{"id":811,"date":"2021-08-29T15:17:58","date_gmt":"2021-08-29T15:17:58","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=811"},"modified":"2021-09-02T16:52:41","modified_gmt":"2021-09-02T09:52:41","slug":"nang-duong-mat","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-duong-mat\/","title":{"rendered":"Nang \u1ed1ng m\u1eadt ch\u1ee7"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<ul><li>Nang \u1ed1ng m\u1eadt ch\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n b\u1ea9m sinh c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan.<\/li><li>C\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y b\u1ec7nh hi\u1ebfm g\u1eb7p t\u1ea7n su\u1ea5t b\u1ec7nh t\u1eeb 1\/100.000 \u0111\u1ebfn 1\/150.000.<\/li><li>\u1ede c\u00e1c n\u01b0\u1edbc ch\u00e2u \u00c1, t\u1ea7n su\u1ea5t l\u00ean \u0111\u1ebfn 1\/1.000.<\/li><li>B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef nhi\u1ec1u h\u01a1n nam t\u1eeb 3-4 l\u1ea7n.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u00e2n lo\u1ea1i<\/strong><\/p>\n\n\n\n<ul><li>Lo\u1ea1i I: Nang \u1ed1ng m\u1eadt ch\u1ee7 h\u00ecnh c\u1ea7u hay h\u00ecnh thoi (h\u00ecnh 1A, B v\u00e0 C)<\/li><li>Lo\u1ea1i II: T\u00fai th\u1eeba \u1ed1ng m\u1eadt ch\u1ee7 (H\u00ecnh 1D)<\/li><li>Lo\u1ea1i III: Sa \u1ed1ng m\u1eadt ch\u1ee7 (h\u00ecnh 1E)<\/li><li>Lo\u1ea1i IV: \u0110a nang OMC<\/li><li>Lo\u1ea1i V: B\u1ec7nh caroli v\u1edbi nhi\u1ec1u nang \u0111\u01b0\u1eddng m\u1eadt trong gan<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"514\" height=\"452\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-dm-1.jpg\" alt=\"\" class=\"wp-image-813\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-dm-1.jpg 514w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/nang-dm-1-300x264.jpg 300w\" sizes=\"(max-width: 514px) 100vw, 514px\" \/><figcaption><strong>H\u00ecnh 1: Ph\u00e2n lo\u1ea1i nang \u1ed1ng m\u1eadt ch\u1ee7 c\u1ee7a Todani<\/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>Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p: \u0111au b\u1ee5ng, n\u00f4n \u00f3i, s\u1ed1t, v\u00e0ng da, \u0111\u00f4i khi s\u1edd b\u1ee5ng c\u00f3 1 kh\u1ed1i v\u1ecb tr\u00ed b\u1ee5ng tr\u00ean ph\u1ea3i (d\u01b0\u1edbi s\u01b0\u1eddn ph\u1ea3i).<\/li><li>\u0110\u00f4i khi tr\u1ebb kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd ho\u1eb7c khi \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Ph\u01b0\u01a1ng ti\u1ec7n x\u00e9t nghi\u1ec7m, h\u00ecnh \u1ea3nh n\u00e0o trong ch\u1ea9n \u0111o\u00e1n?<\/strong><\/p>\n\n\n\n<ul><li>Si\u00eau \u00e2m b\u1ee5ng: ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh nhanh kh\u00f4ng x\u00e2m l\u1ea5n, \u0111\u1ed9 nh\u1ea1y cao.<\/li><li>Ch\u1ee5p Ct-scan b\u1ee5ng, c\u1ed9ng h\u01b0\u1edfng t\u1eeb m\u1eadt-t\u1ee5y. Th\u01b0\u1eddng ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb m\u1eadt-t\u1ee5y th\u01b0\u1eddng quy tr\u01b0\u1edbc m\u1ed5 gi\u00fap x\u00e1c \u0111\u1ecbnh nh\u1eefng bi\u1ebfn th\u1ec3 c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt v\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt trong gan \u0111i k\u00e8m<\/li><li>M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e1u kh\u00e1c: ch\u1ee9c n\u0103ng gan, men t\u1ee5y, ch\u1ee9c n\u0103ng \u0111\u00f4ng m\u00e1u&#8230;<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n\n\n\n<ul><li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng m\u1eadt.<\/li><li>V\u1ee1 th\u1ee7ng nang.<\/li><li>S\u1ecfi m\u1eadt, vi\u00eam t\u00fai m\u1eadt.<\/li><li>Vi\u00eam t\u1ee5y.<\/li><li>V\u00e0ng da t\u1eafc m\u1eadt.<\/li><li>X\u01a1 gan, \u00e1p xe gan.<\/li><li>\u00c1c t\u00ednh h\u00f3a\u2026<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<ul><li>Hi\u1ec7n nay ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 ph\u1eabu thu\u1eadt.<\/li><li>Ph\u1eabu thu\u1eadt n\u1ed9i soi l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean.<\/li><li>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5:<ul><li>Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng nhi\u1ec5m tr\u00f9ng.<\/li><li>\u0110i\u1ec1u ch\u1ec9nh c\u00e1c r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, \u0111\u00f4ng m\u00e1u (n\u1ebfu c\u00f3).<\/li><li>N\u00e2ng cao th\u1ec3 tr\u1ea1ng.<\/li><li>Ph\u1eabu thu\u1eadt s\u1edbm \u1edf tr\u1ebb khi ph\u00e1t hi\u1ec7n nang.<\/li><li>Nguy\u00ean t\u1eafc ph\u1eabu thu\u1eadt l\u00e0 c\u1eaft to\u00e0n b\u1ed9 nang, n\u1ed1i \u1ed1ng gan chung \u2013 h\u1ed7ng tr\u00e0ng theo Roux-en-Y (h\u00ecnh 2).<\/li><\/ul><\/li><li>Ch\u0103m s\u00f3c sau m\u1ed5<ul><li>Kh\u00e1ng sinh t\u0129nh m\u1ea1ch ph\u1ed5 r\u1ed9ng.<\/li><li>Cho \u0103n l\u1ea1i sau 48h.<\/li><li>R\u00fat \u1ed1ng d\u1eabn l\u01b0u s\u1edbm khi c\u00f3 th\u1ec3.<\/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\/nang-dm-2.jpg\" alt=\"\" class=\"wp-image-815\" width=\"480\" height=\"300\"\/><figcaption><strong>H\u00ecnh 2: N\u1ed1i \u1ed1ng gan- h\u1ed7ng tr\u00e0ng theo ki\u1ec3u Roux-en Y.<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Bi\u1ebfn ch\u1ee9ng sau m\u1ed5:<\/strong> \u00edt g\u1eb7p<\/p>\n\n\n\n<ul><li>Nhi\u1ec5m tr\u00f9ng<\/li><li>X\u00ec mi\u1ec7ng n\u1ed1i m\u1eadt ru\u1ed9t.<\/li><li>Ch\u1ea3y m\u00e1u.<\/li><li>T\u1eafc ru\u1ed9t do d\u00ednh.<\/li><li>Vi\u00eam t\u1ee5y c\u1ea5p v\u00e0 r\u00f2 t\u1ee5y.<\/li><li>H\u1eb9p mi\u1ec7ng n\u1ed1i m\u1eadt-ru\u1ed9t.<\/li><li>S\u1ecfi m\u1eadt.<\/li><li>Suy gan: do x\u01a1 gan.<\/li><li>\u00c1c t\u00ednh: hi\u1ebfm g\u1eb7p.<\/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>Ti\u00ean l\u01b0\u1ee3ng t\u1ed1t.<\/li><li>T\u00e1i kh\u00e1m sau 1 tu\u1ea7n, 1 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng v\u00e0 sau \u0111\u00f3 m\u1ed7i n\u0103m.<\/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>\u201cNang \u0111\u01b0\u1eddng m\u1eadt\u201d. Ngo\u1ea1i nhi l\u00e2m s\u00e0ng, Nh\u00e0 xu\u1ea5t b\u1ea3n Y H\u1ecdc. tr.508-519.<\/li><li>Gonzales K.D., Lee H. (2012), \u201cCholedochal cyst\u201d, Pediatric Surger, 7th edi, Elsev\u1ec9e Saunders, pp. 1331-1339.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u0110\u1ea1i c\u01b0\u01a1ng Nang \u1ed1ng m\u1eadt ch\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n b\u1ea9m sinh c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan. C\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y b\u1ec7nh hi\u1ebfm g\u1eb7p t\u1ea7n su\u1ea5t b\u1ec7nh t\u1eeb 1\/100.000 \u0111\u1ebfn 1\/150.000. \u1ede c\u00e1c <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/nang-duong-mat\/\" title=\"Nang \u1ed1ng m\u1eadt ch\u1ee7\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":883,"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\/811"}],"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=811"}],"version-history":[{"count":3,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/811\/revisions"}],"predecessor-version":[{"id":884,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/811\/revisions\/884"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/883"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=811"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}