{"id":233,"date":"2021-08-15T04:21:45","date_gmt":"2021-08-15T04:21:45","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=233"},"modified":"2021-08-15T14:08:44","modified_gmt":"2021-08-15T14:08:44","slug":"thoat-vi-ben","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-ben\/","title":{"rendered":"Tho\u00e1t v\u1ecb b\u1eb9n"},"content":{"rendered":"\n<h2><strong>Th\u1ebf n\u00e0o l\u00e0 tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/h2>\n\n\n\n<ul><li>Trong th\u1eddi k\u00ec b\u00e0o thai, v\u00e0o kho\u1ea3ng th\u00e1ng th\u1ee9 7, khi tinh ho\u00e0n di chuy\u1ec3n xu\u1ed1ng b\u00ecu s\u1ebd k\u00e9o theo n\u1ebfp m\u00e0ng b\u1ee5ng t\u1ea1o th\u00e0nh m\u1ed9t t\u00fai d\u1ea1ng \u1ed1ng g\u1ecdi l\u00e0 \u1ed1ng ph\u00fac tinh m\u1ea1c.<\/li><li>B\u00ecnh th\u01b0\u1eddng khi tr\u1ebb sinh ra th\u00ec \u1ed1ng n\u00e0y \u0111\u00f3ng l\u1ea1i. N\u1ebfu \u1ed1ng n\u00e0y kh\u00f4ng \u0111\u00f3ng l\u1ea1i th\u00ec s\u1ebd t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng (th\u01b0\u1eddng l\u00e0 ru\u1ed9t) chui&nbsp;v\u00e0o \u1ed1ng l\u00e0m th\u00e0nh m\u1ed9t kh\u1ed1i ph\u1ed3ng \u1edf v\u00f9ng b\u1eb9n c\u1ee7a tr\u1ebb g\u00e2y n\u00ean b\u1ec7nh g\u1ecdi l\u00e0 tho\u00e1t v\u1ecb b\u1eb9n \u1edf b\u00e9 trai v\u00e0 tho\u00e1t v\u1ecb \u1ed1ng Nuck \u1edf b\u00e9 g\u00e1i.<\/li><\/ul>\n\n\n\n<p><strong>T\u1ea7n su\u1ea5t xu\u1ea5t hi\u1ec7n<\/strong><\/p>\n\n\n\n<ul><li>T\u1ef7 l\u1ec7 g\u1eb7p t\u1eeb 0,8 \u2013 4,4% \u1edf tr\u1ebb em<\/li><li>\u1ede tr\u1ebb sinh non t\u1ea7n su\u1ea5t l\u00ean \u0111\u1ec3n 30% t\u00f9y theo tu\u1ed5i thai.<\/li><li>Tu\u1ed5i: g\u1eb7p nhi\u1ec1u nh\u1ea5t \u1edf n\u0103m \u0111\u1ea7u ti\u00ean, \u0111\u1ec9nh cao l\u00e0 th\u00e1ng th\u1ee9 nh\u1ea5t.<\/li><li>B\u1ec7nh x\u1ea3y ra \u1edf c\u1ea3 hai gi\u1edbi nh\u01b0ng b\u00e9 trai c\u00f3 t\u1ef7 l\u1ec7 b\u1ec7nh cao h\u01a1n b\u00e9 g\u00e1i 5-10 l\u1ea7n<\/li><li>60% tho\u00e1t v\u1ecb b\u1eb9n x\u1ea3y ra b\u00ean ph\u1ea3i, 25%-30% x\u1ea3y ra b\u00ean tr\u00e1i, 10%-15% x\u1ea3y ra c\u1ea3 hai b\u00ean.<\/li><\/ul>\n\n\n\n<p><strong>Nguy\u00ean nh\u00e2n: <\/strong>Do s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a \u1ed1ng ph\u00fac tinh m\u1ea1c c\u00f2n th\u00f4ng&nbsp; th\u01b0\u01a1ng l\u00e0 y\u1ebfu t\u1ed1 ch\u1ee7 y\u1ebfu trong tho\u00e1t v\u1ecb b\u1eb9n b\u1ea9m sinh<\/p>\n\n\n\n<p><strong>Tri\u1ec7u ch\u1ee9ng tho\u00e1t v\u1ecb b\u1eb9n<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb b\u1eb9n bi\u1ec3u hi\u1ec7n b\u1eb1ng m\u1ed9t kh\u1ed1i ph\u1ed3ng (kh\u1ed1i tho\u00e1t v\u1ecb) t\u1ea1i v\u00f9ng b\u1eb9n b\u00ecu \u1edf b\u00e9 trai v\u00e0 \u1edf g\u1ea7n \u00e2m h\u1ed9 c\u1ee7a b\u00e9 g\u00e1i.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"519\" height=\"283\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-1.png\" alt=\"trieu chung thoat vi ben\" class=\"wp-image-234\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-1.png 519w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-1-300x164.png 300w\" sizes=\"(max-width: 519px) 100vw, 519px\" \/><figcaption><strong>H\u00ecnh 1: tho\u00e1t v\u1ecb b\u1eb9n b\u00ean tr\u00e1i<\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"400\" height=\"295\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-2.png\" alt=\"\" class=\"wp-image-235\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-2.png 400w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-2-300x221.png 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Thoat-vi-ben-2-80x60.png 80w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption><strong>\u00a0\u00a0\u00a0 H\u00ecnh 2: tho\u00e1t v\u1ecb \u1ed1ng Nuck b\u00ean ph\u1ea3i<\/strong><\/figcaption><\/figure>\n\n\n\n<ul><li>Kh\u1ed1i ph\u1ed3ng n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n to h\u01a1n khi tr\u1ebb ho, kh\u00f3c, r\u1eb7n khi \u0111i \u0111\u1ea1i ti\u1ec7n hay sau nh\u1eefng v\u1eadn \u0111\u1ed9ng m\u1ea1nh nh\u01b0 ch\u1ea1y nh\u1ea3y, t\u1eadp th\u1ec3 d\u1ee5c&#8230; L\u00fac tr\u1ebb ngh\u1ec9 ng\u01a1i hay n\u1eb1m th\u00ec kh\u1ed1i tho\u00e1t v\u1ecb c\u00f3 th\u1ec3 t\u1ef1 chui v\u00e0o \u1ed5 b\u1ee5ng tr\u1edf l\u1ea1i, kh\u1ed1i ph\u1ed3ng x\u1eb9p \u0111i, v\u00f9ng b\u1eb9n c\u1ee7a tr\u1ebb tr\u1edf l\u1ea1i nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Ng\u01b0\u1eddi nh\u00e0 c\u1ea7n quay phim ho\u1eb7c ch\u1ee5p l\u1ea1i h\u00ecnh \u1ea3nh kh\u1ed1i ph\u1ed3ng xu\u1ea5t hi\u1ec7n v\u00e0 tr\u00ecnh cho b\u00e1c s\u0129 khi d\u1eabn b\u00e9 khi kh\u00e1m b\u1ec7nh<\/li><li>Tinh ho\u00e0n \u1ea9n c\u00f3 th\u1ec3 c\u00f9ng t\u1ed3n t\u1ea1i v\u1edbi tho\u00e1t v\u1ecb b\u1eb9n n\u00ean ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh k\u1ef9<\/li><\/ul>\n\n\n\n<p><strong>C\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1ec3 nh\u1eadn bi\u1ebft tho\u00e1t v\u1ecb b\u1eb9n b\u1ecb ngh\u1eb9t:<\/strong><\/p>\n\n\n\n<ul><li>Kh\u1ed1i ph\u1ed3ng t\u1ea1i v\u00f9ng b\u1eb9n kh\u00f4ng x\u1eb9p l\u1ea1i nh\u01b0 m\u1ecdi khi m\u00e0 c\u0103ng c\u1ee9ng, s\u1edd v\u00e0o g\u00e2y \u0111au, da tr\u00ean kh\u1ed1i ph\u1ed3ng c\u00f3 th\u1ec3 \u0111\u1ed5i m\u00e0u, th\u00e2n nhi\u1ec7t t\u0103ng v\u00e0 d\u1ea5u hi\u1ec7u t\u1eafc ru\u1ed9t tr\u1edf n\u00ean r\u00f5 r\u00e0ng.<\/li><li>Tr\u1ebb nh\u1ecf th\u00ec b\u1ecf b\u00fa, n\u00f4n \u00f3i, t\u00ecnh tr\u1ea1ng b\u1ee9t r\u1ee9t, qu\u1ea5y kh\u00f3c, tr\u1ebb l\u1edbn th\u00ec than \u0111au v\u00f9ng b\u1eb9n.<\/li><li>Khi c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u cho ru\u1ed9t k\u1eb9t trong kh\u1ed1i tho\u00e1t v\u1ecb, b\u1ec7nh nhi \u0111au nhi\u1ec1u h\u01a1n<\/li><li>M\u00e1u c\u00f3 th\u1ec3 c\u00f3 trong ph\u00e2n<\/li><li>Khi th\u0103m kh\u00e1m, b\u00e1c s\u0129 kh\u00f4ng th\u1ec3 \u0111\u1ea7y kh\u1ed1i tho\u00e1t v\u1ecb l\u00ean \u0111\u01b0\u1ee3c<\/li><\/ul>\n\n\n\n<p><strong>Qui tr\u00ecnh ch\u1ea9n \u0111o\u00e1n b\u1ec7nh<\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ea9n \u0111o\u00e1n tho\u00e1t v\u1ecb b\u1eb9n ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o b\u1ec7nh s\u1eed v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng<\/li><li>Th\u01b0\u1eddng tho\u00e1t v\u1ecb b\u1eb9n \u0111\u01b0\u1ee3c cha m\u1eb9 ho\u1eb7c th\u1ea7y thu\u1ed1c ph\u00e1t hi\u1ec7n<\/li><li>B\u1ec7nh s\u1eed \u0111\u00e3 r\u00f5 nh\u01b0ng vi\u1ec7c kh\u00e1m l\u1ea1i \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1eabn l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft<\/li><li>Si\u00eau \u00e2m \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng gi\u00fap ph\u00e2n bi\u1ec7t tho\u00e1t v\u1ecb b\u1eb9n ngh\u1eb9t v\u00e0 th\u1ee7y tinh m\u1ea1c&#8230;<\/li><\/ul>\n\n\n\n<p><strong>C\u00e1ch th\u1ee9c \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb b\u1eb9n ph\u1ea3i m\u1ed5 v\u00ec b\u1ec7nh kh\u00f4ng kh\u1ecfi m\u00e0 g\u00e2y \u0111au, bi\u1ebfn ch\u1ee9ng ngh\u1eb9t, v\u00e0 g\u00e2y thi\u1ebfu m\u00e1u nu\u00f4i l\u00e0m tinh ho\u00e0n b\u00ean tho\u00e1t v\u1ecb k\u00e9m ph\u00e1t tri\u1ec3n.<\/li><li>Khuynh h\u01b0\u1edbng ng\u00e0y nay tho\u00e1t v\u1ecb b\u1eb9n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft s\u1edbm, ngh\u0129a l\u00e0 b\u1ea5t c\u1ee9 tu\u1ed5i n\u00e0o tr\u1eeb tr\u1ebb c\u00f3 b\u1ec7nh l\u00fd kh\u00e1c n\u1eb7ng h\u01a1n \u0111i k\u00e8m nh\u01b0: shock, nhi\u1ec5m tr\u00f9ng huy\u1ebft, vi\u00eam ph\u1ed5i n\u1eb7ng&#8230; m\u00e0 ch\u01b0a \u0111i\u1ec1u tr\u1ecb \u1ed5n.<\/li><\/ul>\n\n\n\n<h2><strong>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/strong> Tho\u00e1t v\u1ecb b\u1eb9n<\/h2>\n\n\n\n<ul><li>Nam: ch\u1ec9 c\u1ea7n c\u1eaft c\u1ed9t \u1ed1ng ph\u00fac tinh m\u1ea1c sau khi t\u00e1ch \u1ed1ng ph\u00fac tinh m\u1ea1c ra kh\u1ecfi \u1ed1ng d\u1eabn tinh v\u00e0 m\u1ea1ch m\u00e1u<\/li><li>N\u1eef: m\u1edf t\u00fai ch\u1ee9a v\u00e0 quan s\u00e1t b\u00ean trong tr\u01b0\u1edbc khi c\u1eaft t\u00fai ch\u1ee9a.<\/li><\/ul>\n\n\n\n<p>Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb b\u1eb9n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n qua ng\u1ea3 m\u1ed5 m\u1edf hay n\u1ed9i soi \u1ed5 b\u1ee5ng. Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn khi tr\u1ebb b\u1ecb tho\u00e1t v\u1ecb b\u1eb9n 2 b\u00ean.<\/p>\n\n\n\n<p><strong>C\u00e1ch th\u1ee9c ch\u0103m s\u00f3c sau khi m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ebf \u0111\u1ed9 \u0103n b\u00ecnh th\u01b0\u1eddng nh\u01b0 m\u1ecdi ng\u00e0y<\/li><li>D\u00f9ng thu\u1ed1c: gi\u1ea3m \u0111au trong 3 ng\u00e0y<\/li><li>Thay b\u0103ng v\u1ebft m\u1ed5 b\u0103ng \u01b0\u1edbt.<\/li><li>T\u00e1i kh\u00e1m sau 1 tu\u1ea7n v\u00e0 c\u1eaft ch\u1ec9<\/li><\/ul>\n\n\n\n<h2><strong>Nh\u1eefng bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p sau khi m\u1ed5<\/strong> Tho\u00e1t v\u1ecb b\u1eb9n<\/h2>\n\n\n\n<ul><li>Ch\u1ea3y m\u00e1u<\/li><li>Kh\u1ed1i m\u00e1u t\u1ee5 v\u00f9ng b\u1eb9n th\u01b0\u1eddng t\u1ef1 kh\u1ecfi m\u00e0 kh\u00f4ng c\u1ea7n m\u1ed5 l\u1ea5y \u0111i.<\/li><li>Nhi\u1ec5m tr\u00f9ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh<\/li><li>Tho\u00e1t v\u1ecb b\u1eb9n t\u00e1i ph\u00e1t c\u1ea7n ph\u1eabu thu\u1eadt l\u1ea1i b\u1edfi nh\u1eefng ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 nhi\u1ec1u kinh nghi\u1ec7m.<\/li><\/ul>\n\n\n\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<ul><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 2<\/li><li>Ashcraft\u2019s Pediatric Surgery 5<sup>e<\/sup> (2010)<\/li><li>Operative Pediatric Surgery 2<sup>nd<\/sup> McGraw-Hill (2014)<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Th\u1ebf n\u00e0o l\u00e0 tho\u00e1t v\u1ecb b\u1eb9n Trong th\u1eddi k\u00ec b\u00e0o thai, v\u00e0o kho\u1ea3ng th\u00e1ng th\u1ee9 7, khi tinh ho\u00e0n di chuy\u1ec3n xu\u1ed1ng b\u00ecu s\u1ebd k\u00e9o theo n\u1ebfp m\u00e0ng b\u1ee5ng t\u1ea1o th\u00e0nh m\u1ed9t t\u00fai d\u1ea1ng \u1ed1ng <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-ben\/\" title=\"Tho\u00e1t v\u1ecb b\u1eb9n\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":2,"featured_media":235,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,20],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/233"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=233"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/233\/revisions"}],"predecessor-version":[{"id":236,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/233\/revisions\/236"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/235"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=233"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=233"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=233"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}