{"id":377,"date":"2021-08-16T09:30:18","date_gmt":"2021-08-16T09:30:18","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=377"},"modified":"2021-08-20T07:36:36","modified_gmt":"2021-08-20T07:36:36","slug":"thoat-vi-chan-ron","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-chan-ron\/","title":{"rendered":"Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>Tho\u00e1t<\/strong><strong> v\u1ecb ch\u00e2n r\u1ed1n l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 quan trong \u1ed5 b\u1ee5ng (v\u00ed d\u1ee5: ru\u1ed9t, m\u1ea1c n\u1ed1i\u2026) tr\u1ed3i ra ngo\u00e0i \u1ed5 b\u1ee5ng b\u00ean trong ch\u00e2n c\u1ee7a d\u00e2y r\u1ed1n khi tr\u1ebb v\u1eeba sanh ra \u0111\u1eddi (h\u00ecnh 1). C\u00e1c c\u01a1 quan n\u00e0y v\u1eabn c\u00f2n \u0111\u01b0\u1ee3c che ph\u1ee7 b\u1edfi m\u1ed9t m\u00e0ng tr\u1eafng m\u1ecfng (tr\u1ebb s\u01a1 sinh).<\/li><li>Nguy\u00ean nh\u00e2n th\u01b0\u1eddng l\u00e0 do b\u1ea9m sinh khi c\u01a1 th\u00e0nh b\u1ee5ng t\u1ea1i l\u1ed7 r\u1ed1n b\u1ecb khi\u1ebfm khuy\u1ebft v\u00e0 kh\u00f4ng \u0111\u1ee7 s\u1ee9c gi\u1eef c\u00e1c t\u1ea1ng d\u01b0\u1edbi \u00e1p l\u1ef1c c\u1ee7a \u1ed5 b\u1ee5ng.<\/li><li>Th\u01b0\u1eddng k\u00e8m theo nh\u1eefng d\u1ecb t\u1eadt c\u1ee7a tim m\u1ea1ch, th\u1eadn ni\u1ec7u, th\u1ea7n kinh, ti\u00eau h\u00f3a, x\u01b0\u01a1ng&#8230;<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n \u1edf s\u01a1 sinh th\u01b0\u1eddng r\u1ea5t r\u00f5 r\u00e0ng, tr\u1ebb sinh ra c\u00f3 t\u00fai tho\u00e1t v\u1ecb to \u1edf r\u1ed1n, trong t\u00fai tho\u00e1t v\u1ecb c\u00f3 c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng nh\u01b0 ru\u1ed9t non, ru\u1ed9t gi\u00e0, d\u1ea1 d\u00e0y, gan\u2026<\/li><li>Kho\u1ea3ng 15% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ecb v\u1ee1 t\u00fai tho\u00e1t b\u1ecb khi sanh l\u00e0m ru\u1ed9t v\u00e0 c\u00e1c t\u1ea1ng l\u1ed9 h\u1eb3n ra ngo\u00e0i.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"577\" height=\"391\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-1.jpg\" alt=\"\" class=\"wp-image-379\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-1.jpg 577w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-1-300x203.jpg 300w\" sizes=\"(max-width: 577px) 100vw, 577px\" \/><figcaption><strong>H\u00ecnh 1: Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n \u1edf tr\u1ebb s\u01a1 sinh<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n s\u01a1 sinh c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c trong th\u1eddi k\u00ec ti\u1ec1n s\u1ea3n khi m\u1eb9 si\u00eau \u00e2m thai.<\/li><li>N\u1ebfu kh\u00f4ng c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n d\u1ec5 d\u00e0ng khi b\u00e9 ch\u00e0o \u0111\u1eddi.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n \u1edf tr\u1ebb s\u01a1 sinh<\/strong><\/p>\n\n\n\n<ul><li>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5: \u0110\u1eb7t sonde d\u1ea1 d\u00e0y gi\u1ea3i \u00e1p, \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n gi\u00fap th\u1edf n\u1ebfu c\u00f3 suy h\u00f4 h\u1ea5p, gi\u1eef th\u00e2n nhi\u1ec7t, b\u00f9 n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i v\u00e0 cho kh\u00e1ng sinh n\u1ebfu t\u00fai tho\u00e1t v\u1ecb v\u1ee1.<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu nh\u01b0 ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u, nh\u00f3m m\u00e1u, ion \u0111\u1ed3\u2026 c\u0169ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m truy t\u00ecm d\u1ecb t\u1eadt \u0111i k\u00e8m: si\u00eau \u00e2m tim, si\u00eau \u00e2m b\u1ee5ng, si\u00eau \u00e2m xuy\u1ebfn th\u00f3p&#8230;<\/li><li>Ph\u1eabu thu\u1eadt kh\u1ea9n \u0111\u01b0a t\u1ea1ng tho\u00e1t v\u1ecb v\u00e0o \u1ed5 b\u1ee5ng, kh\u00e2u ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng n\u1ebfu \u0111\u01b0\u1ee3c (h\u00ecnh 2).<\/li><li>Khi t\u00fai tho\u00e1t v\u1ecb qu\u00e1 to:<ul><li>T\u00fai tho\u00e1t v\u1ecb kh\u00f4ng v\u1ee1: \u0111\u01b0\u1ee3c b\u00f4i ch\u1ea5t kh\u00e1ng khu\u1ea9n gi\u00fap s\u1eb9o h\u00f3a bao tho\u00e1t v\u1ecb c\u1ee9u s\u1ed1ng tr\u1ebb v\u00e0 thu\u1eadt ph\u1eabu ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng khi tr\u1ebb tr\u00ean 2 tu\u1ed5i<\/li><\/ul><ul><li>T\u00fai tho\u00e1t v\u1ecb v\u1ee1, kh\u00f4ng ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng \u0111\u01b0\u1ee3c ph\u1ea3i \u0111\u1eb7t t\u00fai b\u1eb1ng ch\u1ea5t d\u1ebdo (SILO) (h\u00ecnh 3) cho \u0111\u1ebfn khi c\u00e1c c\u01a1 quan tho\u00e1t v\u1ecb tr\u1edf v\u1ec1 h\u1ebft trong \u1ed5 b\u1ee5ng th\u00ec s\u1ebd \u0111\u00f3ng b\u1ee5ng. Th\u01b0\u1eddng s\u1ebd m\u1ea5t 1-3 tu\u1ea7n.<\/li><\/ul><\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"602\" height=\"394\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-2.png\" alt=\"\" class=\"wp-image-380\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-2.png 602w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-2-300x196.png 300w\" sizes=\"(max-width: 602px) 100vw, 602px\" \/><figcaption><strong>H\u00ecnh 2: Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n sau ph\u1eabu thu\u1eadt<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>M\u1ed9t s\u1ed1 r\u1ea5t \u00edt c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i b\u1eb1ng c\u00e1c c\u00e1ch tr\u00ean, b\u1ec7nh nhi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng h\u00fat \u00e1p l\u1ef1c \u00e2m li\u00ean t\u1ee5c gi\u00fap m\u00f4 bao ph\u1ee7 t\u1ea1ng tho\u00e1t v\u1ecb c\u1ee9u s\u1ed1ng tr\u1ebb<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"400\" height=\"566\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-3.png\" alt=\"\" class=\"wp-image-381\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-3.png 400w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-chan-ron-3-212x300.png 212w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption><strong>H\u00ecnh 3: Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n \u0111\u1eb7t t\u00fai ch\u1ea5t d\u1ebdo \u1edf tr\u1ebb s\u01a1 sinh nam<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u0103m s\u00f3c sau m\u1ed5:<\/strong><\/p>\n\n\n\n<ul><li>Tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c nh\u1ecbn \u0103n v\u00e0 nu\u00f4i \u0103n b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch trong v\u00e0i ng\u00e0y (48h). Khi nhu \u0111\u1ed9ng ru\u1ed9t t\u00e1i l\u1eadp, tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c cho u\u1ed1ng l\u1ea1i d\u1ea7n.<\/li><li>Tr\u1ebb \u0111\u01b0\u1ee3c ch\u00edch thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Kh\u00e1ng sinh \u0111\u01b0\u1ee3c duy tr\u00ec nh\u1eb1m tr\u00e1nh nhi\u1ec5m tr\u00f9ng nh\u1ea5t l\u00e0 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7t t\u00fai ch\u1ea5t d\u1ebdo v\u00e0 kh\u00f4ng ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng \u0111\u01b0\u1ee3c b\u1eb1ng 1 l\u1ea7n m\u1ed5.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Theo<\/strong><strong> d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<ul><li>T\u00e1i kh\u00e1m \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 h\u1eb9n ng\u00e0y ph\u1ee5c h\u1ed3i th\u00e0nh b\u1ee5ng n\u1ebfu ch\u01b0a \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n<\/li><li>T\u00e1i kh\u00e1m theo chuy\u00ean khoa c\u00f3 d\u1ecb t\u1eadt \u0111i k\u00e8m<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Stig Somme, Jacob C. Langer (2006), Omphalocele, Pediatric Surgery, pp: 153-170.<\/li><li>Thomas R. Weber (2010), Umbilical and Other Abdominal Wall Hernias, Ashcraft\u2019s Pediatric Surgery, pp: 637-640.<\/li><\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n l\u00e0 g\u00ec? Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng m\u1ed9t ph\u1ea7n c\u1ee7a c\u01a1 quan trong \u1ed5 b\u1ee5ng (v\u00ed d\u1ee5: ru\u1ed9t, m\u1ea1c n\u1ed1i\u2026) tr\u1ed3i ra ngo\u00e0i \u1ed5 b\u1ee5ng b\u00ean trong ch\u00e2n c\u1ee7a <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-chan-ron\/\" title=\"Tho\u00e1t v\u1ecb ch\u00e2n r\u1ed1n\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":3,"featured_media":554,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,18],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/377"}],"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\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=377"}],"version-history":[{"count":2,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/377\/revisions"}],"predecessor-version":[{"id":439,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/377\/revisions\/439"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/554"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=377"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}