{"id":446,"date":"2021-08-18T07:12:47","date_gmt":"2021-08-18T07:12:47","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=446"},"modified":"2021-08-18T07:13:16","modified_gmt":"2021-08-18T07:13:16","slug":"nang-gia-tuy","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-gia-tuy\/","title":{"rendered":"Nang gi\u1ea3 t\u1ee5y"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>Nang gi\u1ea3 t\u1ee5y l\u00e0 g\u00ec<\/strong><strong>?<\/strong><\/p>\n\n\n\n<ul><li>Nang gi\u1ea3 t\u1ee5y (<strong>NGT<\/strong>) l\u00e0 s\u1ef1 t\u1eadp trung khu tr\u00fa ch\u1ea5t d\u1ecbch c\u00f3 n\u1ed3ng \u0111\u1ed9 cao c\u1ee7a amylase v\u00e0 c\u00e1c men t\u1ee5y kh\u00e1c trong m\u1ed9t t\u00fai d\u1ea1ng nang m\u00e0 th\u00e0nh c\u1ee7a n\u00f3 kh\u00f4ng c\u00f3 l\u1edbp bi\u1ec3u m\u00f4.<\/li><li>Nang gi\u1ea3 t\u1ee5y chi\u1ebfm ph\u1ea7n l\u1edbn (kho\u1ea3ng <strong><em>75-80%<\/em><\/strong>) c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang c\u1ee7a t\u1ee5y.<\/li><li>C\u00f3 d\u1ea1ng tr\u00f2n ho\u1eb7c d\u1ea1ng tr\u00e1i xoan<\/li><li>T\u1ea7n su\u1ea5t x\u1ea3y ra \u1edf b\u00e9 nam nhi\u1ec1u h\u01a1n n\u1eef<\/li><li>C\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Sau ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng<\/li><li>Sau m\u1ed9t \u0111\u1ee3t vi\u00eam t\u1ee5y c\u1ea5p n\u1eb7n, c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf tr\u1ebb c\u00f3 vi\u00eam t\u1ee5y m\u1ea1n (.<\/li><\/ul>\n\n\n\n<p>\u1ede tr\u1ebb em nang gi\u1ea3 t\u1ee5y th\u01b0\u1eddng x\u1ea3y ra sau ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Bu\u1ed3n n\u00f4n, n\u00f4n<\/li><li>Ch\u00e1n \u0103n, \u0103n kh\u00f4ng ti\u00eau<\/li><li>B\u1ee5ng \u0111\u1ea7y h\u01a1i<\/li><li>C\u00e1c c\u01a1n \u0111au d\u1eef d\u1ed9i v\u00e0 dai d\u1eb3ng \u1edf b\u1ee5ng v\u00e0 \u0111\u00f4i khi \u1edf l\u01b0ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>L\u00e0m sao \u0111\u1ec3 ch\u1ea9n \u0111\u00f3an nang gi\u1ea3 t\u1ee5y?<\/strong><\/p>\n\n\n\n<ul><li>Ti\u1ec1n c\u0103n vi\u00eam t\u1ee5y hay ch\u1ea5n th\u01b0\u01a1ng v\u00e0o v\u00f9ng b\u1ee5ng tr\u00ean r\u1ed1n<\/li><li>\u0110au v\u00f9ng b\u1ee5ng tr\u00ean r\u1ed1n dai d\u1eb5ng sau ch\u1ea5n th\u01b0\u01a1ng hay vi\u00eam t\u1ee5y<\/li><li>Ch\u00e1n \u0103n, s\u1ee5t c\u00e2n, n\u00f4n \u00f3i, v\u00e0ng da, s\u1ed1t<\/li><li>Khi kh\u00e1m c\u00f3 th\u1ec3 th\u1ea5y kh\u1ed1i u v\u00f9ng b\u1ee5ng tr\u00ean r\u1ed1n<\/li><li>H\u1ed9i ch\u1ee9ng xu\u1ea5t huy\u1ebft trong nang gi\u1ea3 t\u1ee5y: \u0111au \u0111\u1ed9t ng\u1ed9t d\u1eef d\u1ed9i v\u00f9ng b\u1ee5ng tr\u00ean r\u1ed1n, d\u1ea5u m\u1ea5t m\u00e1u c\u1ea5p (da t\u00e1i ni\u00eam nh\u1ea1t, huy\u1ebft \u00e1p gi\u1ea3m\u2026), \u0111\u00f4i khi nghe \u0111\u01b0\u1ee3c \u00e2m th\u1ed5i v\u00f9ng b\u1ee5ng tr\u00ean r\u1ed1n<\/li><li>Men t\u1ee5y c\u00f3 th\u1ec3 t\u0103ng trong m\u00e1u khi t\u1ee5y c\u00f2n vi\u00eam ho\u1eb7c nang b\u1ecb v\u1ee1<\/li><li>Si\u00eau \u00e2m b\u1ee5ng, nh\u1ea5t l\u00e0 CT-scan (c\u00f3 \u0111\u1ed9 nh\u1ea1y 90-100%): gi\u00fap ch\u1ea9n \u0111o\u00e1n nang gi\u1ea3 t\u1ee5y v\u00e0 ph\u00e2n bi\u1ec7t v\u1edbi nh\u1eefng th\u01b0\u01a1ng t\u1ed5n kh\u00e1c.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb nang gi\u1ea3 t\u1ee5y nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc v\u00e0 di\u1ec5n ti\u1ebfn c\u1ee7a nang.<\/li><li>M\u1ed9t s\u1ed1 NGT t\u1ef1 tho\u00e1i tri\u1ec3n (kho\u1ea3ng 20-40%) kh\u00f4ng c\u1ea7n ph\u1ea3i m\u1ed5. M\u1ed9t s\u1ed1 &nbsp;nang ch\u01b0a c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c nang nh\u1ecf (&lt;5cm), c\u00f3 th\u00e0nh m\u1ecfng n\u00ean theo d\u00f5i di\u1ec5n ti\u1ebfn v\u00e0 c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/li><li>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt cho nh\u1eefng nang c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn h\u01a1n 5cm, xu\u1ea5t hi\u1ec7n &gt; 6 tu\u1ea7n v\u1edbi th\u00e0nh nang \u0111\u1ee7 d\u00e0y gi\u00fap cho vi\u1ec7c kh\u00e2u n\u1ed1i d\u1eabn l\u01b0u ho\u1eb7c c\u1eaft b\u1ecf nang \u0111\u01b0\u1ee3c t\u1ed1t h\u01a1n.<\/li><li>Tuy v\u1eady \u0111\u00f4i khi ph\u1ea3i can thi\u1ec7p c\u1ea5p c\u1ee9u v\u00ec nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a nang \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n nh\u01b0 v\u1ee1 nang, \u00e1p xe nang, ch\u1ea3y m\u00e1u trong nang, t\u1eafc ru\u1ed9t do ch\u00e8n \u00e9p.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>N\u1ebfu ph\u1eabu thu\u1eadt th\u00ec c\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o?<\/strong><\/p>\n\n\n\n<ul><li>D\u1eabn l\u01b0u nang (ra ngo\u00e0i) qua da: t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i (kho\u1ea3ng 54%), t\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t cao (kho\u1ea3ng 63%), th\u1eddi gian d\u1eabn l\u01b0u k\u00e9o d\u00e0i, nhi\u1ec5m khu\u1ea9n th\u1ee9 ph\u00e1t v\u00e0 r\u1ea5t b\u1ea5t ti\u1ec7n cho b\u1ec7nh nhi v\u00e0 ng\u01b0\u1eddi nh\u00e0.<\/li><li>D\u1eabn l\u01b0u trong: n\u1ed1i NGT- d\u1ea1 d\u00e0y (h\u00ecnh 1), n\u1ed1i NGT- h\u1ed7ng tr\u00e0ng t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao kho\u1ea3ng 85-90%, t\u00e1i ph\u00e1t th\u1ea5p.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-1.jpg\" alt=\"\" class=\"wp-image-451\" width=\"488\" height=\"291\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-1.jpg 650w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-1-300x179.jpg 300w\" sizes=\"(max-width: 488px) 100vw, 488px\" \/><figcaption><strong>H\u00ecnh 1: N\u1ed1i NGT- d\u1ea1 d\u00e0y<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Ph\u1eabu thu\u1eadt c\u1eaft nang khi nang khu tr\u00fa, th\u01b0\u1eddng \u1edf v\u00f9ng \u0111u\u00f4i t\u1ee5y ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u00edt d\u00f9ng v\u00ec c\u00f3 nhi\u1ec1u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-2.jpg\" alt=\"\" class=\"wp-image-452\" width=\"410\" height=\"472\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-2.jpg 410w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-gia-tuy-2-261x300.jpg 261w\" sizes=\"(max-width: 410px) 100vw, 410px\" \/><figcaption><strong>H\u00ecnh 2: N\u1ed1i NGT-h\u1ed7ng tr\u00e0ng (ru\u1ed9t non)<\/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>Nh\u1ecbn \u0103n b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng trong 2 ng\u00e0y, nu\u00f4i \u0103n b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch k\u1ebft h\u1ee3p d\u00f9ng thu\u1ed1c kh\u00e1ng ti\u1ebft v\u00e0 kh\u00e1ng sinh<\/li><li>B\u1ec7nh nhi t\u1eadp \u0103n l\u1ea1i 2 ng\u00e0y say m\u1ed5 v\u00e0 d\u1ea7n \u0103n ch\u1ebf \u0111\u1ed9 \u0103n b\u00ecnh th\u01b0\u1eddng. Ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t n\u1ebfu b\u1ec7nh nhi c\u00f3 vi\u00eam t\u1ee5y m\u1ea1n tr\u01b0\u1edbc m\u1ed5.<\/li><li>Thay b\u0103ng v\u1ebft m\u1ed5 m\u1ed7i ng\u00e0y v\u00e0 c\u1eaft ch\u1ec9<\/li><li>T\u00e1i kh\u00e1m theo h\u1eb9n<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Bi\u1ebfn ch\u1ee9ng sau khi ph\u1ea9u thu\u1eadt nang gi\u1ea3 t\u1ee5y?<\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ea3y m\u00e1u, x\u00ec mi\u1ec7ng n\u1ed1i, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5, nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n n\u1ebfu n\u0103m vi\u1ec7n l\u00e2u, r\u00f2 t\u1ee5y, ch\u1ea3y m\u00e1u, vi\u00eam t\u1ee5y c\u1ea5p, NGT t\u00e1i ph\u00e1t&#8230;<\/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><a href=\"http:\/\/emedicine.medscape.com\/article\/184237-overview\">http:\/\/emedicine.medscape.com\/article\/184237-overview#showall<\/a><\/li><li><a href=\"http:\/\/emedicine.medscape.com\/article\/373117-overview\">http:\/\/emedicine.medscape.com\/article\/373117-overview#showall<\/a><\/li><li>Nguy\u1ec5n C\u01b0\u1eddng Th\u1ecbnh &#8211; Y h\u1ecdc TP.H\u1ed3 Ch\u00ed Minh- T\u1eadp 8-Ph\u1ee5 b\u1ea3n c\u1ee7a s\u1ed1 3- 2004-Nang gi\u1ea3 t\u1ee5y: Nguy\u00ean nh\u00e2n, \u0111i\u1ec1u tr\u1ecb v\u00e0 k\u1ebft qu\u1ea3<\/li><li>https:\/\/healthjade.net\/pancreatic-pseudocyst\/<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nang gi\u1ea3 t\u1ee5y l\u00e0 g\u00ec? Nang gi\u1ea3 t\u1ee5y (NGT) l\u00e0 s\u1ef1 t\u1eadp trung khu tr\u00fa ch\u1ea5t d\u1ecbch c\u00f3 n\u1ed3ng \u0111\u1ed9 cao c\u1ee7a amylase v\u00e0 c\u00e1c men t\u1ee5y kh\u00e1c trong m\u1ed9t t\u00fai d\u1ea1ng nang m\u00e0 th\u00e0nh <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-gia-tuy\/\" title=\"Nang gi\u1ea3 t\u1ee5y\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":450,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,16],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/446"}],"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\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=446"}],"version-history":[{"count":2,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/446\/revisions"}],"predecessor-version":[{"id":453,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/446\/revisions\/453"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/450"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=446"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}