1edf v\u00f9ng b\u1eb9n khi b\u1ec7nh nh\u00e2n \u0111\u1ee9ng, ho r\u1eb7n. Bi\u1ebfn m\u1ea5t khi b\u1ec7nh nh\u00e2n (BN) n\u1eb1m, d\u00f9ng tay \u0111\u1ea9y v\u00e0o.<\/li>\n<li>KP d\u1ea1ng h\u00ecnh tr\u00f2n c\u00e2n \u0111\u1ed1i, c\u1ea1nh x\u01b0\u01a1ng mu, d\u1ec5 t\u1ef1 x\u1eb9p \ud83e\udc6a th\u01b0\u1eddng l\u00e0 TV tr\u1ef1c ti\u1ebfp; d\u1ea1ng h\u00ecnh elip, <em>kh\u00f3 t\u1ef1 x\u1eb9p h\u01a1n <\/em><em>\ud83e\udc6a<\/em><em> th\u01b0\u1eddng l\u00e0 TV gi\u00e1n ti\u1ebfp<\/em><\/li>\n<li><em>KP xu\u1ed1ng t\u1eadn b\u00ecu <\/em><em>\ud83e\udc6a<\/em><em> ch\u1eafc ch\u1eafn TV gi\u00e1n ti\u1ebfp<\/em><\/li>\n<li>Nghi\u1ec7m ph\u00e1p ch\u1ea1m ng\u00f3n: th\u0103m kh\u00e1m \u1ed1ng b\u1eb9n + y\u00eau c\u1ea7u BN ho r\u1eb7n\n<ul>\n<li>KP tr\u1ed3i ra ch\u1ea1m l\u00f2ng ng\u00f3n tay \ud83e\udc6a TV tr\u1ef1c ti\u1ebfp<\/li>\n<li><em>KP ch\u1ea1m \u0111\u1ea7u ng\u00f3n tay <\/em><em>\ud83e\udc6a<\/em><em> TV gi\u00e1n ti\u1ebfp<\/em><\/li>\n<\/ul>\n<\/li>\n<li>Nghi\u1ec7m ph\u00e1p ch\u1eb9n l\u1ed7 b\u1eb9n s\u00e2u: d\u00f9ng tay ch\u1eb9n l\u1ed7 b\u1eb9n s\u00e2u + BN ho\n<ul>\n<li>KP ti\u1ebfp t\u1ee5c \u0111i xu\u1ed1ng \ud83e\udc6a TV tr\u1ef1c ti\u1ebfp<\/li>\n<li><em>KP ko xu\u1ed1ng \u0111\u01b0\u1ee3c n\u1eefa <\/em><em>\ud83e\udc6a<\/em><em> TV gi\u00e1n ti\u1ebfp<\/em><\/li>\n<\/ul>\n<\/li>\n<li>Tho\u00e1t v\u1ecb b\u00ecu l\u1edbn \u1edf ng\u01b0\u1eddi gi\u00e0\/ tho\u00e1t v\u1ecb l\u1edbn ko th\u1ec3 \u0111\u1ea9y x\u1eb9p ho\u00e0n to\u00e0n \ud83e\udc6a c\u1ea7n nghi ng\u1edd TV tr\u01b0\u1ee3t (d\u1ea1ng \u0111\u1eb7c bi\u1ec7t) l\u00e0 t\u1ea1ng tho\u00e1t v\u1ecb (th\u01b0\u1eddng l\u00e0 \u0111\u1ea1i tr\u00e0ng, b\u00e0ng quang) \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 1 ph\u1ea7n c\u1ee7a th\u00e0nh t\u00fai TV). Nh\u1eadn di\u1ec7n s\u1edbm TV tr\u01b0\u1ee3t r\u1ea5t quan tr\u1ecdng v\u00ec n\u1ebfu ko bi\u1ebft th\u00ec s\u1ebd d\u1ec5 ph\u1ea1m v\u00e0o t\u1ea1ng tho\u00e1t v\u1ecb l\u00fac c\u1eaft m\u1edf t\u00fai TV.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>C\u1eadn l\u00e2m s\u00e0ng: <\/strong>ch\u1ec9 d\u00f9ng khi ko r\u00f5 kh\u1ed1i tho\u00e1t v\u1ecb do qu\u00e1 nh\u1ecf, g\u1ed3m <strong><em>Ch\u1ee5p tho\u00e1t v\u1ecb c\u1ea3n quang<\/em><\/strong> v\u00e0 <strong><em>CT-scan b\u1ee5ng<\/em><\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n:<\/strong><\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong>: ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng<\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong>:<\/p>\n<ul>\n<li>B\u1ec7nh l\u00fd kh\u00e1c c\u1ee7a \u1ed1ng b\u1eb9n: U nang th\u1eebng tinh, tr\u00e0n d\u1ecbch t\u1ecbnh m\u1ea1c: \u1ea4n KP kh\u00f4ng x\u1eb9p + Soi \u0111\u00e8n\/ Si\u00eau \u00e2m th\u1ea5y b\u00ean trong ch\u1ee9a d\u1ecbch<\/li>\n<li>B\u1ec7nh l\u00fd c\u1ee7a tinh ho\u00e0n: U \u2013 vi\u00eam &#8211; xo\u1eafn tinh ho\u00e0n<\/li>\n<li>D\u00e3n t\u0129nh m\u1ea1ch th\u1eebng tinh \ud83e\udc6a ph\u1ed3ng g\u1ed1c b\u00ecu d\u01b0\u1edbi d\u1ea1ng b\u00fai ngo\u1eb1n ngh\u00e8o<\/li>\n<\/ul>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n\u00a0 y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong>:<\/p>\n<ul>\n<li>T\u0103ng \u00e1p l\u1ef1c \u1ed5 b\u1ee5ng (do v\u1eadn \u0111\u1ed9ng m\u1ea1nh, c\u00e1c b\u1ec7nh g\u00e2y ho r\u1eb7n k\u00e9o d\u00e0i, c\u1ed5 tr\u01b0\u1edbng, kh\u1ed1i u \u1ed5 b\u1ee5ng\u2026)<\/li>\n<li>C\u01a1 \u0111\u1ecba x\u1ea5u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c m\u1ed5 (gi\u00e0 y\u1ebfu, suy ki\u1ec7t, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh tim m\u1ea1ch, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u\u2026)<\/li>\n<\/ul>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng:<\/strong><\/p>\n<ul>\n<li><strong><em>Tho\u00e1t v\u1ecb ngh\u1eb9t<\/em><\/strong> (t\u1ea1ng tho\u00e1t v\u1ecb b\u1ecb si\u1ebft ch\u1eb7t \u1edf c\u1ed5 t\u00fai): s\u1edd th\u1ea5y 1 kh\u1ed1i ch\u1eafc v\u00f9ng b\u1eb9n + \u0111au + ko \u0111\u1ea9y x\u1eb9p \u0111\u01b0\u1ee3c \u00b1 h\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t. C\u1ea7n m\u1ed5 c\u1ea5p c\u1ee9u \u0111\u1ec3 tr\u00e1nh ho\u1ea1i t\u1eed ru\u1ed9t<\/li>\n<li><strong><em>Tho\u00e1t v\u1ecb k\u1eb9t<\/em><\/strong> (t\u1ea1ng TV d\u00ednh v\u00e0o nhau ho\u1eb7c v\u00e0o t\u00fai TV): ko \u0111\u1ea9y kh\u1ed1i TV l\u00ean \u0111\u01b0\u1ee3c + ko \u0111au + ko t\u1eafc ru\u1ed9t<\/li>\n<li><strong><em>Ch\u1ea5n th\u01b0\u01a1ng tho\u00e1t v\u1ecb<\/em><\/strong> (t\u1ea1ng TV b\u1ecb v\u1ee1, gi\u1eadp): th\u01b0\u1eddng g\u1eb7p trong kh\u1ed1i TV l\u1edbn v\u00e0 xu\u1ed1ng t\u01b0\u01a1ng \u0111\u1ed1i th\u01b0\u1eddng xuy\u00ean.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>3. \u0110i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n\u00a0<\/strong><\/h2>\n<p>Tr\u1ebb em: c\u00f3 th\u1ec3 ch\u1edd 1 th\u1eddi gian cho \u1ed1ng ph\u00fac tinh m\u1ea1c t\u1ef1 b\u00edt<\/p>\n<p>Ng\u01b0\u1eddi l\u1edbn: ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p duy nh\u1ea5t<\/p>\n<table width=\"829\">\n<tbody>\n<tr>\n<td width=\"414\"><strong>Tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/td>\n<td width=\"414\"><strong>Tho\u00e1t v\u1ecb \u0111\u00f9i<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"414\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ph\u1eabu thu\u1eadt: ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng b\u1eb1ng m\u00f4 t\u1ef1 th\u00e2n\/ m\u1ea3nh gh\u00e9p nh\u00e2n t\u1ea1o.<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M\u1ed5 h\u1edf\/ n\u1ed9i soi<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lo\u1ea1i b\u1ecf, gi\u1ea3m thi\u1ec3u c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y t\u0103ng \u00e1p l\u1ef1c \u1ed5 b\u1ee5ng<\/td>\n<td width=\"414\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ph\u1eabu thu\u1eadt: kh\u00e2u b\u00edt l\u1ed7 \u0111\u00f9i b\u1eb1ng m\u00f4 t\u1ef1 th\u00e2n\/ n\u00fat ch\u1eadn l\u1ed7 \u0111\u00f9i b\u1eb1ng m\u1ea3nh gh\u00e9p nh\u00e2n t\u1ea1o.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Xem th\u00eam : <a href=\"https:\/\/www.vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/thoat-vi-dui-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/\">Tho\u00e1t v\u1ecb \u0111\u00f9i: nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng , ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/a><\/p>\n<p><strong>Tags: #Ngo\u1ea1i khoa,#Tho\u00e1t v\u1ecb b\u1eb9n,#Gi\u1ea3i ph\u1eabu \u1ed1ng b\u1eb9n,#\u0110i\u1ec1tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tho\u00e1t v\u1ecb b\u1eb9n (inguinal hernia) l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c t\u1ea1ng b\u00ean trong\u00a0 \u1ed5 ph\u00fac m\u1ea1c \u0111i ra ngo\u00e0i\u00a0 qua \u0111i\u1ec3m y\u1ebfu \u1edf th\u00e0nh sau\u00a0 \u1ed1ng b\u1eb9n. \u1ed0ng b\u1eb9n l\u00e0 m\u1ed9t khe n\u1eb1m gi\u1eefa c\u00e1c l\u1edbp c\u00e2n c\u01a1 c\u1ee7a th\u00e0nh b\u1ee5ng, \u0111i t\u1eeb l\u1ed7 b\u1eb9n s\u00e2u \u0111\u1ebfn l\u1ed7 b\u1eb9n n\u00f4ng, d\u00e0i kho\u1ea3ng 4 \u2013 6 cm; [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[18,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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