{"id":456,"date":"2021-08-18T08:42:26","date_gmt":"2021-08-18T08:42:26","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=456"},"modified":"2021-08-18T08:42:39","modified_gmt":"2021-08-18T08:42:39","slug":"ro-khe-mang","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ro-khe-mang\/","title":{"rendered":"R\u00f2 khe mang"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>R\u00f2 khe mang l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<p>R\u00f2 khe mang l\u00e0 do s\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng c\u1ee7a khe mang trong qua tr\u00ecnh ph\u00e1t tri\u1ec3n b\u00e0o thai. Nguy\u00ean nh\u00e2n ch\u01b0a r\u00f5<\/p>\n\n\n\n<p>Nang, r\u00f2 c\u00f3 t\u1eeb khi m\u1edbi sinh, l\u00fac nh\u1ecf, nang, r\u00f2 c\u0169ng nh\u1ecf, kh\u00f3 ph\u00e1t hi\u1ec7n. Ph\u00e1t hi\u1ec7n d\u1ea7n khi th\u1ea5y c\u00f3 kh\u1ed1i d\u01b0\u1edbi da ho\u1eb7c c\u00f3 l\u1ed7 r\u1ec9 d\u1ecbch nh\u1ea7y. Nang r\u00f2 v\u00f9ng tai m\u0169i h\u1ecdng c\u00f3 t\u1ec9 l\u1ec7 b\u1eb1ng nhau gi\u1eefa nam v\u00e0 n\u1eef. Bao gi\u1edd r\u00f2 nhi\u1ec5m tr\u00f9ng, s\u01b0ng n\u00f3ng, \u0111\u1ecf, \u0111au ng\u01b0\u1eddi ta m\u1edbi ngh\u0129 \u0111\u1ebfn d\u00f9ng thu\u1ed1c v\u00e0 ph\u1eabu thu\u1eadt. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p r\u00f2, nang \u1edf ng\u01b0\u1eddi l\u1edbn chung s\u1ed1ng su\u1ed1t \u0111\u1eddi.T\u1ef7 l\u1ec7 trong c\u00e1c r\u00f2 khe mang: s\u1ed1 I (18%), s\u1ed1 II (69%-77,5%), s\u1ed1 III (7%), s\u1ed1 IV (3,7%).<\/p>\n\n\n\n<p><strong>1. R\u00f2 khe mang th\u1ee9 nh\u1ea5t<\/strong><\/p>\n\n\n\n<p>Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n d\u1ea1ng nang tr\u01b0\u1edbc tai, c\u00f3 th\u1ec3 c\u00f3 \u1edf d\u01b0\u1edbi ho\u1eb7c sau tai<\/p>\n\n\n\n<p><strong>D\u1ea1ng I:<\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ec9 c\u00f3 c\u00e1c th\u00e0nh ph\u1ea7n bi\u1ec3u m\u00f4 kh\u00f4ng c\u00f3 s\u1ee5n ho\u1eb7c c\u1ea5u tr\u00fac ngo\u1ea1i b\u00ec<\/li><li>B\u1ea5t th\u01b0\u1eddng \u1edf c\u1ea3 \u1ed1ng tai ngo\u00e0i v\u00e0 v\u00f9ng g\u1ea7n d\u00e2y th\u1ea7n kinh m\u1eb7t<\/li><li>Xu\u1ea5t hi\u1ec7n ph\u00eda trong, d\u01b0\u1edbi ho\u1eb7c sau s\u1ee5n v\u00e0nh tai, b\u00ecnh tai.<\/li><li>\u0110\u01b0\u1eddng d\u00f2 ch\u1ea1y song song \u1ed1ng tai ngo\u00e0i.<\/li><\/ul>\n\n\n\n<p><strong>\u00a0D\u1ea1ng II:<\/strong><\/p>\n\n\n\n<ul><li>G\u1eb7p ph\u1ed5 bi\u1ebfn h\u01a1n<\/li><li>B\u1ea5t th\u01b0\u1eddng t\u1ea1i l\u1edbp n\u1ed9i b\u00ec v\u00e0 trung b\u00ec<\/li><li>Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng \u1ed5 \u00e1p xe d\u01b0\u1edbi h\u00e0m<\/li><li>\u0110\u1ea7u ngo\u00e0i: lu\u00f4n lu\u00f4n ph\u00eda tr\u00ean x\u01b0\u01a1ng m\u00f3ng<\/li><li>\u0110\u01b0\u1eddng \u0111i: thay \u0111\u1ed5i, th\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn d\u00e2y th\u1ea7n kinh m\u1eb7t v\u00e0 tuy\u1ebfn mang<\/li><li>n\u01b0\u1edbc b\u1ecdt mang tai.<\/li><li>\u0110\u1ea7u trong: k\u1ebft th\u00fac t\u1ea1i ph\u1ea7n n\u1ed1i s\u1ee5n-x\u01b0\u01a1ng c\u1ee7a \u1ed1ng tai ngo\u00e0i.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"836\" height=\"308\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-1.jpg\" alt=\"\" class=\"wp-image-471\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-1.jpg 836w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-1-300x111.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-1-768x283.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/><figcaption><strong>H\u00ecnh 1. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a r\u00f2 khe mang<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"664\" height=\"344\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-2.jpg\" alt=\"\" class=\"wp-image-472\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-2.jpg 664w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-2-300x155.jpg 300w\" sizes=\"(max-width: 664px) 100vw, 664px\" \/><figcaption><strong>H\u00ecnh 2. R\u00f2 khe mang th\u1ee9 nh\u1ea5t<\/strong>.<\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>2. R\u00f2 khe mang th\u1ee9 hai<\/strong><\/p>\n\n\n\n<ul><li>G\u1eb7p ph\u1ed5 bi\u1ebfn h\u01a1n<\/li><li>\u0110\u1ea7u ngo\u00e0i: b\u1edd tr\u01b0\u1edbc c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m<\/li><li>\u0110\u1ea7u trong: h\u1ed1 ami\u0111an<\/li><li>\u0110\u01b0\u1eddng \u0111i:<ul><li>\u0110i s\u00e2u trong c\u00e1c c\u1ea5u tr\u00fac c\u1ee7a cung mang 2: \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh ngo\u00e0i, c\u01a1 tr\u00e2m m\u00f3ng, b\u1ee5ng sau c\u01a1 nh\u1ecb th\u00e2n<\/li><li>\u0110i n\u00f4ng tr\u00ean c\u00e1c c\u1ea5u tr\u00fac c\u1ee7a cung mang 3: Ph\u00eda ngo\u00e0i d\u00e2y th\u1ea7n kinh IX v\u00e0 XII; \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh trong<\/li><\/ul><\/li><li>D\u1ea1ng nang hay g\u1eb7p v\u00f9ng tam gi\u00e1c c\u1ed5 tr\u01b0\u1edbc d\u01b0\u1edbi x\u01b0\u01a1ng m\u00f3ng.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"696\" height=\"269\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-3.jpg\" alt=\"\" class=\"wp-image-473\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-3.jpg 696w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-3-300x116.jpg 300w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><figcaption><strong>H\u00ecnh 3. R\u00f2 khe mang th\u1ee9 2<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"341\" height=\"333\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-4.jpg\" alt=\"\" class=\"wp-image-474\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-4.jpg 341w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-4-300x293.jpg 300w\" sizes=\"(max-width: 341px) 100vw, 341px\" \/><figcaption><strong>H\u00ecnh 4. V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p \u1edf v\u00f9ng c\u1ed5 c\u1ee7a r\u00f2 khe mang th\u1ee9 I v\u00e0 II<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>3. R\u00f2 khe mang th\u1ee9 ba (hi\u1ebfm)<\/strong><\/p>\n\n\n\n<ul><li>\u0110\u1ea7u ngo\u00e0i: b\u1edd tr\u01b0\u1edbc c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m (gi\u1ed1ng b\u1ea5t th\u01b0\u1eddng khe mang II)<\/li><li>\u0110\u1ea7u trong: xoang l\u00ea (hay g\u1eb7p ph\u1ea7n tr\u00ean)<\/li><li>\u0110\u01b0\u1eddng \u0111i:<ul><li>\u0110i s\u00e2u trong c\u00e1c c\u1ea5u tr\u00fac c\u1ee7a cung mang 3: d\u00e2y th\u1ea7n kinh IX, \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh.<\/li><li>\u0110i n\u00f4ng tr\u00ean c\u00e1c c\u1ea5u tr\u00fac cung mang 4: th\u1ea7n kinh thanh qu\u1ea3n tr\u00ean, d\u00e2y XII<\/li><\/ul><\/li><li>\u0110\u01b0\u1eddng d\u00f2 \u0111i v\u00e0o v\u00f9ng h\u1ecdng t\u1ea1i m\u00e0ng gi\u00e1p nh\u1eabn.<\/li><li>D\u1ea1ng nang g\u1eb7p \u1edf tam gi\u00e1c c\u1ed5 tr\u01b0\u1edbc d\u01b0\u1edbi, n\u1eb1m th\u1ea5p h\u01a1n nang c\u1ee7a khe mang 2.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"400\" height=\"378\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-5.jpg\" alt=\"\" class=\"wp-image-475\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-5.jpg 400w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-5-300x284.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><figcaption><strong>H\u00ecnh 5. V\u1ecb tr\u00ed R\u00f2 khe mang th\u1ee9 III so v\u1edbi th\u1ee9 I v\u00e0 th\u1ee9 II<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>4. R\u00f2 khe mang th\u1ee9 t\u01b0 (r\u1ea5t hi\u1ebfm)<\/strong><\/p>\n\n\n\n<ul><li>\u0110\u1ea7u trong: xoang l\u00ea (ph\u1ea7n d\u01b0\u1edbi)<\/li><li>\u0110i xuy\u00ean thanh qu\u1ea3n, d\u01b0\u1edbi s\u1ee5n gi\u00e1p, k\u1ec1 b\u00ean c\u01a1 si\u1ebft h\u1ecdng d\u01b0\u1edbi.<\/li><li>K\u1ebft th\u00fac g\u1ea7n v\u00f9ng kh\u1edbp nh\u1eabn \u2013 gi\u00e1p<\/li><li>N\u1eb1m n\u00f4ng h\u01a1n d\u00e2y th\u1ea7n kinh qu\u1eb7t ng\u01b0\u1ee3c thanh qu\u1ea3n<\/li><li>\u0110\u1ea7u d\u00f2 ra da \u1edf tam gi\u00e1c c\u1ed5 tr\u01b0\u1edbc d\u01b0\u1edbi.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"286\" height=\"469\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-6.jpg\" alt=\"\" class=\"wp-image-476\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-6.jpg 286w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ro-khe-mang-6-183x300.jpg 183w\" sizes=\"(max-width: 286px) 100vw, 286px\" \/><figcaption><strong>H\u00ecnh 8. R\u00f2 khe mang th\u1ee9 IV<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n<ul><li>Kh\u00e1ng sinh trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng<\/li><li>R\u1ea1ch tho\u00e1t m\u1ee7 trong tr\u01b0\u1eddng h\u1ee3p \u00e1p xe h\u00f3a<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft tr\u1ecdn \u0111\u01b0\u1eddng d\u00f2 gi\u00fap \u0111i\u1ec1u tr\u1ecb kh\u1ecfi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1eb7t ra khi ph\u00e1t hi\u1ec7n b\u1ec7nh<ul><li>Tu\u1ed5i: t\u1eeb 3 \u0111\u1ebfn 6 th\u00e1ng n\u1ebfu ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd<\/li><li>T\u1ec9 l\u1ec7 t\u00e1i ph\u00e1t: 7% theo c\u00e1c b\u00e1o c\u00e1o tr\u00ean th\u1ebf gi\u1edbi<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><em>Ghi ch\u00fa: R\u00f2 khe mang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi b\u1eb1ng t\u00ean bao qu\u00e1t h\u01a1n l\u00e0 b\u1ea5t th\u01b0\u1eddng khe mang (r\u00f2, nang ho\u1eb7c xoang)<\/em><\/p>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Bajaj, Y., et al., <em>Branchial anomalies in children.<\/em> International journal of pediatric otorhinolaryngology, 2011. <strong>75<\/strong>(8): p. 1020-1023.<\/li><li>Schroeder, J.W., N. Mohyuddin, and J. Maddalozzo, <em>Branchial anomalies in the pediatric population.<\/em> Otolaryngology&#8211;Head and Neck Surgery, 2007. <strong>137<\/strong>(2): p. 289-295.<\/li><li>Spitz, L. and A. Coran, <em>Operative pediatric surgery<\/em>. 2013: CRC Press.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>R\u00f2 khe mang l\u00e0 g\u00ec? R\u00f2 khe mang l\u00e0 do s\u1ef1 ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng c\u1ee7a khe mang trong qua tr\u00ecnh ph\u00e1t tri\u1ec3n b\u00e0o thai. Nguy\u00ean nh\u00e2n ch\u01b0a r\u00f5 Nang, r\u00f2 c\u00f3 t\u1eeb <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ro-khe-mang\/\" title=\"R\u00f2 khe mang\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":478,"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\/456"}],"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=456"}],"version-history":[{"count":6,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/456\/revisions"}],"predecessor-version":[{"id":481,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/456\/revisions\/481"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/478"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=456"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}