{"id":447,"date":"2021-08-18T07:20:50","date_gmt":"2021-08-18T07:20:50","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=447"},"modified":"2021-08-18T07:21:39","modified_gmt":"2021-08-18T07:21:39","slug":"nang-ruot-doi","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-ruot-doi\/","title":{"rendered":"Nang ru\u1ed9t \u0111\u00f4i"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>Kh\u00e1i ni\u1ec7m<\/strong><\/p>\n\n\n\n<ul><li>Khi h\u00ecnh th\u00e0nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a trong giai \u0111o\u1ea1n thai k\u1ef3 c\u00e1c ph\u1ea7n c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a t\u1eeb mi\u1ec7ng t\u1edbi h\u1eadu m\u00f4n c\u00f3 th\u1ec3 b\u1ecb \u201cl\u1eb7p l\u1ea1i\u201d h\u00ecnh th\u00e0nh c\u00e1c c\u1ea5u tr\u00fac k\u1ebf b\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ch\u00ednh. D\u1ea1ng nang ru\u1ed9t \u0111\u00f4i l\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, chi\u1ebfm t\u1ec9 l\u1ec7 g\u1ea7n 70% g\u1ed3m nang ru\u1ed9t non, nang ru\u1ed9t gi\u00e0. D\u1ea1ng \u1ed1ng ru\u1ed9t \u0111\u00f4i \u00edt g\u1eb7p h\u01a1n (h\u00ecnh 1)<\/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-ruot-doi-1-1.jpg\" alt=\"\" class=\"wp-image-458\" width=\"512\" height=\"323\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-ruot-doi-1-1.jpg 682w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-ruot-doi-1-1-300x189.jpg 300w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><figcaption><strong>H\u00ecnh 1: Nang ru\u1ed9t \u0111\u00f4i c\u00f3 d\u1ea1ng \u1ed1ng d\u00e0i \u1edf ru\u1ed9t non v\u00e0 d\u1ea1ng nang to \u1edf ru\u1ed9t gi\u00e0<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>C\u00e1c d\u1ea1ng kh\u00e1c nh\u01b0 nang \u1edf mi\u1ec7ng, th\u1ef1c qu\u1ea3n, t\u00e1 tr\u00e0ng, tr\u1ef1c tr\u00e0ng hi\u1ebfm g\u1eb7p v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u0169ng kh\u00e1c nang ru\u1ed9t \u0111\u00f4i t\u00f9y t\u00ecnh hu\u1ed1ng. \u1ede \u0111\u00e2y xin ch\u1ec9 n\u00f3i v\u1ec1 nang ru\u1ed9t \u0111\u00f4i \u1edf ru\u1ed9t non v\u00e0 ru\u1ed9t gi\u00e0.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng \u2013 Bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>T\u00ecnh hu\u1ed1ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong nang ru\u1ed9t \u0111\u00f4i l\u00e0 tr\u1ebb b\u1ecb \u0111au b\u1ee5ng. T\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 do nang ti\u1ebft d\u1ecbch v\u00e0 kh\u00f4ng c\u00f3 \u0111\u01b0\u1eddng tho\u00e1t g\u00e2y c\u0103ng to, hay do t\u00ecnh tr\u1ea1ng vi\u00eam nang. T\u1eeb \u0111\u00f3, tr\u1ebb \u0111\u01b0\u1ee3c th\u0103m kh\u00e1, si\u00eau \u00e2m v\u00e0 ch\u1ea9n \u0111o\u00e1n nang ru\u1ed9t \u0111\u00f4i.<\/li><li>\u0110\u00f4i khi tr\u1ebb ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1ec7nh khi \u0111\u00e3 c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 nang ru\u1ed9t g\u00e2y l\u1ed3ng ru\u1ed9t \u1edf tr\u1ebb nh\u1ecf. Tr\u01b0\u1eddng h\u1ee3p kh\u00e1c nang ru\u1ed9t c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a l\u00e0m tr\u1ebb b\u1ecb m\u1ea5t m\u00e1u c\u1ea5p hay m\u1ea1n t\u00f9y m\u1ee9c \u0111\u1ed9. Nang qu\u00e1 to c\u00f3 th\u1ec3 l\u00e0m ch\u00e8n \u00e9p v\u00e0 g\u00e2y t\u1eafc ru\u1ed9t. Hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 xo\u1eafn ru\u1ed9t, th\u1ee7ng nang g\u00e2y vi\u00eam ph\u00fac m\u1ea1c, xu\u1ea5t huy\u1ebft trong nang\u2026<\/li><li>\u0110\u00f4i khi nang ru\u1ed9t non \u0111\u00f4i c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n nh\u1edd si\u00eau \u00e2m trong m\u1ed9t b\u1ec7nh l\u00fd \u0111i k\u00e8m.<\/li><li>Nang ru\u1ed9t \u0111\u00f4i \u1edf ru\u1ed9t gi\u00e0 c\u0169ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1, c\u00f3 th\u1ec3 c\u00f3 th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y.<\/li><li>Bi\u1ebfn ch\u1ee9ng ung th\u01b0 h\u00f3a c\u1ee7a nang ru\u1ed9t \u0111\u00f4i n\u00f3i chung r\u1ea5t \u00edt g\u1eb7p.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>Khi c\u00f3 g\u1ee3i \u00fd t\u1eeb l\u00e2m s\u00e0ng, si\u00eau \u00e2m s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc nh\u1ea5t cho tr\u1ebb. \u1ede nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p CTscan b\u1ee5ng.<\/li><li>\u0110\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c nang kh\u00e1c c\u00f3 th\u1ec3 g\u1eb7p \u1edf \u1ed5 b\u1ee5ng m\u1ed9t s\u1ed1 ch\u1ea5t \u0111\u00e1nh d\u1ea5u sinh h\u1ecdc c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m: \u03b1-AFP, \u03b2-HCG, CA125, CA19.9\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Nang ru\u1ed9t \u0111\u00f4i c\u00f3 th\u1ec3 nh\u1ecf v\u00e0 ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec v\u00e0 \u00edt nguy c\u01a1 c\u00f3 bi\u1ebfn ch\u1ee9ng. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 theo d\u00f5i b\u00e9 v\u00e0 ch\u01b0a c\u1ea7n can thi\u1ec7p ngo\u1ea1i khoa n\u00e0o.<\/li><li>Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu \u0111\u00e3 c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa ngay l\u00e0 c\u1ea7n thi\u1ebft. V\u1eeba lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng, v\u1eeba ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng mu\u1ed9n h\u01a1n v\u1ec1 sau.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu: huy\u1ebft \u0111\u1ed3, ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u<\/li><li>Chu\u1ea9n b\u1ecb ru\u1ed9t: ch\u1ebf \u0111\u1ed9 \u0103n l\u1ecfng v\u00e0 th\u1ee5t th\u00e1o<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf nang<\/strong><\/p>\n\n\n\n<ul><li>C\u00e1ch \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 nh\u1ea5t l\u00e0 c\u1eaft b\u1ecf nang ru\u1ed9t \u0111\u00f4i. N\u1ebfu nang ru\u1ed9t kh\u00f4ng chung th\u00e0nh v\u1edbi ph\u1ea7n ru\u1ed9t ch\u00ednh c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c b\u00f3c t\u00e1ch l\u1ea5y \u0111i, ng\u01b0\u1ee3c l\u1ea1i n\u1ebfu chung th\u00e0nh vi\u1ec7c b\u00f3c t\u00e1ch g\u1ea7n nh\u01b0 kh\u00f4ng th\u1ec3 v\u00e0 nang s\u1ebd \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf k\u00e8m theo \u0111o\u1ea1n ru\u1ed9t ch\u00ednh k\u1ebf c\u1eadn (h\u00ecnh 2).<\/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-ruot-doi-2.jpg\" alt=\"\" class=\"wp-image-457\" width=\"557\" height=\"266\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-ruot-doi-2.jpg 742w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-ruot-doi-2-300x143.jpg 300w\" sizes=\"(max-width: 557px) 100vw, 557px\" \/><figcaption><strong>H\u00ecnh 2: C\u1eaft nang ru\u1ed9t \u0111\u00f4i v\u00e0 kh\u00e2u n\u1ed1i ru\u1ed9t \u1edf ru\u1ed9t non.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u1eb7p l\u00e0 nang qu\u00e1 d\u00e0i, khi c\u1eaft b\u1ecf k\u00e8m ru\u1ed9t ch\u00ednh s\u1ebd l\u00e0m m\u1ea5t \u0111o\u1ea1n ru\u1ed9t l\u1edbn g\u00e2y h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn. Trong t\u00ecnh hu\u1ed1ng n\u00e0y l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t l\u00e0 t\u1ea1o 2 l\u1ed7 th\u00f4ng \u1edf \u0111\u1ea7u t\u1eadn c\u1ee7a nang v\u00e0 ru\u1ed9t ch\u00ednh nh\u1ea7m tr\u00e1nh \u1ee9 \u0111\u1ed9ng d\u1ecbch v\u00e0 th\u1ee9c \u0103n.<\/li><\/ul>\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>N\u1ebfu c\u00f3 c\u1eaft n\u1ed1i ru\u1ed9t, b\u00e9 nh\u1ecbn \u0103n u\u1ed1ng t\u1ed1i thi\u1ec3u 48 gi\u1edd v\u00e0 truy\u1ec1n d\u1ecbch. Sau \u0111\u00f3 b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c cho \u0103n l\u1ea1i.<\/li><li>Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng s\u1ebd ng\u01b0ng sau m\u1ed5. N\u1ebfu c\u1ea7n thi\u1ebft, kh\u00e1ng sinh ch\u00edch s\u1ebd \u0111\u01b0\u1ee3c duy tr\u00ec sau m\u1ed5 v\u00e0i ng\u00e0y.<\/li><li>B\u00e9 s\u1ebd \u0111\u01b0\u1ee3c ch\u00edch v\u00e0 sau \u0111\u00f3 l\u00e0 u\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au 2-3 ng\u00e0y sau m\u1ed5.<\/li><li>Thay b\u0103ng m\u1ed7i ng\u00e0y, c\u1eaft ch\u1ec9 7 ng\u00e0y sau m\u1ed5.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>D\u1ef1 h\u1eadu<\/strong><strong> <\/strong><strong>&#8211; theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>\u0110a ph\u1ea7n c\u00e1c nang nh\u1ecf \u0111\u01b0\u1ee3c b\u00f3c t\u00e1ch hay \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf k\u00e8m ru\u1ed9t ch\u00ednh c\u00f3 ti\u00ean l\u01b0\u1ee3ng r\u1ea5t t\u1ed1t. T\u1ec9 l\u1ec7 t\u1eed vong g\u1ea7n nh\u01b0 b\u1eb1ng kh\u00f4ng. C\u00e1c b\u00e9 t\u00e1i kh\u00e1m khi c\u00f3 v\u1ea5n \u0111\u1ec1.<\/li><li>V\u1edbi c\u00e1c b\u00e9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ch\u01b0a tri\u1ec7t \u0111\u1ec3 (ch\u01b0a lo\u1ea1i b\u1ecf nang ho\u00e0n to\u00e0n) n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ecbnh k\u00ec b\u1eb1ng si\u00eau \u00e2m v\u00e0 kh\u00e1m ngay khi c\u00f3 b\u1ea5t th\u01b0\u1eddng.<\/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>Mark D. Stringer (2006), Gastrointestinal Duplications, Pediatric Surgery, pp:239-256<\/li><li>Lewis Spitz and Arnold G Coran (2013), Operative Pediatric Surgery.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kh\u00e1i ni\u1ec7m Khi h\u00ecnh th\u00e0nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a trong giai \u0111o\u1ea1n thai k\u1ef3 c\u00e1c ph\u1ea7n c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a t\u1eeb mi\u1ec7ng t\u1edbi h\u1eadu m\u00f4n c\u00f3 th\u1ec3 b\u1ecb \u201cl\u1eb7p l\u1ea1i\u201d h\u00ecnh th\u00e0nh c\u00e1c c\u1ea5u tr\u00fac k\u1ebf <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-ruot-doi\/\" title=\"Nang ru\u1ed9t \u0111\u00f4i\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":454,"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\/447"}],"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=447"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/447\/revisions"}],"predecessor-version":[{"id":459,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/447\/revisions\/459"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/454"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=447"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}