{"id":613,"date":"2021-08-21T10:51:39","date_gmt":"2021-08-21T10:51:39","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=613"},"modified":"2021-08-21T10:51:43","modified_gmt":"2021-08-21T10:51:43","slug":"ro-hau-mon-tien-dinh-ong-tang-sinh-mon","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ro-hau-mon-tien-dinh-ong-tang-sinh-mon\/","title":{"rendered":"R\u00f2 h\u1eadu m\u00f4n &#8211; ti\u1ec1n \u0111\u00ecnh (\u1ed0ng t\u1ea7ng sinh m\u00f4n)"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ecbnh ngh\u0129a<\/strong><\/p>\n\n\n\n<p>L\u00e0 d\u1ecb d\u1ea1ng h\u1eadu m\u00f4n \u2013 tr\u1ef1c tr\u00e0ng c\u00f3 \u0111\u01b0\u1eddng r\u00f2 t\u1eeb \u1ed1ng h\u1eadu m\u00f4n \u0111\u1ed5 ra ti\u1ec1n \u0111\u00ecnh ho\u1eb7c t\u1ea7ng sinh m\u00f4n \u1edf tr\u1ebb em c\u00f3 h\u1eadu m\u00f4n b\u00ecnh th\u01b0\u1eddng.<\/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\/ong-tang-sinh-mon-1-1-729x1024.jpg\" alt=\"\" class=\"wp-image-621\" width=\"365\" height=\"512\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-1-1-729x1024.jpg 729w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-1-1-214x300.jpg 214w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-1-1-768x1079.jpg 768w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-1-1.jpg 896w\" sizes=\"(max-width: 365px) 100vw, 365px\" \/><figcaption><strong>H\u00ecnh 1: L\u1ed7 r\u00f2 ti\u1ec1n \u0111\u00ecnh trong b\u1ec7nh \u1ed1ng t\u1ea7ng sinh m\u00f4n (\u0111\u1ea7u m\u0169i t\u00ean tr\u1eafng). <\/strong><br><em>&#8220;Ngu\u1ed3n: Manjiri, 2020&#8221;<\/em>.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u1ea7n su\u1ea5t g\u1eb7p ph\u1ea3i<\/strong><\/p>\n\n\n\n<ul><li>Th\u01b0\u1eddng x\u1ea3y ra t\u1ea1i c\u00e1c n\u01b0\u1edbc thu\u1ed9c khu v\u1ef1c ch\u00e2u \u00c1 (M\u00e2u thu\u1eabn)<\/li><li>Chi\u1ebfm 4 % trong s\u1ed1 c\u00e1c d\u1ea1ng c\u1ee7a d\u1ecb d\u1ea1ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng<\/li><li>Th\u1eddi \u0111i\u1ec3m kh\u1edfi b\u1ec7nh: tu\u1ed5i nh\u1ecf nh\u1ea5t m\u1eafc b\u1ec7nh l\u00e0 3 tu\u1ea7n tu\u1ed5i, tu\u1ed5i l\u1edbn nh\u1ea5t l\u00e0 3 th\u00e1ng tu\u1ed5i. T\u1eadp trung cao nh\u1ea5t l\u00e0 t\u1eeb 1 th\u00e1ng \u0111\u1ebfn 1 th\u00e1ng r\u01b0\u1ee1i (chi\u1ebfm 74,6%).<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<p>L\u00e0 b\u1ec7nh b\u1ea9m sinh v\u00e0 nguy\u00ean nh\u00e2n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<p>Ch\u1ea9n \u0111o\u00e1n ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o h\u1ecfi b\u1ec7nh v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng<\/p>\n\n\n\n<p><strong>H\u1ecfi b\u1ec7nh: <\/strong>Th\u1eddi \u0111i\u1ec3m x\u1ea3y ra tri\u1ec7u ch\u1ee9ng x\u00ec ph\u00e2n \u1edf ti\u1ec1n \u0111\u00ecnh \u00e2m \u0111\u1ea1o<\/p>\n\n\n\n<p><strong>Kh\u00e1m:<\/strong><\/p>\n\n\n\n<ul><li>S\u01b0ng, t\u1ea5y \u0111\u1ecf \u1edf m\u00f4i l\u1edbn.<\/li><li>X\u00ec m\u1ee7, ph\u00e2n t\u1eeb ti\u1ec1n \u0111\u00ecnh \u00e2m \u0111\u1ea1o (v\u00f9ng \u00e2m h\u1ed9)<\/li><li>Nhi\u1ec5m tr\u00f9ng m\u00f4 m\u1ec1m \u1edf m\u00f4i l\u1edbn<\/li><li>C\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c l\u1ed7 r\u00f2 \u1edf h\u1ed1 ti\u1ec1n \u0111\u00ecnh ho\u1eb7c v\u00f9ng l\u00e2n c\u1eadn<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i th\u01b0\u01a1ng t\u1ed5n<\/strong><\/p>\n\n\n\n<ul><li>Lo\u1ea1i 1: vi\u00eam ti\u1ebfn tri\u1ec3n t\u1ea1i b\u1ed9 ph\u1eadn sinh d\u1ee5c ho\u1eb7c \u0111ang ch\u1ea3y m\u1ee7 c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m x\u00ec ph\u00e2n l\u00fac \u0111i c\u1ea7u t\u1eeb b\u1ed9 ph\u1eadn sinh d\u1ee5c<\/li><li>Lo\u1ea1i 2: ch\u1ec9 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng h\u0103m \u0111\u1ecf t\u1ea1i b\u1ed9 ph\u00e2n sinh d\u1ee5c v\u00e0 c\u00f3 r\u00f2 ph\u00e2n qua l\u1ed7 r\u00f2 \u1edf ti\u1ec1n \u0111\u00ecnh l\u00fac \u0111i c\u1ea7u.<\/li><li>Lo\u1ea1i 3: b\u1ed9 ph\u1eadn sinh d\u1ee5c ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng, ch\u1ec9 c\u00f3 l\u1ed7 r\u00f2 \u1edf b\u1ed9 ph\u1eadn sinh d\u1ee5c.<\/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\/ong-tang-sinh-mon-2.jpg\" alt=\"\" class=\"wp-image-616\" width=\"448\" height=\"400\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-2.jpg 896w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-2-300x268.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-2-768x685.jpg 768w\" sizes=\"(max-width: 448px) 100vw, 448px\" \/><figcaption><strong>H\u00ecnh 2: \u1ed0ng t\u1ea7ng sinh m\u00f4n k\u00e8m vi\u00eam nhi\u1ec5m xung quanh<\/strong><br><em>&#8220;Ngu\u1ed3n: Manjiri, 2020&#8221;<\/em>.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p \u1edf b\u1ed9 ph\u1eadn sinh d\u1ee5c cho \u0111\u1ebfn khi \u1ed5n \u0111\u1ecbnh \u0111\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/li><li>Ch\u1ec9 m\u1edf h\u1eadu m\u00f4n t\u1ea1m khi v\u00f9ng \u00e2m h\u1ed9 b\u1ecb vi\u00eam nhi\u1ec5m lan r\u1ed9ng (R\u1ea5t hi\u1ebfm)<\/li><li>Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 s\u1edbm nh\u1ea5t l\u00e0 3 th\u00e1ng sau khi \u0111\u01b0\u1eddng r\u00f2 \u1ed5n \u0111\u1ecbnh. <\/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\/ong-tang-sinh-mon.jpg\" alt=\"\" class=\"wp-image-617\" width=\"580\" height=\"266\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon.jpg 844w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-300x138.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/ong-tang-sinh-mon-768x353.jpg 768w\" sizes=\"(max-width: 580px) 100vw, 580px\" \/><figcaption><strong>H\u00ecnh 3. Ph\u1eabu thu\u1eadt Tsuchida \u0111i\u1ec1u tr\u1ecb \u1ed1ng t\u1ea7ng sinh m\u00f4n<\/strong><br><em>&#8220;Ngu\u1ed3n: Tsuchida, 1984&#8221;.<\/em><\/figcaption><\/figure><\/div>\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>Nh\u1ecbn \u0103n u\u1ed1ng \u00edt nh\u1ea5t 6 gi\u1edd tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/li><li>Thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch<\/li><li>Kh\u00e1ng sinh ch\u00edch t\u0129nh m\u1ea1ch<\/li><li>Chu\u1ea9n b\u1ecb \u0111\u1ea1i tr\u00e0ng (th\u1ee5t th\u00e1o) tr\u01b0\u1edbc ph\u1eabu thu\u1eadt.<\/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>Cho \u0103n l\u1ea1i 6 gi\u1edd sau ph\u1eabu thu\u1eadt<\/li><li>Ti\u1ebfp t\u1ee5c kh\u00e1ng sinh 3-5 ng\u00e0y sau ph\u1eabu thu\u1eadt<\/li><li>U\u1ed1ng thu\u1ed1c gi\u1ea3m \u0111au 3 ng\u00e0y sau ph\u1eabu thu\u1eadt<\/li><li>Tr\u00e1nh t\u00e1o b\u00f3n b\u1eb1ng thu\u1ed1c nhu\u1eadn tr\u01b0\u1eddng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1<\/li><li>R\u1eeda v\u1ebft th\u01b0\u01a1ng sau m\u1ed7i l\u1ea7n ti\u00eau ti\u1ec3u v\u1edbi Betadine pha lo\u00e3ng<\/li><li>Ch\u1ec9 kh\u00e2u s\u1ebd t\u1ef1 ti\u00eau, kh\u00f4ng c\u1ea7n c\u1eaft<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Nhi\u1ec5m tr\u00f9ng n\u01a1i ph\u1eabu thu\u1eadt<\/li><li>T\u00e1i ph\u00e1t r\u00f2 x\u1ea3y ra sau m\u1ed5 t\u1eeb 3 ng\u00e0y \u0111\u1ebfn 10 ng\u00e0y. N\u1ebfu t\u00e1i ph\u00e1t ph\u1ea3i \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa nh\u01b0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p. Ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u00f3ng r\u00f2 l\u1ea1i sau \u0111\u00f3 s\u1edbm nh\u1ea5t 3 th\u00e1ng<\/li><li>R\u00f2 v\u00e0o \u00e2m \u0111\u1ea1o\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<p>T\u00e1i kh\u00e1m sau khi xu\u1ea5t vi\u1ec7n 1 tu\u1ea7n &#8211; 1 th\u00e1ng &#8211; 1 n\u0103m.<\/p>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Le Tan Son et al.<em> Perineal canal: epidemiology, clinical findings and managements<\/em> * Y Hoc TP. Ho Chi Minh * Vol. 9 &#8211; No 1 &#8211; 2005: 25 \u2013 30.<\/li><li>Feilim Murphy,Prem Puri, John M. Hutson and Alexander M. Holschneider<em>.<\/em><strong> <\/strong><em>Incidence and Frequency of Different Types, and Classification of Anorectal Malformations<\/em>. Anorectal Malformations in Children, Springer, 2006.<\/li><li>Ph\u00e1c \u0111\u1ed5 \u0111i\u1ec1u tr\u1ecb Ngo\u1ea1i nhi B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 1<\/li><li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9099646\">http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9099646<\/a>, Perineal canal.<\/li><li>Manjiri, S., Shetty, J., Padmalatha, S.K.\u00a0et al (2020<em>)<\/em>. <em>Perineal canal repair using modified Tsuchida\u2019s technique<\/em>.\u00a0Ann Pediatr Surg\u00a016 (1):15-20.<\/li><li>Tsuchida Y, Saito S, Honna T, Makino S, Kaneko M, et al (1984). <em>Double termination of the alimentary tract in females: a report of 12 cases and a literature review<\/em>. J Pediatr Surg. 19 (3):292\u20136.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ecbnh ngh\u0129a L\u00e0 d\u1ecb d\u1ea1ng h\u1eadu m\u00f4n \u2013 tr\u1ef1c tr\u00e0ng c\u00f3 \u0111\u01b0\u1eddng r\u00f2 t\u1eeb \u1ed1ng h\u1eadu m\u00f4n \u0111\u1ed5 ra ti\u1ec1n \u0111\u00ecnh ho\u1eb7c t\u1ea7ng sinh m\u00f4n \u1edf tr\u1ebb em c\u00f3 h\u1eadu m\u00f4n b\u00ecnh th\u01b0\u1eddng. T\u1ea7n su\u1ea5t <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/ro-hau-mon-tien-dinh-ong-tang-sinh-mon\/\" title=\"R\u00f2 h\u1eadu m\u00f4n &#8211; ti\u1ec1n \u0111\u00ecnh (\u1ed0ng t\u1ea7ng sinh m\u00f4n)\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":622,"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\/613"}],"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=613"}],"version-history":[{"count":4,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/613\/revisions"}],"predecessor-version":[{"id":623,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/613\/revisions\/623"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/622"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=613"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}