{"id":769,"date":"2021-08-29T07:32:41","date_gmt":"2021-08-29T07:32:41","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=769"},"modified":"2021-08-29T07:32:45","modified_gmt":"2021-08-29T07:32:45","slug":"teo-duong-mat","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-duong-mat\/","title":{"rendered":"Teo \u0111\u01b0\u1eddng m\u1eadt"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Teo \u0111\u01b0\u1eddng m\u1eadt (T\u0110M) l\u00e0 d\u1ecb d\u1ea1ng hi\u1ebfm g\u1eb7p c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt v\u00e0 gan, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a ti\u1ebfn tri\u1ec3n c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt, g\u00e2y ra t\u1eafc m\u1eadt, x\u01a1 gan v\u00e0 suy gan. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, tr\u1ebb th\u01b0\u1eddng s\u1ebd t\u1eed vong trong v\u00f2ng 18 th\u00e1ng tu\u1ed5i.<\/li><li>T\u1ea7n su\u1ea5t m\u1eafc: 1\/10.000-1\/4.000 tr\u1ebb sinh ra s\u1ed1ng, t\u1ea1i c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1.<\/li><li>T\u1ec9 l\u1ec7 tr\u1ebb g\u00e1i g\u1ea5p 1,4 &#8211; 1,7 l\u1ea7n tr\u1ebb trai.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nguy\u00ean nh\u00e2n c\u1ee7a teo \u0111\u01b0\u1eddng m\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>Hi\u1ec7n t\u1ea1i, nguy\u00ean nh\u00e2n c\u1ee7a T\u0110M v\u1eabn c\u00f2n nhi\u1ec1u tranh c\u1ea3i.<\/li><li>M\u1ed9t s\u1ed1 gi\u1ea3 thuy\u1ebft \u0111\u01b0\u1ee3c \u0111\u01b0a ra: li\u00ean quan \u0111\u1ebfn nhi\u1ec5m virus, thi\u1ebfu m\u00e1u nu\u00f4i \u1ed1ng m\u1eadt ch\u1ee7 do t\u1eafc m\u1ea1ch, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a m\u1eadt, b\u1ea5t th\u01b0\u1eddng k\u00eanh chung m\u1eadt-t\u1ee5y v\u00e0 \u0111\u1ed9c ch\u1ea5t t\u1eeb m\u00f4i tr\u01b0\u1eddng\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i<\/strong> <\/p>\n\n\n\n<p>Ph\u00e2n lo\u1ea1i teo \u0111\u01b0\u1eddng m\u1eadt theo H\u1ed9i Ph\u1eabu nhi Nh\u1eadt B\u1ea3n, g\u1ed3m 3 lo\u1ea1i (h\u00ecnh 1)<\/p>\n\n\n\n<ul><li>Lo\u1ea1i I: teo \u0111\u01b0\u1eddng m\u1eadt \u1edf m\u1ee9c \u1ed1ng m\u1eadt ch\u1ee7<\/li><li>Lo\u1ea1i II: teo \u0111\u01b0\u1eddng m\u1eadt \u1edf m\u1ee9c \u1ed1ng gan chung. Trong \u0111\u00f3, IIa: ch\u1ec9 teo \u1ed1ng gan chung v\u00e0 lo\u1ea1i IIb: teo \u1ed1ng gan chung, \u1ed1ng m\u1eadt ch\u1ee7, \u1ed1ng t\u00fai m\u1eadt.<\/li><li>Lo\u1ea1i III: Teo to\u00e0n b\u1ed9 \u0111\u01b0\u1eddng m\u1eadt ngo\u00e0i gan.<\/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\/teo-duong-mat-1.jpg\" alt=\"\" class=\"wp-image-771\" width=\"500\" height=\"365\"\/><figcaption><strong>H\u00ecnh 1: Ph\u00e2n lo\u1ea1i teo \u0111\u01b0\u1eddng m\u1eadt<\/strong><br><em>\u201cNgu\u1ed3n: Yamataka, 2014\u201d<\/em>.<\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m<\/strong><\/p>\n\n\n\n<ul><li>Tr\u1ebb v\u00e0ng da k\u00e9o d\u00e0i tr\u00ean 2 tu\u1ea7n sau khi sinh.<\/li><li>V\u00e0ng da t\u0103ng d\u1ea7n<\/li><li>Ph\u00e2n b\u1ea1c m\u00e0u (\u0111\u00f4i khi tr\u1eafng nh\u01b0 ph\u00e2n c\u00f2) (h\u00ecnh 2)<\/li><li>N\u01b0\u1edbc ti\u1ec3u v\u00e0ng s\u1eadm.<\/li><li>Gan to<\/li><li>B\u1ee5ng b\u00e1ng.<\/li><li>Suy dinh d\u01b0\u1ee1ng<\/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\/Teo-duong-mat-2-826x1024.jpg\" alt=\"\" class=\"wp-image-772\" width=\"250\" height=\"280\"\/><figcaption><strong>H\u00ecnh 2: Ph\u00e2n b\u1ea1c m\u00e0u \u1edf tr\u1ebb teo \u0111\u01b0\u1eddng m\u1eadt<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>X\u00e9t nghi\u1ec7m c\u1ea7n l\u00e0m \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n?<\/strong><\/p>\n\n\n\n<ul><li>C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u: Bilirubin to\u00e0n ph\u1ea7n\/ tr\u1ef1c ti\u1ebfp, GGT, ALP v\u00e0 men gan. C\u00f3 th\u1ec3 thay \u0111\u1ed5i ch\u1ee9c n\u0103ng gan, ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u, gi\u1ea3m albumine n\u1ebfu gan b\u1eaft \u0111\u1ea7u x\u01a1.<\/li><li>C\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m vi\u00eam gan si\u00eau vi, anpha 1 antitrypsine.<\/li><li>Si\u00eau \u00e2m b\u1ee5ng: \u0111\u00e1nh gi\u00e1 t\u00fai m\u1eadt, d\u1ea5u hi\u1ec7u th\u1eebng x\u01a1 tam gi\u00e1c hay c\u00f2n g\u1ecdi b\u1ec1 d\u00e0y m\u00f4 x\u01a1. Ngo\u00e0i ra, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111a l\u00e1ch ho\u1eb7c gan l\u00e1ch to khi b\u1ec7nh trong giai \u0111o\u1ea1n tr\u1ec5<\/li><li>MRI \u0111\u01b0\u1eddng m\u1eadt: khi c\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1ch b\u1ec7nh gan m\u1eadt kh\u00e1c.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Teo \u0111\u01b0\u1eddng m\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd g\u00e2y v\u00e0ng da kh\u00e1c<\/strong><\/p>\n\n\n\n<ul><li>V\u00e0ng da sinh l\u00ed.<\/li><li>Vi\u00eam gan s\u01a1 sinh<\/li><li>Nang \u0111\u01b0\u1eddng m\u1eadt.<\/li><li>H\u1ed9i ch\u1ee9ng m\u1eadt \u0111\u1eb7c.<\/li><li>Thi\u1ec3u s\u1ea3n \u0111\u01b0\u1eddng m\u1eadt.<\/li><li>H\u1ed9i ch\u1ee9ng Alagille\u2019s.<\/li><li>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a: thi\u1ebfu alpha-1-antitrypsin, b\u1ec7nh galactose m\u00e1u,\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u1ea7n l\u00e0m g\u00ec khi tr\u1ebb b\u1ecb nghi ng\u1edd c\u00f3 teo \u0111\u01b0\u1eddng m\u1eadt?<\/strong><\/p>\n\n\n\n<ul><li>C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y v\u00e0ng da s\u01a1 sinh, \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 c\u1ea7n \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa. \u0110\u1ed1i v\u1edbi teo \u0111\u01b0\u1eddng m\u1eadt, tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c can thi\u1ec7p ngo\u1ea1i khoa.<\/li><li>Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n T\u0110M c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p b\u1ec7nh s\u1eed, kh\u00e1m l\u00e2m s\u00e0ng, m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m sinh h\u00f3a, h\u00ecnh \u1ea3nh h\u1ecdc. Tuy nhi\u00ean, nh\u1eefng y\u1ebfu t\u1ed1 tr\u00ean ch\u1ec9 c\u00f3 \u00fd ngh\u0129a g\u1ee3i \u00fd nghi ng\u1edd tr\u1ebb b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt ch\u1ee9 kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh. Khi \u0111\u00f3, tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt th\u00e1m s\u00e1t \u00b1 ch\u1ee5p h\u00ecnh \u0111\u01b0\u1eddng m\u1eadt trong l\u00fac m\u1ed5 \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ho\u1eb7c lo\u1ea1i tr\u1eeb T\u0110M.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<p><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>Cung c\u1ea5p vitamin K v\u00e0i ng\u00e0y tr\u01b0\u1edbc m\u1ed5.<\/li><li>X\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu.<\/li><li>\u0110i\u1ec1u ch\u1ec9nh \u0111\u00f4ng m\u00e1u (n\u1ebfu c\u00f3 r\u1ed1i lo\u1ea1n).<\/li><\/ul>\n\n\n\n<p><strong>Th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>C\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t khi c\u00f3 ch\u1ea9n \u0111o\u00e1n nghi ng\u1edd ho\u1eb7c x\u00e1c \u0111\u1ecbnh teo \u0111\u01b0\u1eddng m\u1eadt, kh\u00f4ng n\u00ean qu\u00e1 90 ng\u00e0y tu\u1ed5i, t\u1ed1t nh\u1ea5t tr\u01b0\u1edbc 60 ng\u00e0y tu\u1ed5i (t\u1ed1i \u01b0u).<\/li><li>Tuy nhi\u00ean kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u1ebfu qu\u00e1 90 ng\u00e0y tu\u1ed5i v\u00e0 ch\u1ee9c n\u0103ng gan c\u00f2n b\u00f9.<\/li><\/ul>\n\n\n\n<p><strong>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li>Ph\u1eabu thu\u1eadt th\u00e1m s\u00e1t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ho\u1eb7c lo\u1ea1i tr\u1eeb teo \u0111\u01b0\u1eddng m\u1eadt, \u0111\u00f4i khi c\u1ea7n ch\u1ee5p \u0111\u01b0\u1eddng m\u1eadt trong m\u1ed5 (h\u00ecnh 3).<\/li><li>N\u1ebfu k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt th\u00e1m s\u00e1t cho th\u1ea5y tr\u1ebb kh\u00f4ng b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt. M\u1ed9t m\u1eabu gan \u0111\u01b0\u1ee3c sinh thi\u1ebft, l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh.<\/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\/teo-duong-mat-3.jpg\" alt=\"\" class=\"wp-image-776\" width=\"400\" height=\"280\"\/><figcaption><strong>H\u00ecnh 3: H\u00ecnh \u1ea3nh ch\u1ee5p \u0111\u01b0\u1eddng m\u1eadt trong m\u1ed5 gi\u00fap lo\u1ea1i tr\u1eeb teo \u0111\u01b0\u1eddng m\u1eadt<\/strong><br><em>\u201cNgu\u1ed3n: Cowles, 2012\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>N\u1ebfu th\u00e1m s\u00e1t cho th\u1ea5y tr\u1ebb b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt, ph\u1eabu thu\u1eadt Kasai (c\u1eaft b\u1ecf to\u00e0n b\u1ed9 \u0111\u01b0\u1eddng m\u1eadt teo ngo\u00e0i gan k\u00e8m m\u00f4 x\u01a1 \u1edf c\u1eeda gan n\u1ed1i c\u1eeda gan-ru\u1ed9t) s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh (h\u00ecnh 4):<ul><li>\u0110\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n cho teo \u0111\u01b0\u1eddng m\u1eadt hi\u1ec7n nay trong th\u1eddi gian ch\u1edd \u0111\u1ee3i gh\u00e9p gan. Gan \u0111\u01b0\u1ee3c sinh thi\u1ebft \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng gan t\u1ea1i th\u1eddi \u0111i\u1ec3m ph\u1eabu thu\u1eadt.<\/li><li>Ph\u1eabu thu\u1eadt Kasai gi\u00fap tho\u00e1t l\u01b0u m\u1eadt kh\u1ecfi gan t\u1ea1m th\u1eddi. Gi\u00fap tr\u1ebb b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt s\u1ed1ng c\u00f2n m\u1ed9t th\u1eddi gian t\u00f9y m\u1ee9c \u0111\u1ed9 th\u00e0nh c\u00f4ng c\u1ee7a ph\u1eabu thu\u1eadt.<\/li><\/ul><\/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\/teo-duong-mat-4-edited.jpg\" alt=\"\" class=\"wp-image-777\" width=\"288\" height=\"288\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-duong-mat-4-edited.jpg 575w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-duong-mat-4-edited-300x300.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/teo-duong-mat-4-edited-150x150.jpg 150w\" sizes=\"(max-width: 288px) 100vw, 288px\" \/><figcaption><strong>H\u00ecnh 4: H\u00ecnh \u1ea3nh ph\u1eabu thu\u1eadt Kasai n\u1ed1i c\u1eeda gan-h\u1ed7ng tr\u00e0ng theo Roux-en-Y<\/strong><br><em>\u201cNgu\u1ed3n: Cowles, 2012\u201d.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<ul><li>Gh\u00e9p gan: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 cho tr\u1ebb b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt<ul><li>T\u0110M l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u c\u1ee7a gh\u00e9p gan \u1edf tr\u1ebb em<\/li><li>Trong su\u1ed1t cu\u1ed9c \u0111\u1eddi c\u1ee7a tr\u1ebb b\u1ecb teo \u0111\u01b0\u1eddng m\u1eadt, d\u00f9 c\u00f3 \u0111\u01b0\u1ee3c l\u00e0m PT Kasai hay kh\u00f4ng, gh\u00e9p gan s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t ra nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eaft bu\u1ed9c<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>S\u0103n s\u00f3c sau m\u1ed5 Kasai<\/strong><\/p>\n\n\n\n<ul><li>Nu\u00f4i \u0103n t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n cho \u0111\u1ebfn khi \u0103n u\u1ed1ng ho\u00e0n to\u00e0n b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng. Th\u01b0\u1eddng l\u00e0 sau 48 gi\u1edd.<\/li><li>Kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng trong v\u00e0i ng\u00e0y<\/li><li>Cung c\u1ea5p c\u00e1c lo\u1ea1i vitamin tan trong d\u1ea7u: ADEK<\/li><li>Urxodeoxycholic<\/li><li>D\u1ecbch b\u00e1ng b\u1ee5ng c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau c\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<ul><li>T\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ph\u1eabu thu\u1eadt Kasai c\u00f3 th\u1ec3 \u0111\u1ea1t 85%.<\/li><li>K\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt ph\u1ee5 v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0: tu\u1ed5i l\u00fac ph\u1eabu thu\u1eadt, ph\u1eabu thu\u1eadt vi\u00ean v\u00e0 trung t\u00e2m ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt, t\u00ecnh tr\u1ea1ng theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb sau ph\u1eabu thu\u1eadt Kasai\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>L\u00e0m sao \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt?<\/strong><\/p>\n\n\n\n<ul><li>T\u1ea7m so\u00e1t \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 ph\u1eabu thu\u1eadt s\u1edbm l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt Kasai. Hi\u1ec7n nay, \u1edf nhi\u1ec1u n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi, tr\u1ebb teo \u0111\u01b0\u1eddng m\u1eadt \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt s\u1edbm &lt; 60 ng\u00e0y tu\u1ed5i. Th\u1eadm ch\u00ed, m\u1ed9t s\u1ed1 trung t\u00e2m l\u1edbn \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n (Nh\u1eadt B\u1ea3n, Anh, \u0110\u00e0i Loan) tr\u1ebb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt &lt; 30 ng\u00e0y tu\u1ed5i. \u0110i\u1ec1u n\u00e0y \u0111\u00e3 gi\u00fap c\u1ea3i thi\u1ec7n kh\u00e1 t\u1ed1t k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt Kasai.<\/li><li>\u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y, nhi\u1ec1u qu\u1ed1c gia \u0111\u00e3 \u0111\u01b0a ra ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t s\u1edbm tr\u1ebb teo \u0111\u01b0\u1eddng m\u1eadt. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng l\u00e0 x\u00e9t nghi\u1ec7m Bilirubin th\u01b0\u1eddng quy \u1edf \u0111\u1ed9 tu\u1ed5i s\u01a1 sinh, t\u1ea7m so\u00e1t b\u1eb1ng theo d\u00f5i B\u1ea3ng m\u00e0u ph\u00e2n (h\u00ecnh 5) trong \u0111\u1ed9 tu\u1ed5i s\u01a1 sinh cho \u0111\u1ebfn h\u1ebft 2 th\u00e1ng tu\u1ed5i. Trong \u0111\u00f3, t\u1ea7m so\u00e1t b\u1eb1ng B\u1ea3ng m\u00e0u ph\u00e2n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i \u1edf nhi\u1ec1u n\u01a1i tr\u00ean th\u1ebf gi\u1edbi (Nh\u1eadt B\u1ea3n, Trung Qu\u1ed1c, \u0110\u00e0i Loan, Hoa K\u1ef3, Anh, Canada&#8230;) nh\u1edd t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 l\u1ee3i \u00edch v\u1ec1 m\u1eb7t kinh t\u1ebf c\u1ee7a n\u00f3.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"621\" height=\"595\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/bang-mau-phan.jpg\" alt=\"\" class=\"wp-image-782\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/bang-mau-phan.jpg 621w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/bang-mau-phan-300x287.jpg 300w\" sizes=\"(max-width: 621px) 100vw, 621px\" \/><figcaption><strong>H\u00ecnh 5: B\u1ea3ng m\u00e0u ph\u00e2n<\/strong><br><em>(http:\/\/www.perinatalservicesbc.ca)<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Khi n\u00e0o c\u1ea7n xem x\u00e9t gh\u00e9p gan?<\/strong><\/p>\n\n\n\n<ul><li>T\u0110M \u0111\u00e3 tr\u1ec5, kh\u00f4ng th\u1ec3 PT Kasai<\/li><li>Khi b\u1ec7nh nhi T\u0110M \u0111\u01b0\u1ee3c PT Kasai c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 sau:<ul><li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n.<\/li><li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do gi\u00e3n v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c b\u1eb1ng n\u1ed9i khoa v\u00e0 n\u1ed9i soi ti\u00eau h\u00f3a.<\/li><li>B\u00e1ng b\u1ee5ng v\u00e0 nhi\u1ec5m tr\u00f9ng d\u1ecbch b\u00e1ng kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/li><li>T\u0103ng \u00e1p ph\u1ed5i, h\u1ed9i ch\u1ee9ng gan-ph\u1ed5i.<\/li><li>Ung th\u01b0 gan&#8230;<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>T\u00e1i kh\u00e1m theo d\u00f5i sau ph\u1eabu thu\u1eadt Kasai<\/strong><\/p>\n\n\n\n<ul><li>T\u00e1i kh\u00e1m m\u1ed7i 1 tu\u1ea7n, 2 tu\u1ea7n, 1 th\u00e1ng, 2 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng, 9 th\u00e1ng, 1 n\u0103m.<\/li><li>R\u1ea5t nhi\u1ec1u v\u1ea5n \u0111\u1ec1 c\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb. V\u00ec v\u1eady, b\u1ec7nh nhi T\u0110M c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 PT Kasai c\u0169ng c\u1ea7n tu\u00e2n th\u1ee7 nh\u1eefng h\u01b0\u1edbng d\u1eabn v\u00e0 d\u1eb7n d\u00f2 c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf.<\/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>Tr\u01b0\u01a1ng Quang \u0110\u1ecbnh, L\u00ea Nguy\u1ec5n Ng\u1ecdc Di\u1ec5m, H\u1ed3 Phi Duy (2018), \u201c Teo \u0111\u01b0\u1eddng m\u1eadt\u201d. Ngo\u1ea1i nhi l\u00e2m s\u00e0ng, Nh\u00e0 xu\u1ea5t b\u1ea3n Y H\u1ecdc. tr.503-507.<\/li><li>Chen S.M., et al. (2006), \u201c Screening for biliary atresia by infant stool color card in Taiwan\u201d, Pediatrics, 117 (4), pp. 1147-1154.<\/li><li>Cowles R.A. (2012), \u201cThe Jaundiced Infant: Biliary Atresia\u201d, Pediatric Surgery, 7th edi, Saunders, pp. 1322-1330.<\/li><li>Yamataka A. et al (2014), Biliary Atresia, Ashcraft\u2019s Pediatric Surgery, 6th edi, Saunders, pp. 580-591.<\/li><li>http:\/\/www.perinatalservicesbc.ca\/our-services\/screening-programs\/biliary-atresia-home-screening-program.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Teo \u0111\u01b0\u1eddng m\u1eadt (T\u0110M) l\u00e0 d\u1ecb d\u1ea1ng hi\u1ebfm g\u1eb7p c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt v\u00e0 gan, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a ti\u1ebfn tri\u1ec3n c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt, g\u00e2y ra t\u1eafc m\u1eadt, x\u01a1 gan <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/teo-duong-mat\/\" title=\"Teo \u0111\u01b0\u1eddng m\u1eadt\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":771,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,19,16],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/769"}],"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=769"}],"version-history":[{"count":9,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/769\/revisions"}],"predecessor-version":[{"id":785,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/769\/revisions\/785"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/771"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=769"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}