{"id":691,"date":"2021-08-27T15:56:07","date_gmt":"2021-08-27T15:56:07","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=691"},"modified":"2021-08-27T15:56:12","modified_gmt":"2021-08-27T15:56:12","slug":"tang-san-dang-not-khu-tru","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tang-san-dang-not-khu-tru\/","title":{"rendered":"T\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t khu tr\u00fa"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>T\u0103ng s\u1ea3n th\u1ec3 n\u1ed1t khu tr\u00fa (h\u00ecnh 1) l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng gan l\u00e0nh t\u00ednh, \u00edt g\u1eb7p<\/li><li>T\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t khu tr\u00fa th\u01b0\u1eddng li\u00ean quan v\u1edbi n\u1ed3ng \u0111\u1ed9 estrogen trong c\u01a1 th\u1ec3 cao, hay g\u1eb7p \u1edf tr\u1ebb n\u1eef tu\u1ed5i v\u1ecb th\u00e0nh ni\u00ean. Kh\u00e1c v\u1edbi u tuy\u1ebfn t\u1ebf b\u00e0o gan, c\u00e1c t\u00e1c gi\u1ea3 cho r\u1eb1ng u kh\u00f4ng li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai. Tuy nhi\u00ean, thu\u1ed1c tr\u00e1nh thai c\u00f3 th\u1ec3 l\u00e0m t\u0103ng k\u00edch th\u01b0\u1edbc u v\u00e0 g\u00f3p ph\u1ea7n l\u00e0m t\u0103ng tri\u1ec7u ch\u1ee9ng.<\/li><li>Th\u01b0\u1eddng g\u1eb7p d\u1ea1ng n\u1ed1t \u0111\u01a1n \u0111\u1ed9c (80%), c\u00f3 th\u1ec3 c\u00f3 cu\u1ed1ng, th\u01b0\u1eddng c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn l\u00fac ch\u1ea9n \u0111o\u00e1n.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"504\" height=\"375\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh1.jpg\" alt=\"\" class=\"wp-image-692\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh1.jpg 504w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh1-300x223.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh1-80x60.jpg 80w\" sizes=\"(max-width: 504px) 100vw, 504px\" \/><figcaption><strong>H\u00ecnh 1: Kh\u1ed1i t\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t l\u1edbn \u1edf gan (m\u0169i t\u00ean xanh) \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf<\/strong><br><em>\u201cNgu\u1ed3n: Andrews, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t c\u00f3 nguy c\u01a1 \u00e1c t\u00ednh h\u00f3a hay kh\u00f4ng?<\/strong><\/p>\n\n\n\n<ul><li>Ti\u1ebfn tri\u1ec3n c\u1ee7a kh\u1ed1i t\u0103ng s\u1ea3n th\u1ec3 n\u1ed1t khu tr\u00fa th\u01b0\u1eddng l\u00e0nh t\u00ednh, cho \u0111\u1ebfn nay ch\u01b0a c\u00f3 th\u00f4ng b\u00e1o y v\u0103n n\u00e0o v\u1ec1 s\u1ef1 \u00e1c t\u00ednh ho\u00e1 c\u1ee7a n\u00f3.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Nguy\u00ean nh\u00e2n c\u1ee7a t\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t ch\u01b0a r\u00f5 r\u00e0ng, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng m\u1ea1ch m\u00e1u ho\u1eb7c lo\u1ea1n s\u1ea3n d\u1ecb d\u1ea1ng ph\u00f4i b\u1ea9m sinh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>T\u0103ng s\u1ea3n th\u1ec3 n\u1ed1t khu tr\u00fa \u00edt g\u00e2y tri\u1ec7u ch\u1ee9ng, th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi kh\u00e1m l\u00e2m s\u00e0ng, soi \u1ed5 b\u1ee5ng ho\u1eb7c si\u00eau \u00e2m.<\/li><li>Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p: \u0111au b\u1ee5ng, ch\u00e1n \u0103n, s\u1ee5t c\u00e2n, kh\u1ed1i \u1edf b\u1ee5ng\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li>C\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng<\/li><li>Si\u00eau \u00e2m<\/li><li>Ch\u1ee5p CT scan<ul><li>Kh\u00f4ng thu\u1ed1c c\u1ea3n quang: U c\u00f3 \u0111\u1eadm \u0111\u1ed9 th\u1ea5p, \u0111\u1ed3ng nh\u1ea5t. C\u00f3 \u0111\u1ec3 \u0111\u1ed3ng \u0111\u1eadm \u0111\u1ed9 v\u1edbi nhu m\u00f4 gan. V\u00f9ng s\u1eb9o trung t\u00e2m gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 (1\/3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p)<\/li><li>C\u00f3 thu\u1ed1c c\u1ea3n quang: U t\u0103ng quang s\u1edbm, nhanh, \u0111\u1ed3ng nh\u1ea5t \u1edf th\u00ec \u0111\u1ed9ng m\u1ea1ch, ngo\u1ea1i tr\u1eeb v\u00f9ng s\u1eb9o trung t\u00e2m c\u00f3 th\u1ec3 gi\u1ea3m \u0111\u1eadm \u0111\u1ed9. Sau \u0111\u00f3 u tr\u1edf n\u00ean \u0111\u1ed3ng \u0111\u1eadm \u0111\u1ed9 so v\u1edbi nhu m\u00f4 gan \u1edf th\u00ec mu\u1ed9n. V\u00f9ng s\u1eb9o trung t\u00e2m c\u00f3 th\u1ec3 t\u0103ng quang \u1edf th\u00ec mu\u1ed9n. (h\u00ecnh 2)<\/li><\/ul><\/li><li>MRI<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"456\" height=\"303\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh2.jpg\" alt=\"\" class=\"wp-image-693\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh2.jpg 456w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/fnh2-300x199.jpg 300w\" sizes=\"(max-width: 456px) 100vw, 456px\" \/><figcaption><strong>H\u00ecnh 2: Kh\u1ed1i u gan (\u0111\u1ea7u m\u0169i t\u00ean tr\u1eafng) v\u00e0 s\u1eb9o trung t\u00e2m gi\u1ea3m \u0111\u1eadm \u0111\u1ed9 (m\u0169i t\u00ean \u0111en) tr\u00ean phim CT<\/strong><br><em>\u201cNgu\u1ed3n: Andrews, 2019\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<ul><li>K\u1ebft h\u1ee3p l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 ph\u1ea3i sinh thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n.<\/li><li>M\u00f4 b\u1ec7nh h\u1ecdc: l\u00e0 lo\u1ea1i u gan l\u00e0nh t\u00ednh, g\u1ed3m nhi\u1ec1u m\u1ea1ch m\u00e1u, c\u00e1c t\u1ebf b\u00e0o gan, \u1ed1ng m\u1eadt, m\u1ea1ch m\u00e1u v\u00e0 t\u1ebf b\u00e0o Kuffer. Th\u01b0\u1eddng c\u00f3 s\u1eb9o x\u01a1 trung t\u00e2m v\u1edbi c\u00e1c d\u1ea3i x\u01a1 lan to\u1ea3 d\u1ea1ng nan xe ra ph\u00eda ngo\u1ea1i bi\u00ean. C\u00e1c d\u1ea3i x\u01a1 t\u00e1ch t\u1ed5n th\u01b0\u01a1ng th\u00e0nh c\u00e1c n\u1ed1t nh\u1ecf, g\u1ed3m c\u00e1c t\u1ebf b\u00e0o gan t\u0103ng sinh, ch\u1ee9a c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 \u1ed1ng m\u1eadt, kh\u00f4ng c\u00f3 t\u0129nh m\u1ea1ch trung t\u00e2m v\u00e0 h\u1ec7 c\u1eeda<\/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>U tuy\u1ebfn t\u1ebf b\u00e0o gan<\/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>\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 theo d\u00f5i b\u1eb1ng si\u00eau \u00e2m ho\u1eb7c CT, MRI.<\/li><li>U c\u00f3 th\u1ec3 t\u1ef1 tho\u00e1i tri\u1ec3n.<\/li><li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p (c\u00f3 tri\u1ec7u ch\u1ee9ng, u l\u1edbn 5cm, u ti\u1ebfn tri\u1ec3n trong qu\u00e1 tr\u00ecnh theo d\u00f5i,\u2026).<\/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>Andrews W.S., Kane B., and Hendrickson R.J (2019), <em>Lesions of the Liver<\/em>, Holcomb and Ashcraft\u2019s Pediatric Surgery , 7<sup>th<\/sup> ed, Elsevier, pp. 1031-1065.<\/li><li><a href=\"http:\/\/www.drtranson.com\/tin-tuc\/68\/U-gan-lanh-tinh-o-tre-em.html\">http:\/\/www.drtranson.com\/tin-tuc\/68\/U-gan-lanh-tinh-o-tre-em.html<\/a><\/li><\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng T\u0103ng s\u1ea3n th\u1ec3 n\u1ed1t khu tr\u00fa (h\u00ecnh 1) l\u00e0 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng gan l\u00e0nh t\u00ednh, \u00edt g\u1eb7p T\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t khu tr\u00fa th\u01b0\u1eddng li\u00ean quan v\u1edbi n\u1ed3ng \u0111\u1ed9 estrogen trong c\u01a1 th\u1ec3 <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tang-san-dang-not-khu-tru\/\" title=\"T\u0103ng s\u1ea3n d\u1ea1ng n\u1ed1t khu tr\u00fa\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":692,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/691"}],"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=691"}],"version-history":[{"count":5,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/691\/revisions"}],"predecessor-version":[{"id":698,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/691\/revisions\/698"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/692"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=691"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=691"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}