{"id":641,"date":"2021-08-25T14:59:51","date_gmt":"2021-08-25T14:59:51","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=641"},"modified":"2021-08-25T15:00:08","modified_gmt":"2021-08-25T15:00:08","slug":"xoan-tinh-hoan","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/xoan-tinh-hoan\/","title":{"rendered":"Xo\u1eafn tinh ho\u00e0n"},"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 tinh ho\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng xo\u1eafn th\u1eebng tinh v\u00e0 c\u00e1c c\u1ea5u tr\u00fac b\u00ean trong th\u1eebng tinh, \u0111\u01b0a \u0111\u1ebfn t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u nu\u00f4i tinh ho\u00e0n (h\u00ecnh 1).<\/li><li>N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ho\u1ea1i t\u1eed tinh ho\u00e0n. N\u1ebfu can thi\u1ec7p tr\u01b0\u1edbc 6 gi\u1edd, 100% b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1ee9u tinh ho\u00e0n. \u0110\u1ebfn trong kho\u1ea3ng t\u1eeb 6-12 gi\u1edd th\u00ec kh\u1ea3 n\u0103ng c\u1ee9u \u0111\u01b0\u1ee3c tinh ho\u00e0n ch\u1ec9 c\u00f2n 50% v\u00e0 trong kho\u1ea3ng 12-24 gi\u1edd th\u00ec ch\u1ec9 c\u00f2n 20% \u0111\u01b0\u1ee3c c\u1ee9u. Tr\u00ean 24 gi\u1edd th\u01b0\u1eddng s\u1ebd kh\u00f4ng c\u1ee9u \u0111\u01b0\u1ee3c tinh ho\u00e0n.<\/li><li>\u0110\u1ec9nh tu\u1ed5i c\u1ee7a XTH th\u01b0\u1eddng x\u1ea3y ra trong 1 n\u0103m \u0111\u1ea7u \u0111\u1eddi v\u00e0 kho\u1ea3ng th\u1eddi gian b\u1eaft \u0111\u1ea7u d\u1eady th\u00ec.<\/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-tinh-hoan-1.jpg\" alt=\"\" class=\"wp-image-654\" width=\"410\" height=\"257\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-1.jpg 546w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-1-300x188.jpg 300w\" sizes=\"(max-width: 410px) 100vw, 410px\" \/><figcaption><strong>H\u00ecnh 1: Xo\u1eafn tinh ho\u00e0n b\u00ean ph\u1ea3i<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ki\u1ec3u xo\u1eafn &#8211; Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<p><strong><em>Xo\u1eafn trong tinh m\u1ea1c<\/em><\/strong><strong><em>: <\/em><\/strong><\/p>\n\n\n\n<ul><li>Ki\u1ec3u xo\u1eafn n\u00e0y hay g\u1eb7p \u1edf tr\u1ebb l\u1edbn ho\u1eb7c ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh.<\/li><li>Nguy\u00ean nh\u00e2n \u0111\u01b0\u1ee3c cho l\u00e0 tinh m\u1ea1c b\u00e1m cao v\u00e0o th\u1eebng tinh, tinh ho\u00e0n v\u00e0 m\u00e0o tinh tr\u1edf n\u00ean c\u1ed1 \u0111\u1ecbnh l\u1ecfng l\u1ebbo b\u00ean trong tinh m\u1ea1c v\u00e0 c\u00f3 khuynh hu\u1edbng n\u1eb1m ngang b\u00ean trong tinh m\u1ea1c, t\u00ecnh tr\u1ea1ng n\u00e0y c\u0169ng hay x\u1ea3y ra \u1edf b\u00ecu \u0111\u1ed1i b\u00ean.<\/li><\/ul>\n\n\n\n<p><strong><em>Xo\u1eafn ngo\u00e0i tinh m\u1ea1c<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ki\u1ec3u xo\u1eafn th\u1eebng tinh ngo\u00e0i tinh m\u1ea1c x\u1ea3y ra khi tinh ho\u00e0n, th\u1eebng tinh, tinh m\u1ea1c kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh t\u1ed1t trong b\u00ecu.<\/li><li>Ki\u1ec3u xo\u1eafn n\u00e0y g\u1eb7p trong tinh ho\u00e0n \u1ea9n ho\u1eb7c \u1edf tr\u1ebb s\u01a1 sinh.<\/li><\/ul>\n\n\n\n<p><strong><em>Xo\u1eafn gi\u1eefa m\u00e0o tinh v\u00e0 tinh ho\u00e0n<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ki\u1ec3u xo\u1eafn n\u00e0y th\u01b0\u1eddng l\u00e0 do m\u1ea1c treo tinh ho\u00e0n d\u00e0i.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"627\" height=\"337\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-2.jpg.png\" alt=\"\" class=\"wp-image-655\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-2.jpg.png 627w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-2.jpg-300x161.png 300w\" sizes=\"(max-width: 627px) 100vw, 627px\" \/><figcaption><strong>H\u00ecnh 2. C\u00e1c ki\u1ec3u xo\u1eafn tinh ho\u00e0n.<\/strong><br>&#8220;Ngu\u1ed3n Favorito, 2004&#8221;.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>\u0110au d\u1eef d\u1ed9i, \u0111\u1ed9t ng\u1ed9t \u1edf b\u00ecu<\/li><li>S\u01b0ng\/\u0111\u1ecf b\u00ecu<\/li><li>Bu\u1ed3n n\u00f4n v\u00e0 \u00f3i m\u1eeda<\/li><li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 \u0111i k\u00e8m: \u0111au b\u1ee5ng, s\u1ed1t, ti\u1ec3u l\u1eaft nh\u1eaft.<\/li><li>Kh\u00e1m: Tinh ho\u00e0n \u1edf v\u1ecb tr\u00ed cao h\u01a1n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c \u1edf m\u1ed9t g\u00f3c b\u1ea5t th\u01b0\u1eddng, thay \u0111\u1ed5i tr\u1ee5c, s\u1edd m\u1eadt \u0111\u1ed9 ch\u1eafc \u0111\u1ebfn c\u1ee9ng, ch\u1ea1m \u0111au m\u1ecdi ph\u00eda, m\u1ea5t ph\u1ea3n x\u1ea1 da b\u00ecu.<\/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>Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 th\u0103m kh\u00e1m<\/li><li>Si\u00eau \u00e2m Doppler b\u00ecu: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng t\u01b0\u1edbi m\u00e1u tinh ho\u00e0n. Xo\u1eafn tinh ho\u00e0n \u0111\u01b0\u1ee3c ngh\u0129 \u0111\u1ebfn khi c\u00f3 d\u1ea5u hi\u1ec7u xo\u1eafn v\u1eb7n th\u1eebng tinh, gi\u1ea3m\/m\u1ea5t m\u00e1u nu\u00f4i tinh ho\u00e0n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul><li>Xo\u1eafn ph\u1ea7n ph\u1ee5 tinh ho\u00e0n<\/li><li>Vi\u00eam m\u00e0o tinh-tinh ho\u00e0n.<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng b\u00ecu.<\/li><li>Tho\u00e1t v\u1ecb b\u1eb9n ngh\u1eb9t.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb:<\/strong><\/p>\n\n\n\n<p>Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb: ph\u1eabu thu\u1eadt th\u00e1o xo\u1eafn s\u1edbm nh\u1eb1m ng\u0103n ng\u1eeba tinh ho\u00e0n b\u1ecb ho\u1ea1i t\u1eed. C\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n \u0111\u1ed1i b\u00ean.<\/p>\n\n\n\n<p><strong><em>Ph\u1eabu thu\u1eadt<\/em><\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"684\" height=\"331\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-3-4.jpg\" alt=\"\" class=\"wp-image-658\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-3-4.jpg 684w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/xoan-tinh-hoan-3-4-300x145.jpg 300w\" sizes=\"(max-width: 684px) 100vw, 684px\" \/><figcaption><strong>H\u00ecnh 3. \u0110\u01b0\u1eddng r\u1ea1ch da d\u1ecdc\u00a0 gi\u1eefa v\u00e0 \u0111\u01b0\u1eddng ngang b\u00ecu. <\/strong><br>&#8220;<em>Ngu\u1ed3n: Moritz, 2014<\/em>&#8220;.<\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>\u0110\u01b0\u1eddng r\u1ea1ch da l\u00e0 \u0111\u01b0\u1eddng d\u1ecdc gi\u1eefa b\u00ecu ho\u1eb7c \u0111\u01b0\u1eddng ngang gi\u1eefa b\u00ecu b\u00ean b\u1ecb xo\u1eafn (h\u00ecnh 3).<\/li><li>N\u1ebfu XTH ngo\u00e0i tinh m\u1ea1c th\u00ec \u0111\u01b0a tinh m\u1ea1c v\u00e0 c\u00e1c c\u1ea5u tr\u00fac ra ngo\u00e0i r\u1ed3i ti\u1ebfn h\u00e0nh th\u00e1o xo\u1eafn.<\/li><li>N\u1ebfu xo\u1eafn tinh ho\u00e0n trong tinh m\u1ea1c th\u00ec m\u1edf tinh m\u1ea1c tr\u01b0\u1edbc.<\/li><li>Sau th\u00e1o xo\u1eafn, tinh ho\u00e0n \u0111\u01b0\u1ee3c \u0111\u1eafp \u1ea5m trong 15 \u2013 20 ph\u00fat, n\u1ebfu tinh ho\u00e0n kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n t\u01b0\u1edbi m\u00e1u th\u00ec ph\u1ea3i c\u1eaft b\u1ecf tinh ho\u00e0n. N\u1ebfu tinh ho\u00e0n h\u1ed3ng l\u1ea1i sau th\u00e1o xo\u1eafn, c\u1ea7n c\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n v\u00e0o c\u00e2n dartos b\u00ecu b\u1eb1ng ch\u1ec9 kh\u00f4ng tan.<\/li><li>C\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n \u0111\u1ed1i b\u00ean ngay sau \u0111\u00f3.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Theo d\u00f5i sau m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>Nhi\u1ec5m tr\u00f9ng<\/li><li>Ho\u1ea1i t\u1eed tinh ho\u00e0n, teo tinh ho\u00e0n<\/li><li>Xo\u1eafn tinh ho\u00e0n t\u00e1i ph\u00e1t<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1i kh\u00e1m:<\/strong><\/p>\n\n\n\n<ul><li>M\u1ed9t tu\u1ea7n, 1 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng sau m\u1ed5.<\/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>L\u00ea T\u1ea5n S\u01a1n, Nguy\u1ec5n Th\u1ecb Tr\u00fac Linh, and L\u00ea Nguy\u1ec5n Y\u00ean (2018), &#8220;H\u1ed9i ch\u1ee9ng b\u00ecu c\u1ea5p&#8221;, Ngo\u1ea1i Nhi l\u00e2m s\u00e0ng, Nh\u00e0 xu\u1ea5t b\u1ea3n Y h\u1ecdc, chi nh\u00e1nh TP. H\u1ed3 Ch\u00ed Minh, pp.166- 168.<\/li><li>Coran A.G., Adzit N.S, Krummel T.M., et al. (2012), &#8220;Undescended Testis, Torsion, and Variocele&#8221;, Pediatric Surgery, Elsevier Sauders, pp.1003 -1019.<\/li><li>Luciano A.F., Andr\u00e9 G.C, and Waldiar S.C. (2004), &#8220;Anatomic aspects of epididymis and tunica vaginalis in patients with testicular torsion&#8221;, International braz j urol, 30 (5), pp.420-424<\/li><li>Moritz M., Daniel V.A., Richard G.A., et al. (2014), &#8220;The Acute Scrotum&#8221;, Operative pediatric surgery, pp. 769-774.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Xo\u1eafn tinh ho\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng xo\u1eafn th\u1eebng tinh v\u00e0 c\u00e1c c\u1ea5u tr\u00fac b\u00ean trong th\u1eebng tinh, \u0111\u01b0a \u0111\u1ebfn t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u nu\u00f4i tinh ho\u00e0n (h\u00ecnh 1). N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/xoan-tinh-hoan\/\" title=\"Xo\u1eafn tinh ho\u00e0n\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":654,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,8],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/641"}],"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=641"}],"version-history":[{"count":7,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/641\/revisions"}],"predecessor-version":[{"id":662,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/641\/revisions\/662"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/654"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=641"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=641"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=641"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}