{"id":255,"date":"2021-08-15T04:49:37","date_gmt":"2021-08-15T04:49:37","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=255"},"modified":"2021-08-15T14:08:16","modified_gmt":"2021-08-15T14:08:16","slug":"tinh-hoan-co-rut","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tinh-hoan-co-rut\/","title":{"rendered":"Tinh ho\u00e0n co r\u00fat"},"content":{"rendered":"\n<h2><strong>Tinh<\/strong><strong> ho\u00e0n co r\u00fat l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<ul><li>Tinh ho\u00e0n co r\u00fat l\u00e0 tinh ho\u00e0n n\u1eb1m tr\u00ean \u0111\u01b0\u1eddng \u0111i b\u00ecnh th\u01b0\u1eddng c\u1ee7a n\u00f3, \u0111\u00e3 xu\u1ed1ng \u0111\u01b0\u1ee3c \u0111\u1ebfn b\u00ecu, nh\u01b0ng kh\u00f4ng th\u1ec3 n\u1eb1m tr\u1ecdn trong b\u00ecu n\u1ebfu kh\u00f4ng gi\u1eef tinh ho\u00e0n ho\u1eb7c th\u1eebng tinh khi th\u0103m kh\u00e1m.<\/li><\/ul>\n\n\n\n<p><strong>Nguy\u00ean nh\u00e2n: <\/strong>Do qu\u00e1 ho\u1ea1t ph\u1ea3n x\u1ea1 da b\u00ecu.<\/p>\n\n\n\n<h2><strong>Tri\u1ec7u ch\u1ee9ng<\/strong> Co r\u00fat tinh ho\u00e0n<\/h2>\n\n\n\n<p><strong><em>L\u00e2m s\u00e0ng:<\/em><\/strong><\/p>\n\n\n\n<ul><li>B\u1ec7nh s\u1eed: ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nhi nh\u1eadn th\u1ea5y tinh ho\u00e0n l\u00fac c\u00f3, l\u00fac kh\u00f4ng c\u00f3 trong b\u00ecu v\u00e0 \u0111\u01b0a b\u1ec7nh nhi \u0111i kh\u00e1m.<\/li><li>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o th\u0103m kh\u00e1m.<\/li><li>T\u01b0 th\u1ebf: frog\u2013leg (n\u1eb1m \u0111\u00f9i xoay ngo\u00e0i, g\u1ed1i g\u1ea5p nh\u1eb9) ho\u1eb7c ng\u1ed3i.<\/li><li>S\u1edd d\u1ecdc t\u1eeb m\u00e0o ch\u1eadu theo \u1ed1ng b\u1eb9n xu\u1ed1ng b\u00ecu, c\u00f3 th\u1ec3 th\u1ea5y tinh ho\u00e0n \u1edf c\u00e1c v\u1ecb tr\u00ed cao h\u01a1n b\u00ecu, tay ng\u01b0\u1eddi kh\u00e1m c\u00f3 th\u1ec3 k\u00e9o tinh ho\u00e0n xu\u1ed1ng v\u00e0 gi\u1eef tinh ho\u00e0n n\u1eb1m tr\u1ecdn trong b\u00ecu, nh\u01b0ng khi bu\u00f4ng tay n\u1ebfu tinh ho\u00e0n ngay l\u1eadp t\u1ee9c ch\u1ea1y ng\u01b0\u1ee3c l\u00ean v\u1ecb tr\u00ed ban \u0111\u1ea7u. Khi \u0111\u00f3 ch\u1ea9n \u0111o\u00e1n s\u1ebd l\u00e0 tinh ho\u00e0n co r\u00fat th\u1ec3 cao (high retractile testis) hay tinh ho\u00e0n di \u0111\u1ed9ng (gliding testis) trong ph\u00e2n lo\u1ea1i tr\u01b0\u1edbc \u0111\u00e2y. Tr\u01b0\u1eddng h\u1ee3p tinh ho\u00e0n v\u1eabn n\u1eb1m trong b\u00ecu r\u1ed3i t\u1eeb t\u1eeb di chuy\u1ec3n l\u00ean v\u1ecb tr\u00ed ban \u0111\u1ea7u (th\u01b0\u1eddng kh\u00f4ng qu\u00e1 l\u1ed7 b\u1eb9n n\u00f4ng), ta c\u00f3 ch\u1ea9n \u0111o\u00e1n tinh ho\u00e0n co r\u00fat.<\/li><li>Kh\u00e1m 2 b\u00ean, so s\u00e1nh k\u00edch th\u01b0\u1edbc t\u01b0\u01a1ng \u0111\u1ed1i 2 tinh ho\u00e0n. Tinh ho\u00e0n teo nh\u1ecf th\u01b0\u1eddng g\u1eb7p h\u01a1n trong tinh ho\u00e0n co r\u00fat th\u1ec3 cao so v\u1edbi tinh ho\u00e0n co r\u00fat.<\/li><li>Kh\u00e1m m\u00e0u s\u1eafc da b\u00ecu, n\u1ebfp nh\u0103n, b\u00ecu ch\u1ebb \u0111\u00f4i, d\u01b0\u01a1ng v\u1eadt v\u00e0 v\u1ecb tr\u00ed l\u1ed7 ti\u1ec3u t\u00ecm d\u1ecb d\u1ea1ng \u0111i k\u00e8m.<\/li><\/ul>\n\n\n\n<p><strong><em>C\u1eadn l\u00e2m s\u00e0ng:<\/em><\/strong><\/p>\n\n\n\n<ul><li>Tinh ho\u00e0n co r\u00fat c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n d\u1ec5 d\u00e0ng b\u1eb1ng kh\u00e1m l\u00e2m s\u00e0ng. Si\u00eau \u00e2m, CT, MRI nh\u00ecn chung \u00edt c\u00f3 gi\u00e1 tr\u1ecb trong ch\u1ea9n \u0111o\u00e1n, gi\u00fap \u00edch trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 so s\u00e1nh k\u00edch th\u01b0\u1edbc tinh ho\u00e0n.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"604\" height=\"461\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Screenshot-at-Aug-15-11-47-05.png\" alt=\"\" class=\"wp-image-263\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Screenshot-at-Aug-15-11-47-05.png 604w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Screenshot-at-Aug-15-11-47-05-300x229.png 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/Screenshot-at-Aug-15-11-47-05-80x60.png 80w\" sizes=\"(max-width: 604px) 100vw, 604px\" \/><figcaption><br><br><strong>L\u01b0u \u0111\u1ed3 x\u1eed tr\u00ed b\u00ecu x\u1eb9p v\u00e0 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c tinh ho\u00e0n<\/strong><\/figcaption><\/figure>\n\n\n\n<p><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Tinh ho\u00e0n co r\u00fat n\u1ebfu kh\u00f4ng teo nh\u1ecf, kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/li><li>Tinh ho\u00e0n co r\u00fat th\u1ec3 cao c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n. Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i l\u00e0 sau 6 th\u00e1ng tu\u1ed5i (c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt \u1edf th\u1eddi \u0111i\u1ec3m 3 th\u00e1ng tu\u1ed5i v\u1edbi ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 kinh nghi\u1ec7m, s\u1eed d\u1ee5ng k\u00ednh ph\u00f3ng \u0111\u1ea1i)<\/li><\/ul>\n\n\n\n<p><strong>Ch\u0103m s\u00f3c sau m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>L\u00e0 ph\u1eabu thu\u1eadt s\u1ea1ch, sau m\u1ed5 b\u1ec7nh nhi c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n ngay trong ng\u00e0y n\u1ebfu kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c trong qu\u00e1 tr\u00ecnh g\u00e2y m\u00ea.<\/li><li>B\u1ec7nh nhi \u0111\u01b0\u1ee3c cho u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au 2-3 ng\u00e0y sau m\u1ed5<\/li><li>V\u1ebft m\u1ed5: th\u01b0\u1eddng \u0111au \u00edt, ph\u00f9 n\u1ec1 \u00edt, \u0111\u1ecf nh\u1eb9, ch\u1ea3y m\u1ed9t \u00edt m\u00e1u kh\u00f4 quanh v\u1ebft m\u1ed5. V\u1ebft m\u1ed5 \u0111\u01b0\u1ee3c d\u00e1n b\u1edfi mi\u1ebfng d\u00e1n v\u00f4 tr\u00f9ng, c\u00f3 th\u1ec3 gi\u1eef trong 1 tu\u1ea7n kh\u00f4ng c\u1ea7n thay b\u0103ng m\u1ed7i ng\u00e0y. B\u1ec7nh nhi c\u00f3 th\u1ec3 t\u1eafm b\u00ecnh th\u01b0\u1eddng sau ng\u00e0y th\u1ee9 3 (nh\u1eefng ng\u00e0y \u0111\u1ea7u c\u00f3 th\u1ec3 t\u1eafm nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ng\u00e2m v\u1ebft m\u1ed5 v\u00e0o n\u01b0\u1edbc). V\u1ebft m\u1ed5 th\u01b0\u1eddng \u0111\u01b0\u1ee3c may b\u1eb1ng ch\u1ec9 tan, c\u00f3 th\u1ec3 c\u1eaft ch\u1ec9 sau 7 ng\u00e0y n\u1ebfu v\u1ebft m\u1ed5 l\u00e0nh t\u1ed1t.<\/li><li>V\u1eadn \u0111\u1ed9ng: t\u01b0\u01a1ng \u0111\u1ed1i b\u00ecnh th\u01b0\u1eddng nh\u01b0ng h\u1ea1n ch\u1ebf t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o v\u1ebft m\u1ed5 nh\u01b0 ch\u1ea1y xe \u0111\u1ea1p, c\u01b0\u1ee1i ng\u1ef1a trong 2 tu\u1ea7n \u0111\u1ea7u sau m\u1ed5.<\/li><li>C\u00e1c v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p sau ph\u1eabu thu\u1eadt:<\/li><li>\u0110au h\u1ecdng do \u0111\u1eb7t NKQ, th\u01b0\u1eddng t\u1ef1 gi\u1edbi h\u1ea1n trong ng\u00e0y \u0111\u1ea7u, h\u1ea1n ch\u1ebf th\u1ee9c \u0103n c\u1ee9ng v\u00e0 c\u00f3 th\u1ec3 u\u1ed1ng n\u01b0\u1edbc l\u1ea1nh \u0111\u1ec3 c\u1ea3m gi\u00e1c d\u1ec5 ch\u1ecbu h\u01a1n.<\/li><li>S\u1ed1t sau ph\u1eabu thu\u1eadt c\u0169ng th\u01b0\u1eddng g\u1eb7p, kh\u00f4ng ph\u1ea3i v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng, nh\u01b0ng n\u1ebfu s\u1ed1t cao sau m\u1ed5 1 ng\u00e0y, n\u00ean t\u00e1i kh\u00e1m l\u1ea1i ngay, nguy\u00ean nh\u00e2n th\u01b0\u1eddng l\u00e0 vi\u00eam h\u00f4 h\u1ea5p, kh\u00f4ng lo\u1ea1i tr\u1eeb nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5.<\/li><\/ul>\n\n\n\n<p><strong>Theo d\u00f5i t\u00e1i kh\u00e1m:<\/strong><\/p>\n\n\n\n<ul><li>Sau 5 &#8211; 7 ng\u00e0y ho\u1eb7c ngay khi c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00e1c ngo\u00e0i nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p sau m\u1ed5.<\/li><li>Sau 6 th\u00e1ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 tinh ho\u00e0n teo ho\u1eb7c t\u00e1i ph\u00e1t sau m\u1ed5 (2%).<\/li><\/ul>\n\n\n\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<ul><li>David FM Thomas, Essentials of pediatric urology, second edition, 2008. Page 247.<\/li><li>Barry O\u2019Donnell, Pediatric urology, third edition, 1997. Page 569.<\/li><li><a href=\"https:\/\/www.ummchealth.com\/Health_Care_Services\/Urology\/Children\/What_to_Expect_After_Orchiopexy.aspx\">https:\/\/www.ummchealth.com\/Health_Care_Services\/Urology\/Children\/What_to_Expect_After_Orchiopexy.aspx<\/a><\/li><li>BAUS, Fixation of a retractile testis, 2014.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Tinh ho\u00e0n co r\u00fat l\u00e0 tinh ho\u00e0n n\u1eb1m tr\u00ean \u0111\u01b0\u1eddng \u0111i b\u00ecnh th\u01b0\u1eddng c\u1ee7a n\u00f3, \u0111\u00e3 xu\u1ed1ng \u0111\u01b0\u1ee3c \u0111\u1ebfn b\u00ecu, nh\u01b0ng kh\u00f4ng th\u1ec3 n\u1eb1m tr\u1ecdn trong b\u00ecu n\u1ebfu kh\u00f4ng gi\u1eef tinh ho\u00e0n ho\u1eb7c th\u1eebng tinh khi th\u0103m kh\u00e1m. <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tinh-hoan-co-rut\/\" title=\"Tinh ho\u00e0n co r\u00fat\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":2,"featured_media":263,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,20],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/255"}],"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=255"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/255\/revisions"}],"predecessor-version":[{"id":264,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/255\/revisions\/264"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/263"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=255"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}