{"id":791,"date":"2021-08-29T10:28:04","date_gmt":"2021-08-29T10:28:04","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=791"},"modified":"2021-08-29T10:28:26","modified_gmt":"2021-08-29T10:28:26","slug":"cac-benh-ly-thuong-gap-o-lach-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/cac-benh-ly-thuong-gap-o-lach-tre-em\/","title":{"rendered":"C\u00e1c b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf l\u00e1ch tr\u1ebb em"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu c\u1ee7a l\u00e1ch:<\/p>\n\n\n\n<ul><li>L\u00e1ch l\u00e0 m\u1ed9t t\u1ea1ng nh\u1ecf, n\u1eb1m s\u00e2u trong \u1ed5 b\u1ee5ng, n\u00fap d\u01b0\u1edbi v\u00f2m ho\u00e0nh tr\u00e1i. B\u00ecnh th\u01b0\u1eddng kh\u00f4ng th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c l\u00e1ch.<\/li><li>Cu\u1ed1ng l\u00e1ch \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o b\u1edfi c\u00e1c t\u0129nh m\u1ea1ch, \u0111\u1ed9ng m\u1ea1ch l\u00e1ch, b\u1ea1ch m\u1ea1ch v\u00e0 th\u1ea7n kinh c\u1ee7a l\u00e1ch x\u1ebfp th\u00e0nh t\u1eebng t\u1ea7ng t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi. T\u0129nh m\u1ea1ch l\u00e1ch \u0111\u1ed5 v\u00e0o t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean r\u1ed3i v\u1ec1 t\u0129nh m\u1ea1ch c\u1eeda.<\/li><li>L\u00e1ch li\u00ean quan v\u1edbi g\u00f3c tr\u00e1i c\u1ee7a \u0111\u1ea1i tr\u00e0ng ngang \u1edf ph\u00eda d\u01b0\u1edbi; v\u1edbi b\u1edd cong l\u1edbn v\u00e0 t\u00fai h\u01a1i d\u1ea1 d\u00e0y, th\u00f9y tr\u00e1i c\u1ee7a gan \u1edf ph\u00eda tr\u01b0\u1edbc v\u1edbi th\u1eadn v\u00e0 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn tr\u00e1i, \u1edf ph\u00eda sau v\u00e0 v\u1edbi th\u00e2n v\u00e0 \u0111u\u00f4i t\u1ee5y \u1edf ph\u00eda trong. Khi ph\u00e1t hi\u1ec7n l\u00e1ch to c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi u c\u1ee7a c\u00e1c t\u1ea1ng k\u1ec3 tr\u00ean.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>C\u00e1c b\u1ec7nh l\u00fd v\u1ec1 l\u00e1ch v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p><strong>B\u1ea5t s\u1ea3n l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>S\u1ef1 v\u1eafng m\u1eb7t c\u1ee7a l\u00e1 l\u00e1ch c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng cho \u0111\u1ebfn khi c\u00f3 s\u1ef1 nhi\u1ec5m tr\u00f9ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li><li>Ch\u00ednh s\u1ef1 li\u00ean quan gi\u1eefa qu\u00e1 tr\u00ecnh b\u1ea5t s\u1ea3n c\u1ee7a l\u00e1 l\u00e1ch v\u1edbi m\u1ed9t lo\u1ea1t c\u00e1c d\u1ecb th\u01b0\u1eddng \u0111\u1ed3ng d\u1ea1ng c\u01a1 th\u1ec3 v\u00e0 tim m\u1ea1ch l\u00e0 nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a nh\u1eefng d\u1ecb t\u1eadt n\u00e0y.<\/li><li>C\u00f3 2 nh\u00f3m ch\u00ednh:<ul><li>B\u1ea5t s\u1ea3n l\u00e1ch \u0111\u01a1n thu\u1ea7n.<\/li><li>B\u1ea5t s\u1ea3n l\u00e1ch k\u00e8m d\u1ecb t\u1eadt \u1edf tim \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng Polhemus-Schafer-Ivemark ho\u1eb7c &#8220;aspleni&#8221;. D\u1ecb t\u1eadt tim b\u1ea9m sinh \u1edf nh\u00f3m n\u00e0y th\u01b0\u1eddng n\u1eb7ng v\u00e0 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Ng\u01b0\u1eddi ta th\u01b0\u1eddng th\u1ea5y c\u00e1c d\u1ecb th\u01b0\u1eddng c\u1ee7a m\u1ea1ch l\u1edbn c\u0169ng nh\u01b0 b\u1ea5t th\u01b0\u1eddng v\u1ecb tr\u00ed c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng v\u00e0 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac ph\u1ed5i, ru\u1ed9t xoay b\u1ea5t to\u00e0n k\u00e8m t\u1eafc ru\u1ed9t hay xo\u1eafn ru\u1ed9t.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>L\u00e1ch ph\u1ee5<\/strong><\/p>\n\n\n\n<ul><li>L\u00e1ch ph\u1ee5 l\u00e0 nh\u1eefng n\u1ed1t nh\u1ecf c\u1ee7a m\u00f4 l\u00e1ch ph\u00e1t sinh trong s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t l\u00e1 l\u00e1ch b\u00ecnh th\u01b0\u1eddng. \u0110\u00e2y l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 h\u1ee3p nh\u1ea5t kh\u00f4ng ho\u00e0n h\u1ea3o c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 l\u00e1ch trong trung b\u00ec l\u01b0ng ph\u00f4i thai.<\/li><li>T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh t\u1eeb lo\u1ea1t kh\u00e1m nghi\u1ec7m t\u1eed thi l\u00e0 kho\u1ea3ng 10%, nh\u01b0ng ch\u00fang \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf kho\u1ea3ng 20% b\u1ec7nh nh\u00e2n t\u1ea1i th\u1eddi \u0111i\u1ec3m c\u1eaft l\u00e1ch v\u00ec c\u00e1c r\u1ed1i lo\u1ea1n huy\u1ebft h\u1ecdc.<\/li><li>70% \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong v\u00f9ng c\u1ee7a r\u1ed1n l\u00e1ch, trong khi kho\u1ea3ng 20% n\u1eb1m g\u1ea7n \u0111u\u00f4i t\u1ee5y. C\u00e1c v\u1ecb tr\u00ed hi\u1ebfm g\u1eb7p \u0111\u1ed1i v\u1edbi l\u00e1ch ph\u1ee5 l\u00e0 m\u1ea1c n\u1ed1i, m\u1ea1c treo ru\u1ed9t, sau ph\u00fac m\u1ea1c ho\u1eb7c v\u00f9ng tuy\u1ebfn sinh d\u1ee5c.<\/li><li>L\u00e1ch ph\u1ee5 hi\u1ebfm khi c\u00f3 ch\u1ee9c n\u0103ng nh\u01b0ng \u0111\u01b0\u1ee3c coi l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn th\u1ea5t b\u1ea1i khi c\u1eaft l\u00e1ch trong ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u v\u00f4 c\u0103n (ITP).<\/li><li>Xo\u1eafn l\u00e1 l\u00e1ch ph\u1ee5 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n hi\u1ebfm g\u1eb7p g\u00e2y \u0111au b\u1ee5ng.<\/li><li>L\u00e1ch ph\u1ee5 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ea1i th\u1eddi \u0111i\u1ec3m c\u1eaft l\u00e1ch v\u00ec c\u00e1c r\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch v\u00e0 kh\u00f4ng c\u1eaft l\u00e1ch ph\u1ee5 trong khi ph\u1eabu thu\u1eadt b\u1ee5ng \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 b\u1ec7nh v\u1ec1 l\u00e1ch.<\/li><\/ul>\n\n\n\n<p><strong>\u0110a l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>\u0110a l\u00e1ch l\u00e0 m\u1ed9t b\u1ec7nh b\u1ea9m sinh bi\u1ec3u hi\u1ec7n b\u1eb1ng nhi\u1ec1u l\u00e1 l\u00e1ch nh\u1ecf (h\u00ecnh 1)<\/li><li>Polysplenia \u0111\u00f4i khi x\u1ea3y ra \u0111\u01a1n l\u1ebb, nh\u01b0ng n\u00f3 th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c b\u1ea5t th\u01b0\u1eddng kh\u00e1c, gi\u1ed1ng nh\u01b0 trong b\u1ec7nh l\u00fd kh\u00f4ng c\u00f3 l\u00e1ch: teo \u0111\u01b0\u1eddng m\u1eadt, t\u0129nh m\u1ea1ch c\u1eeda tr\u01b0\u1edbc t\u00e1 tr\u00e0ng.<\/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\/lach-1.jpg\" alt=\"\" class=\"wp-image-795\" width=\"380\" height=\"266\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lach-1.jpg 506w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lach-1-300x210.jpg 300w\" sizes=\"(max-width: 380px) 100vw, 380px\" \/><figcaption><strong>H\u00ecnh 1. \u0110a l\u00e1ch<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>H\u1ee3p nh\u1ea5t l\u00e1ch v\u00e0 tuy\u1ebfn sinh d\u1ee5c<\/strong><\/p>\n\n\n\n<ul><li>H\u1ee3p nh\u1ea5t l\u00e1ch v\u00e0 tuy\u1ebfn sinh d\u1ee5c l\u00e0 m\u1ed9t d\u1ecb t\u1eadt b\u1ea9m sinh hi\u1ebfm g\u1eb7p do k\u1ebft n\u1ed1i b\u1ea5t th\u01b0\u1eddng gi\u1eefa l\u00e1 l\u00e1ch nguy\u00ean th\u1ee7y v\u00e0 tuy\u1ebfn sinh d\u1ee5c trong th\u1eddi k\u1ef3 mang thai. M\u1ed9t ph\u1ea7n c\u1ee7a m\u00f4 l\u00e1ch sau \u0111\u00f3 \u0111i xu\u1ed1ng c\u00f9ng v\u1edbi tuy\u1ebfn sinh d\u1ee5c (h\u00ecnh 2).<\/li><li>S\u1ef1 k\u1ebft h\u1ee3p l\u00e1ch c\u00e1ch \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i th\u00e0nh hai lo\u1ea1i: li\u00ean t\u1ee5c, n\u01a1i v\u1eabn c\u00f2n m\u1ed9t k\u1ebft n\u1ed1i gi\u1eefa l\u00e1 l\u00e1ch ch\u00ednh v\u00e0 tuy\u1ebfn sinh d\u1ee5c; v\u00e0 kh\u00f4ng li\u00ean t\u1ee5c.<\/li><li>B\u1ec7nh x\u1ea3y ra v\u1edbi t\u1ef7 l\u1ec7 nam:n\u1eef l\u00e0 16:1 v\u00e0 h\u1ea7u nh\u01b0 ch\u1ec9 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y \u1edf ph\u00eda b\u00ean tr\u00e1i, b\u1ec7nh \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 li\u00ean quan v\u1edbi t\u1eadt h\u00e0m nh\u1ecf, t\u1eadt thi\u1ebfu chi.<\/li><li>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng: ph\u00e1t hi\u1ec7n 1 kh\u1ed1i \u1edf b\u00ecu, t\u1eafc ru\u1ed9t, tinh ho\u00e0n \u1ea9n, ung th\u01b0 tinh ho\u00e0n.<\/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\/lach-2.jpg\" alt=\"\" class=\"wp-image-796\" width=\"297\" height=\"297\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lach-2.jpg 396w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lach-2-300x300.jpg 300w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/lach-2-150x150.jpg 150w\" sizes=\"(max-width: 297px) 100vw, 297px\" \/><figcaption><strong>H\u00ecnh 2. H\u1ee3p nh\u1ea5t l\u00e1ch v\u00e0 tuy\u1ebfn sinh d\u1ee5c<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>L\u00e1ch di \u0111\u1ed9ng<\/strong><\/p>\n\n\n\n<ul><li>Do thi\u1ebfu c\u00e1c d\u00e2y ch\u1eb1ng c\u1ed1 \u0111\u1ecbnh l\u00e1ch l\u00e0m cho l\u00e1ch di chuy\u1ec3n \u0111\u1ebfn c\u00e1c khu v\u1ef1c kh\u00e1c trong \u1ed5 b\u1ee5ng, cu\u1ed1n theo c\u1ea3 d\u1ea1 d\u00e0y.<\/li><li>L\u00e1ch di \u0111\u1ed9ng c\u00f3 th\u1ec3 x\u1ea3y ra xo\u1eafn, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, nh\u1ed3i m\u00e1u, c\u0103ng ph\u1ed3ng d\u1ea1 d\u00e0y. c\u00f3 th\u1ec3 s\u1edd th\u1ea5y l\u00e1 l\u00e1ch l\u01b0u \u0111\u1ed9ng khi kh\u00e1m l\u00e2m s\u00e0ng. N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y tr\u00ean si\u00eau \u00e2m b\u1ee5ng, CTscan b\u1ee5ng.<\/li><li>Hai ph\u1ea7n ba s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf tr\u1ebb em d\u01b0\u1edbi 10 tu\u1ed5i l\u00e0 tr\u1ebb em trai. L\u00e1ch to d\u01b0\u1eddng nh\u01b0 kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1.<\/li><li>Kho\u1ea3ng m\u1ed9t ph\u1ea7n ba s\u1ed1 tr\u1ebb em b\u1ecb l\u00e1ch di \u0111\u1ed9ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u01b0\u1edbc khi bi\u1ec3u hi\u1ec7n c\u1ea5p t\u00ednh v\u1edbi xo\u1eafn v\u00e0 nh\u1ed3i m\u00e1u. V\u00ec l\u00fd do n\u00e0y, n\u1ebfu b\u1ec7nh l\u00fd l\u00e1ch di \u0111\u1ed9ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, b\u1ec7nh nhi n\u00ean ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh l\u00e1ch v\u00e0 d\u1ea1 d\u00e0y.<\/li><\/ul>\n\n\n\n<p><strong>R\u1ed1i lo\u1ea1n t\u00e1n huy\u1ebft di truy\u1ec1n<\/strong><\/p>\n\n\n\n<ul><li>R\u1ed1i lo\u1ea1n t\u00e1n huy\u1ebft di truy\u1ec1n c\u1ee7a l\u00e1 l\u00e1ch l\u00e0 t\u00ecnh tr\u1ea1ng di truy\u1ec1n d\u1eabn \u0111\u1ebfn ph\u00e1 h\u1ee7y s\u1edbm c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u.<\/li><li>Thi\u1ebfu m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu t\u00e1n huy\u1ebft nhi\u1ec1u. Ch\u1ee7 y\u1ebfu l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n do \u1ee9 \u0111\u1ecdng c\u00e1c ch\u1ea5t ph\u00f3ng th\u00edch ra t\u1eeb vi\u1ec7c ph\u00e1 h\u1ee7y h\u1ed3ng c\u1ea7u t\u1ea1i l\u00e1ch.<\/li><li>B\u1ec7nh thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n di truy\u1ec1n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i nh\u01b0 khi\u1ebfm khuy\u1ebft \u1edf m\u00e0ng t\u1ebf b\u00e0o, b\u1ea5t th\u01b0\u1eddng v\u1ec1 huy\u1ebft s\u1eafc t\u1ed1, ho\u1eb7c khi\u1ebfm khuy\u1ebft v\u1ec1 enzyme, r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n.<\/li><li>S\u1ef1 ph\u00e1 h\u1ee7y h\u1ed3ng c\u1ea7u t\u0103ng l\u00ean c\u00f3 th\u1ec3 t\u1ea1o ra b\u1ec7nh thi\u1ebfu m\u00e1u v\u00e0 suy nh\u01b0\u1ee3c c\u01a1 th\u1ec3. T\u0103ng b\u1ea1ch c\u1ea7u l\u01b0\u1edbi l\u00e0 ph\u1ed5 bi\u1ebfn, t\u0103ng n\u1ed3ng \u0111\u1ed9 bilirubin gi\u00e1n ti\u1ebfp v\u00e0 n\u1ed3ng \u0111\u1ed9 s\u1eaft trong huy\u1ebft thanh cao \u0111\u01b0\u1ee3c ghi nh\u1eadn. s\u1ef1 ph\u00e2n h\u1ee7y bilirubin t\u0103ng nhanh d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 l\u00e0 h\u00ecnh th\u00e0nh s\u1ecfi canxi bilirubinat ho\u1eb7c b\u00f9n trong t\u00fai m\u1eadt v\u00e0 \u1ed1ng m\u1eadt.<\/li><li>Kh\u00f4ng b\u1ec7nh nh\u00e2n n\u00e0o \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p c\u1eaft l\u00e1ch.<\/li><li>Quy\u1ebft \u0111\u1ecbnh c\u1eaft l\u00e1ch ph\u1ea3i d\u1ef1a tr\u00ean ti\u1ec1n s\u1eed, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng, nhu c\u1ea7u truy\u1ec1n m\u00e1u v\u00e0 nguy c\u01a1, tu\u1ed5i b\u1ec7nh nhi v\u00e0 c\u00e2n nh\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1edbm v\u00e0 mu\u1ed9n c\u1ee7a vi\u1ec7c c\u1eaft l\u00e1ch.<\/li><\/ul>\n\n\n\n<p><strong>B\u1ec7nh l\u00fd \u00e1c t\u00ednh \u1edf l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>U lympho Hodgkin l\u00e0 b\u1ec7nh \u00e1c t\u00ednh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf tr\u1ebb em li\u00ean quan \u0111\u1ebfn l\u00e1 l\u00e1ch.<\/li><li>C\u00e1c kh\u1ed1i u \u00e1c t\u00ednh nguy\u00ean ph\u00e1t \u1edf l\u00e1ch c\u1ef1c k\u1ef3 hi\u1ebfm g\u1eb7p, v\u1edbi u m\u1ea1ch v\u00e0 sarcoma t\u1ebf b\u00e0o h\u00ecnh thoi \u1edf tr\u1ebb em th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/li><\/ul>\n\n\n\n<p><strong>Kh\u1ed1i u l\u00e0nh t\u00ednh \u1edf l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>C\u00e1c kh\u1ed1i u l\u00e0nh t\u00ednh \u1edf l\u00e1ch kh\u00e1 hi\u1ebfm.<\/li><li>U m\u00e1u v\u00e0 u m\u1ea1ch b\u1ea1ch huy\u1ebft chi\u1ebfm \u01b0u th\u1ebf. U m\u00e1u th\u1ec3 l\u00e1ch c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n nh\u01b0 l\u00e1ch to, gi\u1ea3m ti\u1ec3u c\u1ea7u, thi\u1ebfu h\u1ee5t fibrinogen v\u00e0 v\u1ee1 l\u00e1ch t\u1ef1 ph\u00e1t.<\/li><li>CT v\u00e0 MRI \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1ed5 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n.<\/li><li>C\u1eaft l\u00e1ch \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi u c\u00f3 tri\u1ec7u ch\u1ee9ng<\/li><\/ul>\n\n\n\n<p><strong>Nang l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>Nang l\u00e1ch \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i. Kho\u1ea3ng 75% nang m\u1eafc ph\u1ea3i. Tr\u00ean th\u1ebf gi\u1edbi, nang k\u00fd sinh do Echinococcus (s\u00e1n d\u00e2y nh\u1ecf) g\u00e2y ra l\u00e0 lo\u1ea1i b\u1ec7nh nang nhi\u1ec5m tr\u00f9ng m\u1eafc ph\u1ea3i, ph\u1ed5 bi\u1ebfn nh\u1ea5t. c\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh kh\u00e1c l\u00e0 ch\u1ea5n th\u01b0\u01a1ng v\u00e0 nh\u1ed3i m\u00e1u. Nang c\u00f3 th\u1ec3 \u0111\u01a1n gi\u1ea3n, l\u00e0 nang gi\u1ea3 \u0111\u01a1n b\u00e0o, ho\u1eb7c u nang bi\u1ec3u b\u00ec.<\/li><li>B\u1ec7nh nh\u00e2n c\u00f3 nang bi\u1ec3u b\u00ec l\u1edbn c\u1ee7a l\u00e1 l\u00e1ch c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng, nhanh no v\u00e0 s\u1edd th\u1ea5y m\u1ed9t kh\u1ed1i ho\u1eb7c \u0111\u1ea7y b\u1ee5ng.<\/li><li>H\u00ecnh \u1ea3nh si\u00eau \u00e2m c\u00f3 th\u1ec3 l\u00e0 \u0111\u1ee7, nh\u01b0ng CT ho\u1eb7c MRI c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u00e0y v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng nang tuy\u1ebfn t\u1ee5y ho\u1eb7c th\u1eadn.<\/li><\/ul>\n\n\n\n<p><strong>\u00c1p xe l\u00e1ch<\/strong><\/p>\n\n\n\n<ul><li>T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh do \u00e1p xe l\u00e1ch cao. B\u1ec7nh nh\u00e2n b\u1ecb \u00e1p xe l\u00e1ch c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ed1t v\u00e0 \u0111au b\u1ee5ng tr\u00ean v\u00e0 th\u01b0\u1eddng \u0111au d\u1eef d\u1ed9i, c\u00f3 ph\u1ea3n \u1ee9ng vi\u00eam nhi\u1ec5m tr\u00f9ng khi xu\u1ea5t hi\u1ec7n.<\/li><li>H\u1ea7u h\u1ebft tr\u1ebb em c\u00f3 t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111i k\u00e8m t\u1eeb tr\u01b0\u1edbc nh\u01b0 suy gi\u1ea3m mi\u1ec5n d\u1ecbch, b\u1ec7nh \u00e1c t\u00ednh, b\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m, th\u1ee7ng ru\u1ed9t, ho\u1eb7c s\u1ed1t th\u01b0\u01a1ng h\u00e0n. Vi tr\u00f9ng g\u00e2y b\u1ec7nh ph\u1ed5 bi\u1ebfn l\u00e0 Staphylococcus, Salmonella v\u00e0 Escherichia coli. \u00c1p xe do n\u1ea5m ho\u1eb7c mycobacteria c\u00f3 th\u1ec3 g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/li><li>H\u00ecnh \u1ea3nh si\u00eau \u00e2m v\u00e0 CT gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 h\u01b0\u1edbng d\u1eabn c\u00e1c l\u1ef1a ch\u1ecdn d\u1eabn l\u01b0u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/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>Abdullah F, Zhang Y, Camp M, et. Splenectomy in hereditary spherocy\u00ad tosis: review of 1 657 pa ents and application of the pediatric quality indicators. Pediatr Blood Cancer 2009;52(7):834-837.<\/li><li>Skandal s LJ, Gray SW, Ricketts R, et al. e spleen. In: Skandala s JE, Gray SW, eds. Emb olo for Surgeons. 2nd Ed. Baltimore: Wi ams &amp; Wilkins; 1994:334-365.<\/li><li>Slater BJ, Chan FP, Davis K, et al. Institutional experience with laparo\u00ad scopic partial splenectomy for hereditary spherocytosis. J Pediatr Surg 2010;45(8):1682-1686.<\/li><li>StyHanos S, Egorova N, Guice KS, et al. Variation in treatment of pediat\u00ad ric spleen injury at trawna centers versus nontrauma centers: a call for dissemination of APSA benchmarks and guidelines. J Am Coli Surg 2006;202:247-251.<\/li><li>StyHanos S, and the APSA Tra a Study Group. Prospective validation of evidence-based guidelines for resource utili tion in children with iso\u00ad lated spleen or liver injury. f Pediatr Surg 2002;37:453-456.<\/li><li>Allen, An ews G. Pediatric wandering spleen: the case for spleno\u00ad pexy-review of 35 reported cases in the Hterature. Pediatr Surg 1989 May;24(5):432-5.<\/li><li>Operative Pediatric Surgery.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng M\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu c\u1ee7a l\u00e1ch: L\u00e1ch l\u00e0 m\u1ed9t t\u1ea1ng nh\u1ecf, n\u1eb1m s\u00e2u trong \u1ed5 b\u1ee5ng, n\u00fap d\u01b0\u1edbi v\u00f2m ho\u00e0nh tr\u00e1i. B\u00ecnh th\u01b0\u1eddng kh\u00f4ng th\u1ec3 s\u1edd th\u1ea5y \u0111\u01b0\u1ee3c l\u00e1ch. Cu\u1ed1ng l\u00e1ch <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/cac-benh-ly-thuong-gap-o-lach-tre-em\/\" title=\"C\u00e1c b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf l\u00e1ch tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":795,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,20],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/791"}],"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=791"}],"version-history":[{"count":6,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/791\/revisions"}],"predecessor-version":[{"id":800,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/791\/revisions\/800"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/795"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=791"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}