{"id":595,"date":"2021-08-21T09:37:18","date_gmt":"2021-08-21T09:37:18","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=595"},"modified":"2021-08-21T09:37:25","modified_gmt":"2021-08-21T09:37:25","slug":"xoan-da-day-o-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/xoan-da-day-o-tre-em\/","title":{"rendered":"Xo\u1eafn d\u1ea1 d\u00e0y \u1edf tr\u1ebb em"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Xo\u1eafn d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm g\u1eb7p.<\/li><li>Xo\u1eafn d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 xoay b\u1ea5t th\u01b0\u1eddng c\u1ee7a m\u1ed9t ph\u1ea7n d\u1ea1 d\u00e0y quanh ph\u1ea7n d\u1ea1 d\u00e0y c\u00f2n l\u1ea1i, g\u00e2y t\u1eafc \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u1edbi nguy c\u01a1 ho\u1ea1i t\u1eed n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li><li>Kho\u1ea3ng 52% tr\u1ebb b\u1ecb xo\u1eafn d\u1ea1 d\u00e0y d\u01b0\u1edbi 12 th\u00e1ng, trong \u0111\u00f3 tr\u1ebb s\u01a1 sinh chi\u1ebfm kho\u1ea3ng 21% tr\u01b0\u1eddng h\u1ee3p.<\/li><li>Xo\u1eafn d\u1ea1 d\u00e0y l\u00e0 do b\u1ea5t th\u01b0\u1eddng c\u00e1c d\u00e2y ch\u1eb1ng c\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y.<\/li><li>Xo\u1eafn d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u1ebb b\u1ecb tho\u00e1t v\u1ecb ho\u00e0nh hay tho\u00e1t v\u1ecb qua khe th\u1ef1c qu\u1ea3n.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"948\" height=\"619\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-1.jpg\" alt=\"\" class=\"wp-image-598\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-1.jpg 948w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-1-300x196.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-1-768x501.jpg 768w\" sizes=\"(max-width: 948px) 100vw, 948px\" \/><figcaption><strong>H\u00ecnh 1: C\u00e1c d\u00e2y ch\u1eb1ng c\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y<\/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>\u1ede tr\u1ebb l\u1edbn v\u00e0 ng\u01b0\u1eddi l\u1edbn, bi\u1ec3u hi\u1ec7n c\u1ee7a xo\u1eafn d\u1ea1 d\u00e0y l\u00e0 3 tri\u1ec7u ch\u1ee9ng kinh \u0111i\u1ec3n: n\u00f4n khan, tr\u01b0\u1edbng v\u00f9ng th\u01b0\u1ee3ng v\u1ecb v\u00e0\u00a0 kh\u00f4ng \u0111\u1eb7t \u0111\u01b0\u1ee3c th\u00f4ng d\u1ea1 d\u00e0y.<\/li><li>\u1ede tr\u1ebb nh\u0169 nhi, tr\u1edb v\u00e0 n\u00f4n \u00f3i l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p, c\u00f3 th\u1ec3 n\u00f4n ra d\u1ecbch v\u00e0ng hay d\u1ecbch trong t\u00f9y theo v\u1ecb tr\u00ed b\u1ecb t\u1eafc. \u0110\u00f4i khi c\u00f3 th\u1ec3 n\u00f4n ra m\u00e1u.<\/li><li>Ngo\u00e0i ra, ch\u1eadm t\u0103ng tr\u01b0\u1edfng hay nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u0169ng l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh n\u00e0y.<\/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>Xo\u1eafn d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng X quang c\u00f3 v\u00e0 kh\u00f4ng b\u01a1m thu\u1ed1c c\u1ea3n quang.<\/li><li>\u00a0Tr\u00ean phim X quang kh\u00f4ng b\u01a1m thu\u1ed1c c\u1ea3n quang c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh b\u00f3ng h\u01a1i d\u1ea1 d\u00e0y h\u00ecnh c\u1ea7u ho\u1eb7c n\u1eb1m ngang v\u1edbi 1 m\u1ee9c kh\u00ed d\u1ecbch hay hai m\u1ee9c kh\u00ed \u2013 d\u1ecbch, v\u1eafng h\u01a1i trong ru\u1ed9t.<\/li><li>Tr\u00ean phim X quang c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh m\u1ecf chim, ch\u1ed7 n\u1ed1i th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y n\u1eb1m th\u1ea5p h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/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\/xoan-da-day-2.jpg\" alt=\"\" class=\"wp-image-599\" width=\"273\" height=\"401\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-2.jpg 364w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-2-204x300.jpg 204w\" sizes=\"(max-width: 273px) 100vw, 273px\" \/><figcaption><strong>H\u00ecnh 2: Xo\u1eafn d\u1ea1 d\u00e0y v\u1edbi m\u1ed9t m\u1ef1c n\u01b0\u1edbc h\u01a1i. <\/strong><br><em>&#8220;Ngu\u1ed3n:\u00a0 Mortell, 2011&#8221;.<\/em><\/figcaption><\/figure><\/div>\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\/xoan-da-day-3.jpg\" alt=\"\" class=\"wp-image-600\" width=\"270\" height=\"401\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-3.jpg 360w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-3-202x300.jpg 202w\" sizes=\"(max-width: 270px) 100vw, 270px\" \/><figcaption><strong>H\u00ecnh 3: Xo\u1eafn d\u1ea1 d\u00e0y tr\u00ean phim ch\u1ee5p c\u1ea3n quang.<\/strong><br><em>&#8220;Ngu\u1ed3n:\u00a0 Mortell, 2011&#8221;.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb xo\u1eafn d\u1ea1 d\u00e0y l\u00e0 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u<\/p>\n\n\n\n<p><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>\u0110\u1eb7t th\u00f4ng d\u1ea1 d\u00e0y h\u00fat li\u00ean t\u1ee5c<\/li><li>Truy\u1ec1n d\u1ecbch b\u00f9 n\u01b0\u1edbc<\/li><li>L\u00e0m x\u00e9t nghi\u1ec7m huy\u1ebft \u0111\u1ed3, \u0111\u00f4ng c\u1ea7m m\u00e1u, nh\u00f3m m\u00e1u, ch\u1ee9c n\u0103ng gan th\u1eadn, ion \u0111\u1ed3<\/li><\/ul>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>C\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y v\u00e0o th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc: ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u1eb1ng m\u1ed5 n\u1ed9i soi hay m\u1ed5 m\u1edf.<\/li><li>M\u1edf d\u1ea1 d\u00e0y ra da: th\u1ef1c hi\u1ec7n \u1edf tr\u1ebb s\u01a1 sinh nh\u1eb1m 2 m\u1ee5c \u0111\u00edch l\u00e0 c\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y v\u00e0o th\u00e0nh b\u1ee5ng v\u00e0 nu\u00f4i \u0103n<\/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\/xoan-da-day-4.jpg\" alt=\"\" class=\"wp-image-601\" width=\"515\" height=\"405\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-4.jpg 686w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-4-300x236.jpg 300w\" sizes=\"(max-width: 515px) 100vw, 515px\" \/><figcaption><strong>H\u00ecnh 4: M\u1edf d\u1ea1 d\u00e0y ra da<\/strong><em>\\<\/em><br><em>&#8220;Ngu\u1ed3n:\u00a0 Mortell, 2011&#8221;.<\/em><\/figcaption><\/figure><\/div>\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\/xoan-da-day-5.jpg\" alt=\"\" class=\"wp-image-602\" width=\"491\" height=\"382\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-5.jpg 654w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-da-day-5-300x233.jpg 300w\" sizes=\"(max-width: 491px) 100vw, 491px\" \/><figcaption><strong>H\u00ecnh 5: C\u1ed1 \u0111\u1ecbnh d\u1ea1 d\u00e0y v\u00e0o th\u00e0nh b\u1ee5ng<\/strong><br><em>&#8220;Ngu\u1ed3n:\u00a0 Mortell, 2011&#8221;.<\/em><\/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>Nu\u00f4i \u0103n t\u0129nh m\u1ea1ch<\/li><li>Kh\u00e1ng sinh<\/li><li>Thay b\u0103ng v\u1ebft m\u1ed5<\/li><li>Cho \u0103n l\u1ea1i khi d\u1ecbch d\u1ea1 d\u00e0y ra trong<\/li><li>Xu\u1ea5t vi\u1ec7n khi b\u1ec7nh nh\u00e2n \u0103n l\u1ea1i \u0111\u01b0\u1ee3c v\u00e0 v\u1ebft m\u1ed5 l\u00e0nh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<p>M\u1ed9t tu\u1ea7n, 3 th\u00e1ng , 6 th\u00e1ng sau m\u1ed5. t\u00e1i kh\u00e1m ngay n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng gi\u1ed1ng l\u1ea7n \u0111\u1ea7u.<\/p>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Nguy\u1ec5n Thanh Li\u00eam (2000) &#8220;Xo\u1eafn d\u1ea1 d\u00e0y&#8221;. Ph\u1eabu thu\u1eadt ti\u00eau h\u00f3a tr\u1ebb em, Nh\u00e0 xu\u1ea5t b\u1ea3n Y H\u1ecdc, tr. 76-79.<\/li><li>Mortell Alan E. (2011) &#8220;Gastric Volvulus&#8221;. Newborn Surgery, (3), pp. 444-449.<\/li><li>Randolph Kyle Cribbsa, Kenneth William Gow, Mark Lewis Wulkan (2008). \u201cGastric Volvulus in Infants and Children\u201d. Pediatrics,122, pp. 752\u2013762.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Xo\u1eafn d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t b\u1ec7nh hi\u1ebfm g\u1eb7p. Xo\u1eafn d\u1ea1 d\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 xoay b\u1ea5t th\u01b0\u1eddng c\u1ee7a m\u1ed9t ph\u1ea7n d\u1ea1 d\u00e0y quanh ph\u1ea7n d\u1ea1 d\u00e0y c\u00f2n l\u1ea1i, g\u00e2y t\u1eafc \u0111\u01b0\u1eddng <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/xoan-da-day-o-tre-em\/\" title=\"Xo\u1eafn d\u1ea1 d\u00e0y \u1edf tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":603,"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\/595"}],"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=595"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/595\/revisions"}],"predecessor-version":[{"id":604,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/595\/revisions\/604"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/603"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=595"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}