{"id":721,"date":"2021-08-27T18:10:04","date_gmt":"2021-08-27T18:10:04","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=721"},"modified":"2021-08-27T18:10:07","modified_gmt":"2021-08-27T18:10:07","slug":"thoat-vi-mang-tuy","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-mang-tuy\/","title":{"rendered":"Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y l\u00e0 m\u1ed9t khuy\u1ebft t\u1eadt b\u1ea9m sinh \u1edf \u1ed1ng s\u1ed1ng, do cung sau c\u1ee7a \u0111\u1ed1t s\u1ed1ng b\u1ecb khuy\u1ebft r\u1ed9ng l\u00e0m cho \u1ed1ng s\u1ed1ng th\u00f4ng v\u1edbi ph\u1ea7n m\u1ec1m ngo\u00e0i \u1ed1ng s\u1ed1ng, l\u00e0m cho m\u00e0ng c\u1ee9ng t\u1ee7y d\u1ec5 d\u00e0ng ph\u00ecnh ra v\u00e0 t\u1ea1o th\u00e0nh t\u00fai tho\u00e1t v\u1ecb.<\/li><li>Th\u00e0nh ph\u1ea7n t\u00fai tho\u00e1t v\u1ecb bao g\u1ed3m m\u00e0ng c\u1ee9ng, m\u00e0ng nh\u1ec7n t\u1ee7y, c\u00f3 th\u1ec3 k\u00e8m theo m\u1ed9t s\u1ed1 r\u1ec5 th\u1ea7n kinh nh\u01b0ng \u0111a ph\u1ea7n kh\u00f4ng c\u00f3 ch\u1ee9c n\u0103ng<\/li><li>T\u1ea7n su\u1ea5t 1\/10.000 tr\u1ebb s\u01a1 sinh, g\u1eb7p \u1edf c\u1ea3 nam v\u00e0 n\u1eef<\/li><li>V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p l\u00e0 c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng \u2013 c\u00f9ng, c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf v\u00f9ng ng\u1ef1c, c\u1ed5, \u0111\u1ea7u v\u00e0 m\u1eb7t tr\u01b0\u1edbc x\u01b0\u01a1ng c\u00f9ng.<\/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>B\u1ea9m sinh. Trong giai \u0111o\u1ea1n ph\u00f4i l\u00fac 20 &#8211; 28 ng\u00e0y, n\u1ebfu khi\u1ebfm khuy\u1ebft trong vi\u1ec7c \u0111\u00f3ng \u1ed1ng th\u1ea7n kinh t\u1ea1i l\u1ed7 th\u1ea7n kinh tr\u01b0\u1edbc (rostral neuropore) \u1edf \u0111\u1ea7u ph\u00f4i th\u00ec s\u1ebd h\u00ecnh th\u00e0nh d\u1ecb t\u1eadt tho\u00e1t v\u1ecb n\u00e3o m\u00e0ng n\u00e3o v\u00e0 tho\u00e1t v\u1ecb t\u1ee7y m\u00e0ng t\u1ee7y.<\/li><li>D\u00f9ng acid Folic s\u1edbm trong thai k\u1ef3 (0.4mg h\u1eb1ng ng\u00e0y) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 b\u1ecb d\u1ecb t\u1eadt \u1ed1ng th\u1ea7n kinh.<\/li><\/ul>\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>Kh\u1ed1i b\u1ea5t th\u01b0\u1eddng \u1edf c\u1ed9t s\u1ed1ng ngay sau sinh.<\/li><li>Kh\u1ed1i ph\u1ed3ng d\u1ea1ng nang tr\u00f2n, c\u00f3 da che ph\u1ee7 t\u1ed1t, ph\u1ed3ng l\u1edbn khi ho, kh\u00f3c, r\u1eb7n (h\u00ecnh 1)<\/li><li>Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n g\u00ec v\u1ec1 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c. Tuy nhi\u00ean, b\u1ec7nh c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb li\u1ec7t m\u1ed9t ph\u1ea7n ho\u1eb7c ho\u00e0n to\u00e0n hai ch\u00e2n, m\u1ea5t c\u1ea3m gi\u00e1c v\u00e0 r\u1ed1i lo\u1ea1n c\u01a1 th\u1eaft th\u01b0\u1eddng g\u1eb7p trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00fai tho\u00e1t v\u1ecb c\u00f3 c\u00e1c r\u1ec5 th\u1ea7n kinh v\u00e0 t\u1ee7y.<\/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\/thoat-vi-mang-tuy-1-1.jpg\" alt=\"\" class=\"wp-image-726\" width=\"301\" height=\"240\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-1-1.jpg 601w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-1-1-300x240.jpg 300w\" sizes=\"(max-width: 301px) 100vw, 301px\" \/><figcaption><strong>H\u00ecnh 1: Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y<\/strong><\/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>Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng MRI v\u00f9ng t\u1ed5n th\u01b0\u01a1ng: c\u00f3 h\u00ecnh \u1ea3nh tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y. (H\u00ecnh 2)<\/li><li>Si\u00eau \u00e2m s\u1ecd n\u00e3o: t\u1ea7m so\u00e1t d\u1ecb t\u1eadt \u0111i k\u00e8m<\/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\/thoat-vi-mang-tuy-2.jpg\" alt=\"\" class=\"wp-image-727\" width=\"336\" height=\"593\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-2.jpg 448w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-2-170x300.jpg 170w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/><figcaption><strong>H\u00ecnh 2: MRI c\u00f3 h\u00ecnh \u1ea3nh t\u00fai tho\u00e1t v\u1ecb<\/strong><\/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>Ph\u1eabu thu\u1eadt s\u1edbm khi c\u00f3 ch\u1ea9n \u0111o\u00e1n nh\u1eb1m gi\u1ea3m nguy c\u01a1 v\u1ee1.<\/p>\n\n\n\n<p><strong>Chu\u1ea9n s\u00f3c tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>N\u1eb1m nghi\u00eang ho\u1eb7c n\u1eb1m s\u1ea5p nh\u1eb1m tr\u00e1nh t\u00ec \u0111\u00e8 tr\u1ef1c ti\u1ebfp v\u00e0o t\u00fai tho\u00e1t v\u1ecb.<\/li><li>N\u1ebfu t\u00fai tho\u00e1t v\u1ecb v\u1ee1 \u0111\u1eafp g\u1ea1c v\u00f4 khu\u1ea9n t\u1ea9m n\u01b0\u1edbc mu\u1ed1i sinh l\u00ed, \u0111\u1ed3ng th\u1eddi ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u v\u00e0 s\u1eed d\u1ee5ng kh\u00e1ng sinh nh\u01b0 vi\u00eam m\u00e0ng n\u00e3o m\u1ee7.<\/li><\/ul>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>\u0110\u1eb7t b\u00e9 n\u1eb1m s\u1ea5p b\u1ed9c l\u1ed9 kh\u1ed1i tho\u00e1t v\u1ecb.<\/li><li>B\u1ed9c l\u1ed9 v\u00e0 c\u1eaft b\u1ecf t\u00fai tho\u00e1t v\u1ecb tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng r\u1ec5 th\u1ea7n kinh v\u00e0 m\u1ea1ch m\u00e1u<\/li><li>Kh\u00e2u k\u00edn c\u1ed5 t\u00fai v\u1edbi ch\u1ec9 ti\u00eau<\/li><li>C\u1ed1 g\u1eafng kh\u00e2u ph\u1ee5c h\u1ed3i c\u00e2n v\u00e0 da. (H\u00ecnh 3)<\/li><\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\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\/thoat-vi-mang-tuy-3-1.jpg\" alt=\"\" class=\"wp-image-730\" width=\"398\" height=\"347\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-3-1.jpg 531w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/thoat-vi-mang-tuy-3-1-300x262.jpg 300w\" sizes=\"(max-width: 398px) 100vw, 398px\" \/><figcaption><strong>H\u00ecnh 3: Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7<\/strong>y<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u0103m s\u00f3c sau m\u1ed5<\/strong><\/p>\n<\/div><\/div>\n\n\n\n<ul><li>N\u1eb1m s\u1ea5p ho\u1eb7c n\u1eb1m nghi\u00eang tr\u00e1nh t\u00ec \u0111\u00e8 v\u1ebft m\u1ed5<\/li><li>Kh\u00e1ng sinh, gi\u1ea3m \u0111au<\/li><li>Tr\u00e1nh \u0111\u1ec3 n\u01b0\u1edbc, ch\u1ea5t b\u1ea9n nh\u01b0 n\u01b0\u1edbc ti\u1ec3u, ph\u00e2n d\u00ednh v\u00e0o v\u1ebft m\u1ed5.<\/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>Xu\u1ea5t vi\u1ec7n sau 1 tu\u1ea7n.<\/li><li>M\u1ed9t tu\u1ea7n, m\u1ed7i th\u00e1ng trong ba th\u00e1ng ti\u1ebfp theo<\/li><li>M\u1ed7i ba th\u00e1ng cho \u0111\u1ebfn \u0111\u1ee7 n\u0103m sau khi ph\u1eabu thu\u1eadt ho\u1eb7c kh\u00e1m ngay khi c\u00f3 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5.<\/li><li>Theo d\u00f5i ch\u1ee9c n\u0103ng ti\u00eau ti\u1ec3u v\u1ec1 l\u00e2u d\u00e0i<\/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>Puri, Prem, H\u00f6llwarth, Michael E. (Eds.). (2019). Pediatric Surgery. Springer.<\/li><li>Mark Davenport, James D. Geiger. (2020). Operative Pediatric Surgery. London: CRC Press.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y l\u00e0 m\u1ed9t khuy\u1ebft t\u1eadt b\u1ea9m sinh \u1edf \u1ed1ng s\u1ed1ng, do cung sau c\u1ee7a \u0111\u1ed1t s\u1ed1ng b\u1ecb khuy\u1ebft r\u1ed9ng l\u00e0m cho \u1ed1ng s\u1ed1ng th\u00f4ng v\u1edbi ph\u1ea7n m\u1ec1m ngo\u00e0i \u1ed1ng s\u1ed1ng, <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/thoat-vi-mang-tuy\/\" title=\"Tho\u00e1t v\u1ecb m\u00e0ng t\u1ee7y\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":725,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,5],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/721"}],"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=721"}],"version-history":[{"count":7,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/721\/revisions"}],"predecessor-version":[{"id":736,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/721\/revisions\/736"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/725"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=721"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=721"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=721"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}