{"id":479,"date":"2021-08-18T09:31:27","date_gmt":"2021-08-18T09:31:27","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=479"},"modified":"2021-08-18T09:32:22","modified_gmt":"2021-08-18T09:32:22","slug":"sa-truc-trang","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/sa-truc-trang\/","title":{"rendered":"Sa tr\u1ef1c tr\u00e0ng"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>Sa tr\u1ef1c tr\u00e0ng l\u00e0<\/strong><strong> g\u00ec?<\/strong><\/p>\n\n\n\n<ul><li>Sa tr\u1ef1c tr\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 \u0111i xu\u1ed1ng c\u1ee7a tr\u1ef1c tr\u00e0ng qua \u1ed1ng h\u1eadu m\u00f4n.<\/li><li>Th\u01b0\u1eddng g\u1eb7p tr\u1ebb nh\u1ecf t\u1eeb 1 \u2013 3 tu\u1ed5i v\u00e0 t\u1ef1 gi\u1edbi h\u1ea1n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n \u2013 y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n<p>Hi\u1ec7n ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 t\u0103ng t\u1ef7 l\u1ec7 sa tr\u1ef1c tr\u00e0ng nh\u01b0:<\/p>\n\n\n\n<ul><li>Thay \u0111\u1ed5i th\u00f3i quen ru\u1ed9t: ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n (th\u1ef1c s\u1ef1 ch\u1ec9 c\u00f3 3% sa tr\u1ef1c tr\u00e0ng li\u00ean quan \u0111\u1ebfn t\u00e1o b\u00f3n)<\/li><li>Nhi\u1ec5m k\u00ed sinh tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t.<\/li><li>Polyp tr\u1ef1c tr\u00e0ng<\/li><li>B\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh c\u01a1 (tho\u00e1t v\u1ecb t\u1ee7y m\u00e0ng t\u1ee7y, l\u1ed9 b\u00e0ng quang)<\/li><li>Ho m\u1ea1n t\u00ednh.<\/li><li>Qu\u00e1 g\u1ea7y, gi\u1ea3m l\u1edbp m\u1ee1 quanh tr\u1ef1c tr\u00e0ng.<\/li><li>Sau m\u1ed5 v\u00f9ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng nh\u01b0 ph\u1eabu thu\u1eadt Pull-through.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<p>Bi\u1ec3u hi\u1ec7n 2 th\u1ec3 l\u00e0 sa tr\u1ef1c tr\u00e0ng b\u00e1n ph\u1ea7n v\u00e0 sa tr\u1ef1c tr\u00e0ng to\u00e0n ph\u1ea7n.<\/p>\n\n\n\n<p><strong><em>Sa tr\u1ef1c tr\u00e0ng b\u00e1n ph\u1ea7n<\/em><\/strong>: Th\u01b0\u1eddng g\u1eb7p h\u01a1n, kh\u1ed1i sa ra ngo\u00e0i \u1ed1ng h\u1eadu m\u00f4n l\u00e0 ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng, k\u00edch th\u01b0\u1edbc kh\u1ed1i sa th\u01b0\u1eddng l\u00e0 1-3cm, v\u1edbi h\u00ecnh \u1ea3nh c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c ch\u1ea1y d\u1ecdc t\u1eeb trung t\u00e2m h\u01b0\u1edbng ra r\u00eca kh\u1ed1i sa (h\u00ecnh 1).<\/p>\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\/sa-truc-trang-1.jpg\" alt=\"\" class=\"wp-image-487\" width=\"321\" height=\"321\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-1.jpg 291w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-1-150x150.jpg 150w\" sizes=\"(max-width: 321px) 100vw, 321px\" \/><figcaption><strong>H\u00ecnh 1: Sa tr\u1ef1c tr\u00e0ng b\u00e1n ph\u1ea7n (sa ni\u00eam m\u1ea1c tr\u1ef1c tr\u00e0ng)<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong><em>Sa tr\u1ef1c tr\u00e0ng to\u00e0n ph\u1ea7n<\/em><\/strong>:<\/p>\n\n\n\n<ul><li>Kh\u1ed1i sa l\u00e0 to\u00e0n b\u1ed9 b\u1ec1 d\u00e0y c\u1ee7a tr\u1ef1c tr\u00e0ng sa ra ngo\u00e0i \u1ed1ng h\u1eadu m\u00f4n, k\u00edch th\u01b0\u1edbc kh\u1ed1i sa th\u01b0\u1eddng d\u00e0i h\u01a1n 5cm, v\u1edbi h\u00ecnh \u1ea3nh c\u00e1c n\u1ebfp ni\u00eam m\u1ea1c ch\u1ea1y v\u00f2ng quanh trung t\u00e2m kh\u1ed1i sa (h\u00ecnh 2).<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"320\" height=\"320\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-2.jpg\" alt=\"\" class=\"wp-image-488\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-2.jpg 320w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-2-300x300.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/sa-truc-trang-2-150x150.jpg 150w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/><figcaption><strong>H\u00ecnh 2: Sa tr\u1ef1c tr\u00e0ng to\u00e0n ph\u1ea7n<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nhi th\u01b0\u1eddng \u0111\u01b0a b\u00e9 \u0111\u1ebfn kh\u00e1m v\u00ec th\u1ea5y kh\u1ed1i sa \u1edf h\u1eadu m\u00f4n sau khi b\u00e9 \u0111i ti\u00eau. Ho\u1eb7c tri\u1ec7u ch\u1ee9ng \u0111au, ch\u1ea3y m\u00e1u, ti\u1ebft nh\u1ea7y v\u00f9ng h\u1eadu m\u00f4n. Ng\u01b0\u1eddi nh\u00e0 n\u00ean quay phim ho\u1eb7c ch\u1ee5p h\u00ecnh l\u1ea1i khi tr\u1ef1c tr\u00e0ng sa ra ngo\u00e0i.<\/li><li>N\u1ed9i soi tr\u1ef1c tr\u00e0ng t\u00ecm polyp hay lo\u00e9t tr\u1ef1c tr\u00e0ng.<\/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>Sa tr\u1ef1c tr\u00e0ng th\u01b0\u1eddng t\u1ef1 gi\u1edbi h\u1ea1n v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, sinh ho\u1ea1t h\u1ee3p l\u00fd m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i can thi\u1ec7p b\u1ea5t c\u1ee9 th\u1ee7 thu\u1eadt hay ph\u1eabu thu\u1eadt n\u00e0o.<\/li><li>Khi tr\u1ef1c tr\u00e0ng sa ra ngo\u00e0i m\u00e0 kh\u00f4ng t\u1ef1 h\u1ebft c\u1ea7n ph\u1ea3i \u0111\u1ea9y l\u00ean nh\u1eb9 nh\u00e0ng khi b\u00e9 \u1edf t\u01b0 th\u1ebf n\u1eb1m<\/li><li>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt ch\u1ec9 \u0111\u01b0\u1ee3c \u0111\u1eb7t ra khi:<ul><li>Sa tr\u1ef1c tr\u00e0ng sau ph\u1eabu thu\u1eadt (Pullthrough)<\/li><li>C\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt nh\u1eefng tr\u1ebb tr\u00ean 4 tu\u1ed5i<\/li><li>Kh\u00f4ng t\u1ef1 gi\u1edbi h\u1ea1n trong th\u1eddi gian theo d\u00f5i 12 \u2013 18 th\u00e1ng<\/li><\/ul><\/li><li>Ph\u01b0\u01a1ng ph\u00e1p:<ul><li>C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb sa tr\u1ef1c tr\u00e0ng, l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean l\u00e0 th\u1ee7 thu\u1eadt ch\u00edch x\u01a1.<\/li><li>Ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh tr\u1ef1c tr\u00e0ng (m\u1ed5 m\u1edf ho\u1eb7c n\u1ed9i soi) \u0111\u01b0\u1ee3c \u0111\u1eb7t ra trong tr\u01b0\u1eddng h\u1ee3p th\u1ea5t b\u1ea1i v\u1edbi th\u1ee7 thu\u1eadt ch\u00edch x\u01a1.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u0103m s\u00f3c \u2013 theo d\u00f5i t\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<ul><li>Ch\u1ed1ng t\u00e1o b\u00f3n b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1, thu\u1ed1c nhu\u1eadn tr\u01b0\u1eddng.<\/li><li>Ch\u00fa \u00fd t\u01b0 th\u1ebf r\u1eb7n khi tr\u1ebb \u0111i ti\u00eau (tr\u00e1nh t\u01b0 th\u1ebf ng\u1ed3i x\u1ed5m).<\/li><li>\u0110i\u1ec1u tr\u1ecb c\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i: ho k\u00e9o d\u00e0i, suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m k\u00fd sinh tr\u00f9ng \u0111\u01b0\u1eddng ru\u1ed9t&#8230;<\/li><li>T\u00e1i kh\u00e1m m\u1ed7i 3-6 th\u00e1ng trong th\u1eddi gian 12-18 th\u00e1ng c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/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>Coran, operative pediatric surgery, 7th, pages 608 \u2013 614.<\/li><li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20223316\">Http:\/\/www.Ncbi.Nlm.Nih.Gov\/pubmed\/20223316<\/a><\/li><li>Shyam B. Sharma, Posterior levator repair and rectal suspension for recurrent rectal prolapse: author&#8217;s experience; an open access, online international journal available at <a href=\"http:\/\/www.cibtech.org\/cjs.htm\">http:\/\/www.Cibtech.Org\/cjs.Htm<\/a>&nbsp; 2014 vol. 3 (1) january-april, pp. 38-42\/sharma and gupta.<\/li><li>Solomon, Randomized clinical trial of laparoscopic vs open abdominal rectopexy for rectal prolapse; British JS 2002.<\/li><li>Amel Abd Eltwab Hashish; Posterior sagittal rectopexy in the treatment of recurrent rectal prolapse in children; Annals of Pediatric Surgery 2011, 7:101\u2013104<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Sa tr\u1ef1c tr\u00e0ng l\u00e0 g\u00ec? Sa tr\u1ef1c tr\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 \u0111i xu\u1ed1ng c\u1ee7a tr\u1ef1c tr\u00e0ng qua \u1ed1ng h\u1eadu m\u00f4n. Th\u01b0\u1eddng g\u1eb7p tr\u1ebb nh\u1ecf t\u1eeb 1 \u2013 3 tu\u1ed5i v\u00e0 t\u1ef1 gi\u1edbi h\u1ea1n. <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/sa-truc-trang\/\" title=\"Sa tr\u1ef1c tr\u00e0ng\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":489,"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\/479"}],"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=479"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/479\/revisions"}],"predecessor-version":[{"id":492,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/479\/revisions\/492"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/489"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=479"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}