{"id":638,"date":"2021-08-25T14:29:18","date_gmt":"2021-08-25T14:29:18","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=638"},"modified":"2021-08-25T14:29:45","modified_gmt":"2021-08-25T14:29:45","slug":"teo-hep-ta-trang-o-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-hep-ta-trang-o-tre-em\/","title":{"rendered":"Teo &#8211; h\u1eb9p t\u00e1 tr\u00e0ng \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>Teo v\u00e0 h\u1eb9p t\u00e1 tr\u00e0ng l\u00e0 s\u1ef1 gi\u00e1n \u0111o\u1ea1n l\u01b0u th\u00f4ng b\u1ea9m sinh ho\u00e0n to\u00e0n ho\u1eb7c kh\u00f4ng ho\u00e0n to\u00e0n c\u1ee7a t\u00e1 tr\u00e0ng.<\/li><li>\u0110\u00e2y l\u00e0 lo\u1ea1i t\u1eafc ru\u1ed9t cao \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh t\u1eafc ru\u1ed9t b\u1ea9m sinh th\u01b0\u1eddng g\u1eb7p.<\/li><li>T\u1ea7n su\u1ea5t m\u1eafc \u1edf tr\u1ebb: 1\/5.000- 2\/5.000 tr\u1ebb sinh ra s\u1ed1ng.<\/li><li>Teo v\u00e0 h\u1eb9p t\u00e1 tr\u00e0ng l\u00e0 nguy\u00ean nh\u00e2n n\u1ed9i t\u1ea1i g\u00e2y ra t\u1eafc t\u00e1 tr\u00e0ng m\u1ed9t b\u1ec7nh l\u00ed c\u1ea5p c\u1ee9u ngo\u1ea1i nhi th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Teo t\u00e1 tr\u00e0ng \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i ra sao?<\/strong><\/p>\n\n\n\n<ul><li>Lo\u1ea1i A th\u01b0\u1eddng g\u1eb7p chi\u1ebfm 90% t\u1eafc t\u00e1 tr\u00e0ng do m\u00e0ng ng\u0103n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 l\u1ed7 th\u00f4ng (h\u00ecnh 1).<\/li><li>Lo\u1ea1i B: th\u1ec3 d\u00e2y x\u01a1 n\u1ed1i 2 t\u00fai c\u00f9ng v\u1edbi nhau.<\/li><li>Lo\u1ea1i C: th\u1ec3 gi\u00e1n \u0111o\u1ea1n m\u1ea1c treo, 2 t\u00fai c\u00f9ng ho\u00e0n to\u00e0n t\u00e1ch bi\u1ec7t nhau.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"661\" height=\"298\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-hep-ta-trang-1.jpg\" alt=\"\" class=\"wp-image-644\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-hep-ta-trang-1.jpg 661w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-hep-ta-trang-1-300x135.jpg 300w\" sizes=\"(max-width: 661px) 100vw, 661px\" \/><figcaption><strong>H\u00ecnh 1: Ph\u00e2n lo\u1ea1i c\u00e1c th\u1ec3 teo t\u00e1 tr\u00e0ng<\/strong><br>A. C\u00f3 mang ng\u0103n\u00a0 B. Hai t\u00fai c\u00f9ng<br><em>&#8220;Ngu\u1ed3n: Applebaum, 2012&#8221;<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n ra sao?<\/strong><\/p>\n\n\n\n<ul><li>\u0110a ph\u1ea7n m\u1eb9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n l\u00fac mang thai v\u00e0o th\u00e1ng th\u1ee9 6-8 thai k\u1ef3.<\/li><li>Si\u00eau \u00e2m ti\u1ec1n s\u1ea3n ph\u00e1t hi\u1ec7n m\u1eb9 \u0111a \u1ed1i (32-81%), tr\u00ean si\u00eau \u00e2m th\u1ea5y h\u00ecnh \u1ea3nh d\u1ea1 d\u00e0y v\u00e0 \u0111o\u1ea1n \u0111\u1ea7u t\u00e1 tr\u00e0ng gi\u00e3n to \u1ee9 d\u1ecbch.<\/li><li>Tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n \u00f3i ra d\u1ecbch m\u1eadt s\u1edbm trong nh\u1eefng gi\u1edd \u0111\u1ea7u sau sinh l\u00e0 tri\u1ec7u ch\u1ee9ng s\u1edbm v\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/li><li>V\u00f9ng b\u1ee5ng tr\u00ean ngay d\u1ea1 d\u00e0y tr\u01b0\u1edbng nh\u1eb9 do d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng gi\u00e3n to.<\/li><li>Th\u01b0\u1eddng c\u00f3 k\u00e8m theo c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh kh\u00e1c.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u01b0\u01a1ng ti\u1ec7n x\u00e9t nghi\u1ec7m n\u00e0o \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n?<\/strong><\/p>\n\n\n\n<ul><li>Si\u00eau \u00e2m b\u1ee5ng: th\u1ea5y h\u00ecnh \u1ea3nh d\u1ea1 d\u00e0y gi\u00e3n to \u1ee9 d\u1ecbch, \u0111\u00f4i khi th\u1ea5y \u0111o\u1ea1n \u0111\u1ea7u t\u00e1 tr\u00e0ng gi\u00e3n to g\u1ee3i \u00fd h\u00ecnh \u1ea3nh t\u1eafc ru\u1ed9t cao.<\/li><li>X-Quang b\u1ee5ng \u0111\u1ee9ng kh\u00f4ng s\u1eeda so\u1ea1n: l\u00e0 x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy \u1edf tr\u1ebb nghi ng\u1edd c\u00f3 teo h\u1eb9p ho\u1eb7c t\u1eafc t\u00e1 tr\u00e0ng v\u1edbi h\u00ecnh \u1ea3nh b\u00f3ng \u0111\u00f4i (h\u00ecnh 2)<\/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\/teo-hep-ta-trang-2.jpg\" alt=\"\" class=\"wp-image-645\" width=\"419\" height=\"490\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-hep-ta-trang-2.jpg 558w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-hep-ta-trang-2-256x300.jpg 256w\" sizes=\"(max-width: 419px) 100vw, 419px\" \/><figcaption><strong>H\u00ecnh 2: H\u00ecnh \u1ea3nh b\u00f3ng \u0111\u00f4i<\/strong><br>&#8220;<em>Ngu\u1ed3n: Holcomb, 2014<\/em>&#8220;.<\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>\u0110\u00f4i khi c\u1ea7n ch\u1ee5p x-quang c\u00f3 c\u1ea3n quang \u0111\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t m\u1ed9t s\u1ed1 b\u1ec7nh: ru\u1ed9t xoay b\u1ea5t to\u00e0n, b\u00e1n t\u1eafc t\u00e1 tr\u00e0ng.<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t c\u00e1c d\u1ecb t\u1eadt \u0111i k\u00e8m: Si\u00eau \u00e2m tim, xuy\u00ean th\u00f3p<\/li><li>X\u00e9t nhi\u1ec7m ti\u1ec1n ph\u1eabu<\/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>\u0110i\u1ec1u tr\u1ecb t\u1eafc t\u00e1 tr\u00e0ng l\u00e0 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u khi t\u00ecnh tr\u1ea1ng h\u1ed3i s\u1ee9c n\u1ed9i khoa \u1ed5n \u0111\u1ecbnh, m\u1ed5 kh\u1ea9n khi nghi ng\u1edd tr\u1ebb c\u00f3 xo\u1eafn ru\u1ed9t.<\/li><li>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5:<\/li><li>\u0110\u1eb7t \u1ed1ng th\u00f4ng d\u1ea1 d\u00e0y.<\/li><li>\u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n n\u01b0\u1edbc- \u0111i\u1ec7n gi\u1ea3i (n\u1ebfu c\u00f3).<\/li><li>Nu\u00f4i \u0103n t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt?<\/strong><\/p>\n\n\n\n<ul><li>T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a tr\u1ebb m\u00e0 b\u00e1c s\u1ef9 ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 h\u1edf hay m\u1ed5 n\u1ed9i soi \u1ed5 b\u1ee5ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>S\u0103n 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>L\u01b0u th\u00f4ng d\u1ea1 d\u00e0y theo d\u00f5i d\u1ecbch d\u1ea1 d\u00e0y.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Sau m\u1ed5 c\u00f3 bi\u1ebfn ch\u1ee9ng v\u00e0 ti\u00ean l\u01b0\u1ee3ng ra sao?<\/strong><\/p>\n\n\n\n<ul><li>H\u1eb9p v\u00e0 r\u00f2 mi\u1ec7ng n\u1ed1i.<\/li><li>Ch\u1eadm ho\u1ea1t \u0111\u1ed9ng mi\u1ec7ng n\u1ed1i.<\/li><li>Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n- t\u00e1 tr\u00e0ng.<\/li><li>Vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y- t\u00e1 tr\u00e1ng.<\/li><li>T\u1eafc ru\u1ed9t do d\u00ednh.<\/li><li>\u0110a ph\u1ea7n t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n &gt; 90%.<\/li><\/ul>\n\n\n\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<ul><li>\u201cT\u1eafc t\u00e1 tr\u00e0ng\u201d. Ngo\u1ea1i nhi l\u00e2m s\u00e0ng, Nh\u00e0 xu\u1ea5t b\u1ea3n Y H\u1ecdc. tr.565-572.<\/li><li>Applebaum H., Sydorak R. (2012), \u201cDuodenal Atresia and Stenosis-Annular Pancreas\u201d, <em>Pediatric Surgery<\/em>, 7<sup>th<\/sup> edi, Sauders, pp. 1051-1058.<\/li><li>Holcomb III G.W., Murphy J.P (2009), \u201cDuodenal and intestinal atresia and stenosis\u201d, <em>Ashcraft\u2019s Pediatric Surgery, <\/em>5<sup>th<\/sup> edi, Sauders, pp. 203-210.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Teo v\u00e0 h\u1eb9p t\u00e1 tr\u00e0ng l\u00e0 s\u1ef1 gi\u00e1n \u0111o\u1ea1n l\u01b0u th\u00f4ng b\u1ea9m sinh ho\u00e0n to\u00e0n ho\u1eb7c kh\u00f4ng ho\u00e0n to\u00e0n c\u1ee7a t\u00e1 tr\u00e0ng. \u0110\u00e2y l\u00e0 lo\u1ea1i t\u1eafc ru\u1ed9t cao \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb s\u01a1 <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-hep-ta-trang-o-tre-em\/\" title=\"Teo &#8211; h\u1eb9p t\u00e1 tr\u00e0ng \u1edf tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":644,"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\/638"}],"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=638"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/638\/revisions"}],"predecessor-version":[{"id":648,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/638\/revisions\/648"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/644"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=638"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}