{"id":709,"date":"2021-08-27T16:49:52","date_gmt":"2021-08-27T16:49:52","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=709"},"modified":"2021-08-27T16:49:57","modified_gmt":"2021-08-27T16:49:57","slug":"tac-ruot-phan-su","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tac-ruot-phan-su\/","title":{"rendered":"T\u1eafc ru\u1ed9t ph\u00e2n su"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ecbnh ngh\u0129a<\/strong><\/p>\n\n\n\n<ul><li>L\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ru\u1ed9t do n\u00fat ph\u00e2n su b\u00edt k\u00edn l\u00f2ng ru\u1ed9t.<\/li><li>10% l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh x\u01a1 nang, 90% b\u1ec7nh nh\u00e2n b\u1ecb t\u1eafc ru\u1ed9t ph\u00e2n su c\u00f3 li\u00ean quan \u0111\u1ebfn x\u01a1 nang.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc sinh<\/strong><\/p>\n\n\n\n<ul><li>T\u1eeb 3 th\u00e1ng gi\u1eefa v\u00e0 3 th\u00e1ng cu\u1ed1i thai k\u1ef3 th\u1ea5y h\u00ecnh \u1ea3nh d\u00e3n hay t\u0103ng s\u00e1ng c\u00e1c quai ru\u1ed9t.<\/li><li>Bi\u1ebfn ch\u1ee9ng c\u1ee7a t\u1eafc ru\u1ed9t ph\u00e2n su c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn gi\u1ea3 nang \u1edf b\u1ee5ng v\u1edbi v\u00f4i h\u00f3a th\u00e0nh nang.<\/li><\/ul>\n\n\n\n<p><strong>Ch\u1ea9n \u0111o\u00e1n sau sanh<\/strong><\/p>\n\n\n\n<p><strong><em>L\u00e2m s\u00e0ng<\/em><\/strong><\/p>\n\n\n\n<ul><li>Tr\u1ebb kh\u00f4ng \u0111i ti\u00eau ph\u00e2n su trong 12-24 gi\u1edd \u0111\u1ea7u sau sanh<\/li><li>N\u00f4n, c\u00f3 th\u1ec3 n\u00f4n d\u1ecbch v\u00e0ng, tr\u01b0\u1edbng b\u1ee5ng.<\/li><li>Quan s\u00e1t th\u1ea5y v\u00e0i quai ru\u1ed9t d\u00e3n 1\/4 d\u01b0\u1edbi b\u1ee5ng ph\u1ea3i.<\/li><li>Th\u0103m tr\u1ef1c tr\u00e0ng ch\u1ec9 th\u1ea5y n\u00fat nh\u1ea7y.<\/li><li>Tr\u1ebb c\u00f3 th\u1ec3 b\u1ecb vi\u00eam ph\u00fac m\u1ea1c k\u00e8m suy h\u00f4 h\u1ea5p v\u00e0 tr\u01b0\u1edbng b\u1ee5ng n\u1ebfu th\u1ee7ng ru\u1ed9t.<\/li><\/ul>\n\n\n\n<p><strong><em>C\u1eadn l\u00e2m s\u00e0ng<\/em><\/strong><\/p>\n\n\n\n<ul><li>XQ b\u1ee5ng kh\u00f4ng chu\u1ea9n b\u1ecb c\u00f3 h\u00ecnh \u1ea3nh c\u00e1c quai ru\u1ed9t gi\u00e3n (h\u00ecnh 1). Tuy nhi\u00ean, c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 m\u1ee9c n\u01b0\u1edbc h\u01a1i. N\u1ebfu c\u00f3 vi\u00eam ph\u00fac m\u1ea1c, ph\u00e2n su b\u1ecb v\u00f4i h\u00f3a c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u00ean b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c, th\u1eadm ch\u00ed c\u1ea3 b\u00ecu. \u1ede h\u1ed3i tr\u00e0ng, c\u00f3 th\u1ec3 c\u00f3 h\u00ecnh \u1ea3nh h\u1eb9p ru\u1ed9t tr\u00ean phim ch\u1ee5p.<\/li><li>XQ \u0111\u1ea1i tr\u00e0ng c\u1ea3n quang (h\u00ecnh 2).<\/li><li>Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n h\u1ecdc: kho\u1ea3ng tr\u00ean 20 \u0111\u1ed9t bi\u1ebfn nhi\u1ec5m s\u1eafc th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ecbnh danh.<\/li><li>Immunoreactive trypsin tr\u00ean gi\u1ecdt m\u00e1u kh\u00f4.<\/li><li>Test m\u1ed3 h\u00f4i<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"328\" height=\"355\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-1.jpg\" alt=\"\" class=\"wp-image-710\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-1.jpg 328w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-1-277x300.jpg 277w\" sizes=\"(max-width: 328px) 100vw, 328px\" \/><figcaption><strong>H\u00ecnh 1: XQ b\u1ee5ng t\u1eafc ru\u1ed9t ph\u00e2n su<\/strong><br>\u201c<em>Ngu\u1ed3n: Escobar, 2019\u201d<\/em>.<\/figcaption><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"720\" height=\"386\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-2.jpg\" alt=\"\" class=\"wp-image-711\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-2.jpg 720w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/tac-ruot-phan-su-2-300x161.jpg 300w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><figcaption><strong>H\u00ecnh 2: A. H\u00ecnh \u1ea3nh vi \u0111\u1ea1i tr\u00e0ng ch\u1ee9c n\u0103ng. B. H\u00ecnh \u1ea3nh k\u1ebft th\u1ec3 ph\u00e2n su qu\u00e1nh \u0111\u1eb7c \u1edf \u0111o\u1ea1n cu\u1ed1i ru\u1ed9t non<\/strong><br>\u201c<em>Ngu\u1ed3n: Escobar, 2019\u201d<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p><strong>Nursing<\/strong><\/p>\n\n\n\n<ul><li>R\u1eeda ru\u1ed9t b\u1eb1ng gastrographine, ac\u00e9tylcyst\u00e9ine (th\u00e0nh c\u00f4ng 50%, nguy c\u01a1 th\u1ee7ng ru\u1ed9t 10%). Nh\u1eefng ch\u1ea5t c\u1ea3n quang \u01b0u tr\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y m\u1ea5t n\u01b0\u1edbc \u0111\u00f2i h\u1ecfi ph\u1ea3i b\u00f9 n\u01b0\u1edbc b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li><\/ul>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt:<\/strong><\/p>\n\n\n\n<ul><li><em>Nghi\u1ec7m ph\u00e1p b\u01a1m r\u1eeda<\/em>: n\u1ebfu t\u1eafc ru\u1ed9t ph\u00e2n su kh\u00f4ng bi\u1ebfn ch\u1ee9ng: \u0111\u1eb7t 1 cath\u00e9ther v\u00e0o ch\u1ed7 m\u1edf ru\u1ed9t, r\u1eeda v\u1edbi gastrographine, cho \u0111\u1ebfn khi th\u1ea5y n\u01b0\u1edbc \u0111i xu\u1ed1ng \u0111\u1ebfn \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng nh\u1ecf b\u00ean d\u01b0\u1edbi.<\/li><li><em>M\u1edf h\u1ed3i tr\u00e0ng ra da<\/em>: n\u1ebfu sau khi b\u01a1m r\u1eeda kh\u00f4ng th\u1ea5y ru\u1ed9t th\u00f4ng. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i k\u1ef9 v\u1ec1 c\u00e2n n\u1eb7ng, s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 t\u01b0 v\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng. Sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u00f3ng h\u1ed3i tr\u00e0ng sau 6 \u0111\u1ebfn 8 tu\u1ea7n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng v\u00e0 theo d\u00f5i<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng g\u1ea7n c\u1ee7a t\u1eafc ru\u1ed9t ph\u00e2n su kh\u00e1 t\u1ed1t v\u1edbi t\u1ec9 l\u1ec7 s\u1ed1ng c\u00f2n > 85 \u2013 100%. Ti\u00ean l\u01b0\u1ee3ng l\u00e2u d\u00e0i c\u1ee7a tr\u1ebb b\u1ecb t\u1eafc ru\u1ed9t ph\u00e2n su c\u00f3 k\u00e8m x\u01a1 nang ch\u1ee7 y\u1ebfu li\u00ean quan \u0111\u1ebfn b\u1ec7nh x\u01a1 nang (\u0111\u00e2y l\u00e0 b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p, ti\u00eau h\u00f3a, gan m\u1eadt t\u1ee5y, huy\u1ebft h\u1ecdc, c\u01a1 x\u01b0\u01a1ng kh\u1edbp\u2026)<\/li><li>Tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m theo d\u00f5i c\u1ea3 v\u1ec1 ngo\u1ea1i khoa v\u00e0 n\u1ed9i khoa.<\/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>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 2<\/li><li>Escobar M.A.. and Caty M.G. (2019), Meconium Disease, Holcomb and Ashcraft\u2019s Pediatric Surgery , 7th ed, Elsevier, pp. 517 &#8211; 535.<\/li><li><a href=\"https:\/\/www.msdmanuals.com\">https:\/\/www.msdmanuals.com<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ecbnh ngh\u0129a L\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ru\u1ed9t do n\u00fat ph\u00e2n su b\u00edt k\u00edn l\u00f2ng ru\u1ed9t. 10% l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh x\u01a1 nang, 90% b\u1ec7nh nh\u00e2n b\u1ecb t\u1eafc ru\u1ed9t ph\u00e2n su c\u00f3 li\u00ean quan \u0111\u1ebfn <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/tac-ruot-phan-su\/\" title=\"T\u1eafc ru\u1ed9t ph\u00e2n su\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":718,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,18],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/709"}],"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=709"}],"version-history":[{"count":6,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/709\/revisions"}],"predecessor-version":[{"id":717,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/709\/revisions\/717"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/718"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=709"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}