{"id":480,"date":"2021-08-18T09:19:26","date_gmt":"2021-08-18T09:19:26","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=480"},"modified":"2021-08-18T10:01:04","modified_gmt":"2021-08-18T10:01:04","slug":"teo-ruot-non","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-ruot-non\/","title":{"rendered":"Teo ru\u1ed9t non"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>Teo ru\u1ed9t non l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n<ul><li>Teo ru\u1ed9t non l\u00e0 m\u1ed9t d\u1ecb t\u1eadt b\u1ea9m sinh c\u1ee7a \u0111\u01b0\u1eddng ru\u1ed9t, trong \u0111\u00f3 m\u1ed9t hay nhi\u1ec1u \u0111o\u1ea1n ru\u1ed9t b\u1ecb teo nh\u1ecf v\u00e0 m\u1ea5t \u0111i ch\u1ee9c n\u0103ng ch\u1ee9a v\u00e0 h\u1ea5p thu th\u1ee9c \u0103n. Nguy\u00ean nh\u00e2n l\u00e0 do thi\u1ebfu m\u00e1u nu\u00f4i l\u00e0m thi\u1ec3u s\u1ea3n \u0111o\u1ea1n ru\u1ed9t. B\u1ec7nh g\u1eb7p \u1edf kho\u1ea3ng 1\/4.000 tr\u1ebb sinh ra s\u1ed1ng.<\/li><li>C\u00f3 nhi\u1ec1u d\u1ea1ng teo ru\u1ed9t non kh\u00e1c nhau (Lo\u1ea1i 1, 2, 3a,3b, 4) nh\u01b0ng t\u1ea5t c\u1ea3 \u0111\u1ec1u c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m chung l\u00e0 c\u00f3 s\u1ef1 gi\u00e1n \u0111o\u1ea1n l\u01b0u th\u00f4ng c\u1ee7a l\u00f2ng ru\u1ed9t.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"948\" height=\"566\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-1-1.jpg\" alt=\"\" class=\"wp-image-484\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-1-1.jpg 948w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-1-1-300x179.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-1-1-768x459.jpg 768w\" sizes=\"(max-width: 948px) 100vw, 948px\" \/><figcaption><strong>H\u00ecnh 1: C\u00e1c d\u1ea1ng teo ru\u1ed9t non<\/strong>. <strong>A: lo\u1ea1i 1, B: lo\u1ea1i 2, C: lo\u1ea1i 3A, D: lo\u1ea1i 3B, E: lo\u1ea1i 4<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Trong khi mang thai, m\u1eb9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u0111a \u1ed1i tr\u00ean si\u00eau \u00e2m. Nhi\u1ec1u b\u00e9 b\u1ecb t\u1eafc ru\u1ed9t cao c\u00f3 th\u1ec3 c\u00f3 h\u00ecnh \u1ea3nh d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng d\u00e3n to.<\/li><li>Sau khi sinh ra, tr\u1ebb bi\u1ec3u hi\u1ec7n b\u1ec7nh b\u1eb1ng h\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t cao g\u1ed3m:<\/li><li>\u00d3i s\u1edbm sau b\u00fa, \u1ecdc d\u1ecbch xanh hay v\u00e0ng (m\u00e0u m\u1eadt). C\u00f3 th\u1ec3 mu\u1ed9n h\u01a1n n\u1ebfu t\u1eafc ru\u1ed9t \u0111o\u1ea1n xa.<\/li><li>Tr\u01b0\u1edbng b\u1ee5ng: b\u1ee5ng tr\u01b0\u1edbng nhi\u1ec1u khi t\u1eafc \u1edf \u0111o\u1ea1n ru\u1ed9t xa, t\u1eafc \u0111o\u1ea1n g\u1ea7n tr\u01b0\u1edbng s\u1edbm ph\u1ea7n b\u1ee5ng tr\u00ean.<\/li><li>C\u00f3 th\u1ec3 kh\u00f4ng \u0111i ph\u00e2n su.<\/li><li>C\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e8m theo c\u00f3 th\u1ec3: v\u00e0ng da, da kh\u00f4 do m\u1ea5t n\u01b0\u1edbc\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m c\u1ea7n th\u1ef1c hi\u1ec7n<\/strong><\/p>\n\n\n\n<ul><li>Si\u00eau \u00e2m b\u1ee5ng: c\u00f3 th\u1ec3 th\u1ea5y quai ru\u1ed9t d\u00e3n v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u t\u1eafc ru\u1ed9t. Si\u00eau \u00e2m b\u1ee5ng c\u00f3 th\u1ec3 c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc ru\u1ed9t nguy hi\u1ec3m c\u1ea7n lo\u1ea1i tr\u1eeb l\u00e0 ru\u1ed9t xoay b\u1ea5t to\u00e0n c\u00f3 ho\u1eb7c kh\u00f4ng xo\u1eafn ru\u1ed9t<\/li><li>Ch\u1ee5p X Quang b\u1ee5ng kh\u00f4ng s\u1eeda so\u1ea1n: cho th\u1ea5y h\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t v\u1edbi c\u00e1c m\u1ef1c n\u01b0\u1edbc h\u01a1i v\u00e0 kh\u00f4ng th\u1ea5y h\u01a1i xu\u1ed1ng ru\u1ed9t b\u00ean d\u01b0\u1edbi. \u0110\u00f4i khi th\u1ea5y m\u1ed9t v\u00e0i quai ru\u1ed9t d\u00e3n to (h\u00ecnh 2) ho\u1eb7c h\u00ecnh \u1ea3nh h\u01a1i t\u1ef1 do trong \u1ed5 b\u1ee5ng do th\u1ee7ng t\u00fai c\u00f9ng tr\u00ean ch\u1ed7 teo b\u1ecb thi\u1ebfu m\u00e1u v\u00e0 ho\u1ea1i t\u1eed khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn tr\u1ec5<\/li><li>X\u00e9t nghi\u1ec7m m\u00e1u th\u00f4ng th\u01b0\u1eddng, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 trong m\u00e1u v\u00e0 x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc m\u1ed5.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>&nbsp;Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>Si\u00eau \u00e2m ti\u1ec1n s\u1ea3n: m\u1eb9 \u0111a \u1ed1i, c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh quai ru\u1ed9t d\u00e3n tron b\u1ee5ng thai nhi.<\/li><li>L\u00e2m s\u00e0ng: c\u00f3 d\u1ea5u hi\u1ec7u t\u1eafc ru\u1ed9t nh\u01b0 \u0111\u00e3 n\u00eau tr\u00ean<\/li><li>X\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh: c\u00f3 h\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"377\" height=\"406\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-2.jpg\" alt=\"\" class=\"wp-image-483\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-2.jpg 377w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-ruot-non-2-279x300.jpg 279w\" sizes=\"(max-width: 377px) 100vw, 377px\" \/><figcaption><strong>H\u00ecnh 2: V\u00e0i quai ru\u1ed9t non tr\u00ean ch\u1ed7 t\u1eafc gi\u00e3n to<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>C\u00e1c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u00f3 th\u1ec3 g\u1ed3m: t\u1eafc ru\u1ed9t ph\u00e2n su, b\u1ec7nh Hirschsprung, xo\u1eafn ru\u1ed9t, tho\u00e1t v\u1ecb n\u1ed9i b\u1ea9m sinh, suy gi\u00e1p b\u1ea9m sinh\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>Tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y gi\u1ea3i \u00e1p, cho nh\u1ecbn v\u00e0 nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch k\u00e8m v\u1edbi b\u1ed3i ho\u00e0n n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Kh\u00e1ng sinh c\u0169ng r\u1ea5t c\u1ea7n thi\u1ebft.<\/li><li>Khi \u1ed5n \u0111\u1ecbnh tr\u1ebb n\u00ean \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt s\u1edbm. M\u1ee5c \u0111\u00edch c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 t\u00e1i l\u1eadp l\u01b0u th\u00f4ng ru\u1ed9t b\u1eb1ng c\u00e1ch kh\u00e2u n\u1ed1i ru\u1ed9t k\u00e8m v\u1edbi lo\u1ea1i b\u1ecf \u0111o\u1ea1n ru\u1ed9t m\u1ea5t ch\u1ee9c n\u0103ng.<\/li><li>Tr\u1ebb c\u00f3 th\u1ec3 ph\u1ea3i l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o t\u1ea1m th\u1eddi khi n\u1ebfu kh\u00f4ng th\u1ec3 n\u1ed1i ru\u1ed9t \u0111\u01b0\u1ee3c v\u00ec nhi\u1ec1u nguy c\u01a1 cho mi\u1ec7ng n\u1ed1i ru\u1ed9t hay cho to\u00e0n tr\u1ea1ng c\u1ee7a tr\u1ebb. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1ebd \u0111\u01b0\u1ee3c kh\u00e2u n\u1ed1i ru\u1ed9t m\u1ed9t th\u00ec.<\/li><li>Sau ph\u1eabu thu\u1eadt tr\u1ebb s\u1ebd ph\u1ea3i nh\u1ecbn \u0103n \u0111\u01b0\u1eddng mi\u1ec7ng v\u00e0 \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa h\u1ed7 tr\u1ee3 bao g\u1ed3m gi\u1ea3m \u0111au, kh\u00e1ng sinh, b\u1ed3i ho\u00e0n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i v\u00e0 nu\u00f4i \u0103n t\u0129nh m\u1ea1ch. Sau 48 gi\u1edd ng\u00e0y n\u1ebfu ru\u1ed9t th\u00f4ng th\u01b0\u01a1ng t\u1ed1t tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c cho \u0103n l\u1ea1i d\u1ea7n. Ch\u0103m s\u00f3c v\u1ebft m\u1ed5 m\u1ed7i ng\u00e0y v\u00e0 c\u1eaft ch\u1ec9 sau 1 tu\u1ea7n.<\/li><li>Trong tr\u01b0\u1eddng h\u1ee3p mi\u1ec7ng n\u1ed1i tr\u00ean cao v\u00e0 c\u00f3 nguy c\u01a1 ch\u1eadm ho\u1ea1t \u0111\u1ed9ng mi\u1ec7ng n\u1ed1i b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t 1 \u1ed1ng v\u00e0o \u0111o\u1ea1n \u0111\u1ea7u ru\u1ed9t non v\u00e0 \u0111\u01b0a ra da \u0111\u1ec3 nu\u00f4i \u0103n cho \u0111\u1ebfn khi b\u00e9 c\u00f3 th\u1ec3 \u0103n \u0111\u01b0\u1ee3c b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng ho\u00e0n to\u00e0n th\u00ec r\u00fat b\u1ecf \u1ed1ng th\u00f4ng n\u00e0y.<\/li><li>Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nhi c\u00f3 h\u1eadu m\u00f4n t\u1ea1m, vi\u1ec7c c\u00e2n nh\u1eafc \u0111\u00f3ng h\u1eadu m\u00f4n t\u1ea1m sau 2-8 tu\u1ea7n t\u00f9y v\u1ecb tr\u00ed teo v\u00e0 t\u00f9y t\u00ecnh tr\u1ea1ng b\u1ec7nh nhi t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00f3.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>D\u1ef1 h\u1eadu<\/strong><strong> (ti\u00ean l\u01b0\u1ee3ng)<\/strong><\/p>\n\n\n\n<ul><li>Teo ru\u1ed9t non l\u00e0 b\u1ec7nh c\u1ea3nh kh\u00e1 n\u1eb7ng n\u1ec1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh ch\u1ec9 \u1edf m\u1ee9c trung b\u00ecnh.<\/li><li>N\u1ebfu tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng, kh\u00f4ng c\u00f3 nhi\u1ec1u d\u1ecb t\u1eadt hay b\u1ec7nh l\u00fd \u0111i k\u00e8m ti\u00ean l\u01b0\u1ee3ng s\u1ed1ng c\u00f2n l\u00e0 80%. Ng\u01b0\u1ee3c l\u1ea1i khi tr\u1ebb sanh non, nh\u1eb9 c\u00e2n, nhi\u1ec1u b\u1ec7nh l\u00fd k\u00e8m theo t\u1ec9 l\u1ec7 t\u1eed vong r\u1ea5t cao.<\/li><li>Sau khi ph\u1eabu thu\u1eadt, tr\u1ebb c\u00f2n c\u00f3 th\u1ec3 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0: h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn, ch\u1eadm ho\u1ea1t \u0111\u1ed9ng mi\u1ec7ng n\u1ed1i, t\u1eafc ru\u1ed9t do d\u00ednh, nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n\u2026<\/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><em>Aguayo P., Ostlie D. J. (2010), Duodenal and Intestinal Atresia and Stenosis, Ashcraft\u2019s Pediatric Surgery, pp: 400-415<\/em><\/li><li><em>Rode H. et Millar J.W. (2006), Jejuno-ileal Atresia, Pediatric Surgery, pp: 213-228<\/em><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Teo ru\u1ed9t non l\u00e0 g\u00ec? Teo ru\u1ed9t non l\u00e0 m\u1ed9t d\u1ecb t\u1eadt b\u1ea9m sinh c\u1ee7a \u0111\u01b0\u1eddng ru\u1ed9t, trong \u0111\u00f3 m\u1ed9t hay nhi\u1ec1u \u0111o\u1ea1n ru\u1ed9t b\u1ecb teo nh\u1ecf v\u00e0 m\u1ea5t \u0111i ch\u1ee9c n\u0103ng ch\u1ee9a v\u00e0 h\u1ea5p <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-ruot-non\/\" title=\"Teo ru\u1ed9t non\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":485,"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\/480"}],"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=480"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/480\/revisions"}],"predecessor-version":[{"id":486,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/480\/revisions\/486"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/485"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=480"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=480"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=480"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}