{"id":753,"date":"2021-08-28T14:53:05","date_gmt":"2021-08-28T14:53:05","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=753"},"modified":"2021-08-28T14:53:10","modified_gmt":"2021-08-28T14:53:10","slug":"viem-tuy-cap-goc-nhin-ngoai-khoa","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/viem-tuy-cap-goc-nhin-ngoai-khoa\/","title":{"rendered":"Vi\u00eam t\u1ee5y c\u1ea5p g\u00f3c nh\u00ecn Ngo\u1ea1i khoa"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Vi\u00eam t\u1ee5y c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng \u0111\u1ed9t ng\u1ed9t k\u00e8m theo s\u1ef1 gia t\u0103ng men t\u1ee5y trong m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i m\u00f4 t\u1ee5y tr\u00ean h\u00ecnh \u1ea3nh h\u1ecdc.<\/li><li>B\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng.<\/li><li>T\u1ea7n su\u1ea5t b\u1ec7nh chung tr\u00ean th\u1ebf gi\u1edbi l\u00e0 3,6-13,3\/100.000 tr\u1ebb em.<\/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\/viem-tuy-cap.jpg\" alt=\"\" class=\"wp-image-765\" width=\"480\" height=\"341\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/viem-tuy-cap.jpg 640w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/viem-tuy-cap-300x213.jpg 300w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><figcaption><strong>H\u00ecnh 1<\/strong>: H\u00ecnh \u1ea3nh m\u00f4 ph\u1ecfng t\u1ee5y vi\u00eam v\u00e0 c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/p>\n\n\n\n<ul><li>Vi\u00eam t\u1ee5y c\u1ea5p th\u1ec3 nh\u1eb9: chi\u1ebfm \u0111a s\u1ed1 kho\u1ea3ng 70-80%, hay c\u00f2n g\u1ecdi l\u00e0 vi\u00eam t\u1ee5y c\u1ea5p th\u1ec3 ph\u00f9 m\u00f4 k\u1ebd. Th\u1ec3 n\u00e0y kh\u00f4ng g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan hay bi\u1ebfn ch\u1ee9ng t\u1ea1i ch\u00f4.<\/li><li>Vi\u00eam t\u1ee5y c\u1ea5p th\u1ec3 trung b\u00ecnh: l\u00e0 th\u1ec3 vi\u00eam t\u1ee5y c\u1ea5p c\u00f3 th\u1ec3 g\u00e2y suy \u0111a c\u01a1 quan nh\u01b0ng ch\u1ec9 tho\u00e1ng qua d\u01b0\u1edbi 48 gi\u1edd.<\/li><li>Vi\u00eam t\u1ee5y c\u1ea5p th\u1ec3 n\u1eb7ng: l\u00e0 vi\u00eam t\u1ee5y c\u1ea5p c\u00f3 g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan k\u00e9o d\u00e0i h\u01a1n 48 gi\u1edd.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam t\u1ee5y c\u1ea5p<\/strong><\/p>\n\n\n\n<ul><li>Nhi\u1ec5m tr\u00f9ng.<\/li><li>Ch\u1ea5n th\u01b0\u01a1ng.<\/li><li>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt.<\/li><li>B\u1ea5t th\u01b0\u1eddng h\u1ec7 th\u1ed1ng \u1ed1ng m\u1eadt-t\u1ee5y.<\/li><li>M\u1ed9t s\u1ed1 thu\u1ed1c.<\/li><li>Nguy\u00ean nh\u00e2n kh\u00e1c \u00edt g\u1eb7p: c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n, b\u1ec7nh chuy\u1ec3n h\u00f3a, vi\u00eam t\u1ee5y gia \u0111\u00ecnh\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<p>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh vi\u00eam t\u1ee5y c\u1ea5p khi c\u00f3 2 trong 3 ti\u00eau chu\u1ea9n:<\/p>\n\n\n\n<ul><li>\u0110au b\u1ee5ng.<\/li><li>Men t\u1ee5y t\u0103ng \u00edt nh\u1ea5t 3 l\u1ea7n gi\u1edbi h\u1ea1n tr\u00ean b\u00ecnh th\u01b0\u1eddng.<\/li><li>H\u00ecnh \u1ea3nh h\u1ecdc vi\u00eam t\u1ee5y c\u1ea5p.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Khi n\u00e0o c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt?<\/strong><\/p>\n\n\n\n<ul><li>Ph\u1eabu thu\u1eadt n\u1ed9i soi v\u1eabn l\u00e0 l\u1ef1a ch\u1ecdn \u01b0u ti\u00ean.<\/li><li>Can thi\u1ec7p ngo\u1ea1i khoa s\u1edbm trong vi\u00eam t\u1ee5y c\u1ea5p ho\u1ea1i t\u1eed l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 t\u1eed vong.<\/li><li>Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam t\u1ee5y c\u1ea5p ho\u1ea1i t\u1eed c\u00f3 h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p l\u1ef1c \u1ed5 b\u1ee5ng, \u1ed5 t\u1ee5 d\u1ecbch nhi\u1ec5m tr\u00f9ng th\u00ec n\u00ean can thi\u1ec7p t\u1ed1i thi\u1ec3u, l\u1ea5y ph\u1ea7n ho\u1ea1i t\u1eed v\u00e0 \u0111\u1eb7t d\u1eabn l\u01b0u \u1ed5 b\u1ee5ng.<\/li><li>Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam t\u1ee5y c\u1ea5p do s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, c\u1eaft t\u00fai m\u1eadt s\u1ebd gi\u00fap ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t vi\u00eam t\u1ee5y, c\u1ea7n th\u1ef1c hi\u1ec7n khi t\u00ecnh tr\u1ea1ng n\u1ed9i khoa \u1ed5n \u0111\u1ecbnh.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Bi\u1ebfn ch\u1ee9ng v\u00e0 ti\u00ean l\u01b0\u1ee3ng ra sao?<\/strong><\/p>\n\n\n\n<ul><li>Bi\u1ebfn ch\u1ee9ng to\u00e0n th\u00e2n: s\u1ed1c, suy h\u00f4 h\u1ea5p, suy th\u1eadn c\u1ea5p, h\u1ea1 canci m\u00e1u, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/li><li>Ho\u1ea1i t\u1eed t\u1ee5y, t\u1ee5 d\u1ecbch quanh t\u1ee5y, nang gi\u1ea3 t\u1ee5y v\u00e0 \u00e1p xe t\u1ee5y.<\/li><li>Ti\u00ean l\u01b0\u1ee3ng vi\u00eam t\u1ee5y c\u1ea5p ho\u1ea1i t\u1eed ch\u01b0a c\u00f3 nhi\u1ec1u s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea v\u1edbi t\u1ef7 l\u1ec7 c\u00f3 ho\u1ea1i t\u1eed trong vi\u00eam t\u1ee5y c\u1ea5p ch\u1ec9 kho\u1ea3ng 1% c\u00e1c ca vi\u00eam t\u1ee5y c\u1ea5p \u1edf tr\u1ebb em.<\/li><li>So v\u1edbi ng\u01b0\u1eddi l\u1edbn th\u00ec vi\u00eam t\u1ee5y c\u1ea5p \u1edf tr\u1ebb em c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n. T\u1ef7 l\u1ec7 t\u1eed vong d\u01b0\u1edbi 5%.<\/li><li>T\u1ef7 l\u1ec7 h\u00ecnh th\u00e0nh nang gi\u1ea3 t\u1ee5y l\u00e0 8-41%, cao nh\u1ea5t \u1edf c\u00e1c b\u1ec7nh nhi vi\u00eam t\u1ee5y sau ch\u1ea5n th\u01b0\u01a1ng.<\/li><li>Kho\u1ea3ng 15-35% b\u1ec7nh nhi vi\u00eam t\u1ee5y t\u00e1i ph\u00e1t.<\/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><a href=\"https:\/\/emedicine.medscape.com\/article\/181364-overview\">https:\/\/emedicine.medscape.com\/article\/181364-overview<\/a>.<\/li><li>Adzick N.S. (2012), \u201cThe Pancreas\u201d, Pediatris Surgery, 7th edi, Elsevier Health Sciences, pp. 1371-1384.<\/li><li>Wiersch J., Gittes G.K. (2014), \u201cLesions of the pancreas\u201d, <em>Ashcraft\u2019s Pediatric Surgery<\/em>, 6<sup>th<\/sup> edi, <em>Elsevier Health Sciences, pp.636-647.<\/em><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Vi\u00eam t\u1ee5y c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng \u0111\u1ed9t ng\u1ed9t k\u00e8m theo s\u1ef1 gia t\u0103ng men t\u1ee5y trong m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i m\u00f4 t\u1ee5y tr\u00ean h\u00ecnh <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/viem-tuy-cap-goc-nhin-ngoai-khoa\/\" title=\"Vi\u00eam t\u1ee5y c\u1ea5p g\u00f3c nh\u00ecn Ngo\u1ea1i khoa\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":765,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,16],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/753"}],"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=753"}],"version-history":[{"count":2,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/753\/revisions"}],"predecessor-version":[{"id":768,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/753\/revisions\/768"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/765"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=753"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=753"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}