{"id":628,"date":"2021-08-25T13:35:51","date_gmt":"2021-08-25T13:35:51","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=628"},"modified":"2021-08-25T13:36:26","modified_gmt":"2021-08-25T13:36:26","slug":"dinh-thang-luoi","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/dinh-thang-luoi\/","title":{"rendered":"D\u00cdNH TH\u1eaeNG L\u01af\u1ee0I"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Th\u1eafng l\u01b0\u1ee1i t\u1eadt b\u1ea9m sinh, l\u00e0 l\u1edbp m\u00e0ng m\u1ecfng h\u00ecnh tam gi\u00e1c \u1edf d\u01b0\u1edbi l\u01b0\u1ee1i (h\u00ecnh 1), tham gia \u0111i\u1ec1u ch\u1ec9nh v\u1eadn \u0111\u1ed9ng c\u1ee7a l\u01b0\u1ee1i.<\/li><li>T\u1eadt d\u00ednh th\u1eafng l\u01b0\u1ee1i c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u1edf m\u1ecdi \u0111\u1ed1i t\u01b0\u1ee3ng, ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb trai h\u01a1n tr\u1ebb g\u00e1i.<\/li><li>D\u00ednh th\u1eafng l\u01b0\u1ee1i: do th\u1eafng l\u01b0\u1ee1i ng\u1eafn l\u00e0n h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng c\u1eeda l\u01b0\u1ee1i.<\/li><li>D\u00ednh th\u1eafng l\u01b0\u1ee1i l\u00e0 1 nguy\u00ean nh\u00e2n cho tr\u1ebb kh\u00f3 kh\u0103n trong ph\u00e1t \u00e2m v\u00e0 hi\u1ebfm khi \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0103n u\u1ed1ng.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"333\" height=\"279\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1-2.jpg\" alt=\"\" class=\"wp-image-636\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1-2.jpg 333w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1-2-300x251.jpg 300w\" sizes=\"(max-width: 333px) 100vw, 333px\" \/><figcaption><strong>H\u00ecnh 1: D\u00ednh th\u1eafng l\u01b0\u1ee1i<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>B\u1ec7nh g\u00e2y ra do b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu l\u01b0\u1ee1i.<\/li><li>Nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi d\u1ecb t\u1eadt b\u1ea9m sinh n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn.<\/li><li>Tuy nhi\u00ean c\u00e1c nh\u00e0 khoa h\u1ecdc tin r\u1eb1ng b\u1ec7nh n\u00e0y c\u00f3 li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<p>Tr\u1ebb th\u01b0\u1eddng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/p>\n\n\n\n<ul><li>Kh\u00f3 n\u00e2ng l\u01b0\u1ee1i l\u00ean r\u0103ng h\u00e0m tr\u00ean ho\u1eb7c di chuy\u1ec3n l\u01b0\u1ee1i t\u1eeb b\u00ean n\u00e0y sang b\u00ean kia<\/li><li>Kh\u00f3 kh\u0103n khi l\u00e8 l\u01b0\u1ee1i qua r\u0103ng c\u1eeda d\u01b0\u1edbi<\/li><li>Khi tr\u1ebb th\u00e8 l\u01b0\u1ee1i, l\u01b0\u1ee1i c\u00f3 h\u00ecnh ch\u1eef V ho\u1eb7c h\u00ecnh tr\u00e1i tim<\/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>V\u1ea5n \u0111\u1ec1 khi tr\u1ebb b\u00fa m\u1eb9: Khi b\u00fa m\u1eb9 \u0111\u00f2i h\u1ecfi tr\u1ebb ph\u1ea3i gi\u1eef l\u01b0\u1ee1i c\u1ee7a m\u00ecnh tr\u00ean n\u01b0\u1edbu d\u01b0\u1edbi trong khi b\u00fa. Tr\u1ebb b\u1ecb d\u00ednh th\u1eafng l\u01b0\u1ee1i g\u1eb7p kh\u00f3 kh\u0103n di chuy\u1ec3n l\u01b0\u1ee1i ho\u1eb7c gi\u1eef n\u00f3 \u1edf \u0111\u00fang v\u1ecb tr\u00ed n\u00e0y. Tr\u1ebb c\u00f3 th\u1ec3 nhai thay v\u00ec m\u00fat n\u00fam v\u00fa do \u0111\u00f3 g\u00e2y \u0111au n\u00fam v\u00fa \u0111\u00e1ng k\u1ec3 v\u00e0 c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng m\u00fat b\u00fa s\u1eefa m\u1eb9. Bi\u1ebfn ch\u1ee9ng n\u00e0y r\u1ea5t hi\u1ebfm g\u1eb7p<\/li><li>Kh\u00f3 ph\u00e1t \u00e2m: d\u00ednh th\u1eafng l\u01b0\u1ee1i c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c ph\u00e1t \u00e2m c\u1ee7a tr\u1ebb, v\u00ed d\u1ee5 m\u1ed9t s\u1ed1 \u00e2m thanh nh\u1ea5t \u0111\u1ecbnh &#8211; ch\u1eb3ng h\u1ea1n nh\u01b0 &#8220;t,&#8221; &#8220;d,&#8221; &#8220;z,&#8221; &#8220;s,&#8221; &#8220;th,&#8221; &#8220;r&#8221; v\u00e0 &#8220;l.&#8221;<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/p>\n\n\n\n<p>Ph\u00e2n lo\u1ea1i d\u1ef1a theo chi\u1ec1u d\u00e0i c\u1ee7a th\u1eafng l\u01b0\u1ee1i \u0111o \u0111\u01b0\u1ee3c t\u1eeb n\u01a1i b\u00e1m \u1edf s\u00e0n mi\u1ec7ng \u0111\u1ebfn v\u1ecb tr\u00ed b\u00e1m v\u00e0o b\u1ee5ng l\u01b0\u1ee1i:<\/p>\n\n\n\n<ul><li>M\u1ee9c \u0111\u1ed9 1: nh\u1eb9, \u0111\u1ed9 d\u00e0i th\u1eafng l\u01b0\u1edbi 12-16mm<\/li><li>M\u1ee9c \u0111\u1ed9 2: trung b\u00ecnh, \u0111\u1ed9 d\u00e0i th\u1eafng l\u01b0\u1edbi 8-11mm<\/li><li>M\u1ee9c \u0111\u1ed9 3: n\u1eb7ng, \u0111\u1ed9 d\u00e0i th\u1eafng l\u01b0\u1edbi 3-7 mm<\/li><li>M\u1ee9c \u0111\u1ed9 4: d\u00ednh th\u1eafng l\u01b0\u1ee1i ho\u00e0n to\u00e0n, \u0111\u1ed9 d\u00e0i th\u1eafng l\u01b0\u1edbi &lt;3mm<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n:<\/strong><\/p>\n\n\n\n<p class=\"has-normal-font-size\">B\u1ec7nh s\u1eed: b\u00fa kh\u00f3, \u0103n u\u1ed1ng kh\u00f3 ho\u1eb7c ph\u00e1t \u00e2m kh\u00f3<\/p>\n\n\n\n<p class=\"has-normal-font-size\">Kh\u00e1m: th\u1eafng l\u01b0\u1ee1i ng\u1eafn, l\u01b0\u1ee1i c\u1eed \u0111\u1ed9ng h\u1ea1n ch\u1ebf, chi\u1ec1u d\u00e0i th\u1eafng l\u01b0\u1ee1i t\u1eeb s\u00e0n mi\u1ec7ng \u0111\u1ebfn v\u1ecb tr\u00ed b\u00e1m v\u00e0o b\u1ee5ng l\u01b0\u1ee1i&lt; 16mm<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Ph\u1eabu thu\u1eadt \u0111\u1ed1i v\u1edbi d\u00ednh th\u1eafng l\u01b0\u1ee1i \u0111\u1ed9 3-4.<\/li><li>Th\u1eddi \u0111i\u1ec3m: trung b\u00ecnh t\u1eeb 3 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean, c\u00f3 th\u1ec3 c\u1eaft s\u1edbm h\u01a1n n\u1ebfu tr\u1ebb b\u00fa kh\u00f3.<\/li><li>K\u1ef9 thu\u1eadt c\u1eaft th\u1eafng l\u01b0\u1ee1i:<ul><li>V\u00f4 c\u1ea3m: m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c m\u00ea mask<\/li><li>X\u1ecbt t\u00ea Lidocain<\/li><li>D\u00f9ng dao \u0111i\u1ec7n ho\u1eb7c dao th\u01b0\u1eddng c\u1eaft c\u00e1c \u0111\u01b0\u01a1ng ngang tr\u00ean th\u1eafng l\u01b0\u1ee1i (h\u00ecnh 2).<\/li><\/ul><\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"333\" height=\"279\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1.jpg\" alt=\"\" class=\"wp-image-633\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1.jpg 333w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/dinh-thang-luoi-1-300x251.jpg 300w\" sizes=\"(max-width: 333px) 100vw, 333px\" \/><figcaption><strong>H\u00ecnh 2: Ph\u1eabu thu\u1eadt c\u1eaft d\u00ednh<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>\u0110i\u1ec1u tr\u1ecb sau ph\u1eabu thu\u1eadt:<ul><li>Gi\u1ea3m \u0111au 1-2 ng\u00e0y sau m\u1ed5<\/li><li>Tr\u1ebb c\u00f3 th\u1ec3 b\u00fa l\u1ea1i sau m\u1ed5 30 ph\u00fat<\/li><\/ul><\/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<ul><li>T\u00e1i kh\u00e1m sau tu\u1ea7n: \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt, h\u01b0\u1edbng d\u1eabn th\u00e2n nh\u00e2n t\u1eadp tr\u1ebb n\u00f3i v\u00e0 b\u00fa.<\/li><li>T\u00e1i kh\u00e1m sau 1 th\u00e1ng \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 c\u1ea3i thi\u1ec7n v\u00e8 ch\u1ee9c n\u0103ng c\u1ee7a l\u01b0\u1ee1i.<\/li><li>Ng\u00f4n ng\u1eef tr\u1ecb li\u1ec7u n\u1ebfu b\u1ec7nh nhi \u0111\u00e3 bi\u1ebft n\u00f3i<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ol type=\"1\"><li>Ballard JL, Auer CE, Khoury JC. Ankyloglossia: Assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics. 2002;110:1\u20136.<\/li><li>Khairnar M, Pawar B, Khairnar D. A Novel Surgical Pre-suturing Technique for the Management of Ankyloglossia. J Surg Tech Case Rep. 2014 Jul-Dec;6(2):49-54.<\/li><li>Nevile B, Damm D, Allen C, Bouquot J. Oral and Maxillofacial Pathology. 2nd ed. Philadelphia: Saunders; 2002. Developmental defects of the oral and maxillofacial region; pp. 1\u201348.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Th\u1eafng l\u01b0\u1ee1i t\u1eadt b\u1ea9m sinh, l\u00e0 l\u1edbp m\u00e0ng m\u1ecfng h\u00ecnh tam gi\u00e1c \u1edf d\u01b0\u1edbi l\u01b0\u1ee1i (h\u00ecnh 1), tham gia \u0111i\u1ec1u ch\u1ec9nh v\u1eadn \u0111\u1ed9ng c\u1ee7a l\u01b0\u1ee1i. T\u1eadt d\u00ednh th\u1eafng l\u01b0\u1ee1i c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/dinh-thang-luoi\/\" title=\"D\u00cdNH TH\u1eaeNG L\u01af\u1ee0I\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":632,"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\/628"}],"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=628"}],"version-history":[{"count":1,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/628\/revisions"}],"predecessor-version":[{"id":637,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/628\/revisions\/637"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/632"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=628"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}