{"id":280842,"date":"2024-05-10T20:46:39","date_gmt":"2024-05-10T13:46:39","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/giai-cuu-than-u-mu-do-soi-san-ho-phuc-tap\/"},"modified":"2025-11-10T11:54:14","modified_gmt":"2025-11-10T04:54:14","slug":"giai-cuu-than-u-mu-do-soi-san-ho-phuc-tap","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/giai-cuu-than-u-mu-do-soi-san-ho-phuc-tap\/","title":{"rendered":"Gi\u1ea3i c\u1ee9u th\u1eadn \u1ee9 m\u1ee7 do s\u1ecfi san h\u00f4 ph\u1ee9c t\u1ea1p"},"content":{"rendered":"\n

V\u1eeba qua, Khoa Ngo\u1ea1i – B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh Nguy\u1ec5n Th\u1ecb H. (sinh n\u0103m 1966, ng\u1ee5 t\u1ea1i x\u00e3 Tam H\u1ee3p, huy\u1ec7n Qu\u1ef3 H\u1ee3p, t\u1ec9nh Ngh\u1ec7 An) \u0111\u1ebfn th\u0103m kh\u00e1m trong t\u00ecnh tr\u1ea1ng \u0111au t\u1ee9c h\u00f4ng b\u1ee5ng 2 b\u00ean v\u00e0 th\u1eaft l\u01b0ng 2 b\u00ean \u00e2m \u1ec9, k\u00e8m ti\u1ec3u bu\u1ed1t, ti\u1ec3u g\u1eaft t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n.\u00a0Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt l\u1ea5y s\u1ecfi ni\u1ec7u qu\u1ea3n ph\u1ea3i 2 l\u1ea7n v\u00e0 \u0111\u00e3 b\u1ecb s\u1ecfi th\u1eadn nhi\u1ec1u n\u0103m nh\u01b0ng ch\u1ec9 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u00e1 ch\u1ee9 kh\u00f4ng \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3 t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

\"Gi\u1ea3i<\/figure>\n\n\n\n

<\/a>Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00e1c k\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb h\u1eb9p kh\u00fac n\u1ed1i b\u1ec3 th\u1eadn \u2013 ni\u1ec7u qu\u1ea3n ph\u1ea3i v\u00e0 s\u1ecfi th\u1eadn san h\u00f4 ph\u1ee9c t\u1ea1p c\u1ea3 2 th\u1eadn v\u1edbi nhi\u1ec1u vi\u00ean to nh\u1ecf, k\u00edch th\u01b0\u1edbc vi\u00ean l\u1edbn nh\u1ea5t v\u1edbi \u0111\u01b0\u1eddng k\u00ednh 30 mm x 40 mm v\u00e0 c\u00f3 nhi\u1ec1u g\u00f3c c\u1ea1nh. \u0110\u00e1ng ch\u00fa \u00fd, c\u1ea3 2 th\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 b\u1ecb \u1ee9 n\u01b0\u1edbc \u0111\u1ed9 III, \u0111\u1ed9 IV, th\u1eadn b\u00ean tr\u00e1i c\u00f3 vi\u00ean s\u1ecfi to n\u1eb1m b\u1ecbt k\u00edn b\u1ec3 th\u1eadn, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi th\u00ec s\u1ebd g\u00e2y suy th\u1eadn, vi\u00eam th\u1eadn v\u00e0 \u0111\u1ec3 l\u1ea1i nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n\n\n\n

Sau khi h\u1ed9i ch\u1ea9n, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ec3 gi\u1ea3m t\u1ed1i thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng trong v\u00e0 sau ph\u1eabu thu\u1eadt, c\u00e1c B\u00e1c s\u0129 \u0111\u00e3 n\u1ed9i soi ng\u01b0\u1ee3c d\u00f2ng \u0111\u1eb7t sonde JJ ni\u1ec7u qu\u1ea3n ph\u1ea3i \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng h\u1eb9p kh\u00fac n\u1ed1i b\u1ec3 th\u1eadn \u2013 ni\u1ec7u qu\u1ea3n ph\u1ea3i tr\u01b0\u1edbc. Sau 2 ng\u00e0y, khi s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh, c\u00e1c B\u00e1c s\u0129 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n m\u1ed5 m\u1edf l\u1ea5y s\u1ecfi san h\u00f4 th\u1eadn tr\u00e1i. M\u1ed5 m\u1edf l\u1ea5y s\u1ecfi l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kinh \u0111i\u1ec3n, d\u00e0nh cho tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh c\u00f3 s\u1ecfi l\u1edbn v\u00e0 ph\u1ee9c t\u1ea1p.<\/p>\n\n\n\n

Qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt c\u00e1c B\u00e1c s\u0129 ph\u00e1t hi\u1ec7n th\u1eadn \u0111\u00e3 b\u1ecb \u1ee9 m\u1ee7 do t\u1eafc ngh\u1ebdn l\u00e2u ng\u00e0y. C\u00f3 nhi\u1ec1u vi\u00ean s\u1ecfi k\u00edch th\u01b0\u1edbc t\u1eeb 10 mm \u1edf nhi\u1ec1u \u0111\u00e0i th\u1eadn. Vi\u00ean s\u1ecfi l\u1edbn l\u1ea5p k\u00edn b\u1ec3 th\u1eadn, nh\u01b0 nhi\u1ec1u nh\u00e1nh san h\u00f4 c\u1eafm v\u00e0o \u0111\u00e0i th\u1eadn, s\u1ea7n s\u00f9i, kh\u00f4ng th\u1ec3 \u0111\u01b0a nguy\u00ean kh\u1ed1i ra ngo\u00e0i v\u00ec d\u1ec5 l\u00e0m r\u00e1ch ch\u1ee7 m\u00f4 th\u1eadn g\u00e2y ch\u1ea3y m\u00e1u. Do \u0111\u00f3 s\u1ecfi \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eaft nh\u1ecf v\u00e0 \u0111\u01b0a t\u1eebng nh\u00e1nh ra ngo\u00e0i. Ngo\u00e0i \u0111\u01b0\u1eddng r\u1ea1ch \u1edf b\u1ec3 th\u1eadn nh\u01b0 c\u00e1c cu\u1ed9c m\u1ed5 b\u00ecnh th\u01b0\u1eddng, c\u00e1c B\u00e1c s\u0129 bu\u1ed9c ph\u1ea3i r\u1ea1ch th\u00eam m\u1ed9t ph\u1ea7n nhu m\u00f4 th\u1eadn \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng ti\u1ebfp c\u1eadn v\u00e0 l\u1ea5y \u0111\u01b0\u1ee3c h\u1ebft s\u1ecfi m\u00e0 kh\u00f4ng l\u00e0m ng\u01b0\u1eddi b\u1ec7nh m\u1ea5t nhi\u1ec1u m\u00e1u.<\/p>\n\n\n\n

Cu\u1ed9c m\u1ed5 d\u00e0i h\u01a1n 2 gi\u1edd, l\u01b0\u1ee3ng m\u00e1u m\u1ea5t trong m\u1ed5 ch\u1ec9 kho\u1ea3ng 150 ml. T\u1ed5ng tr\u1ecdng l\u01b0\u1ee3ng s\u1ecfi l\u1ea5y ra kho\u1ea3ng 250 gram.<\/p>\n\n\n\n

\"S\u1ecfi<\/figure>\n\n\n\n

Sau cu\u1ed9c m\u1ed5, s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh, ch\u1ee9c n\u0103ng th\u1eadn d\u1ea7n ph\u1ee5c h\u1ed3i, d\u1ef1 ki\u1ebfn xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi. Tuy nhi\u00ean, nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc s\u1ecfi th\u1eadn kh\u00e1c, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t s\u1ecfi l\u00ean t\u1edbi 50% trong n\u0103m \u0111\u1ea7u ti\u00ean. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf, nh\u01b0 t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n l\u00e0nh m\u1ea1nh.<\/p>\n\n\n\n

BS.CKI. Nguy\u1ec5n Vi\u1ebft Tu\u1ea5n \u2013 Khoa Ngo\u1ea1i, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh cho bi\u1ebft: \u201c\u0110\u1ed1i v\u1edbi nh\u1eefng ca b\u1ec7nh c\u00f3 s\u1ecfi th\u1eadn san h\u00f4 ph\u1ee9c t\u1ea1p, k\u00edch th\u01b0\u1edbc l\u1edbn, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 b\u1ea3o t\u1ed3n t\u1ed1i \u0111a m\u00f4 th\u1eadn cho ng\u01b0\u1eddi b\u1ec7nh l\u00e0 v\u1ea5n \u0111\u1ec1 kh\u00f4ng nh\u1ecf \u0111\u1ed1i v\u1edbi c\u00e1c B\u00e1c s\u0129. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh Nguy\u1ec5n Th\u1ecb H. do s\u1ecfi l\u1ea5p \u0111\u1ea7y \u1edf c\u1ea3 2 th\u1eadn, ni\u1ec7u qu\u1ea3n ph\u1ea3i b\u1ecb h\u1eb9p n\u00ean c\u00e1c B\u00e1c s\u0129 \u0111\u00e3 ph\u1ea3i c\u00e2n nh\u1eafc r\u1ea5t k\u1ef9 l\u01b0\u1ee1ng\u201d.<\/p>\n\n\n\n

BS.CKI. Nguy\u1ec5n Vi\u1ebft Tu\u1ea5n khuy\u1ebfn c\u00e1o, hi\u1ec7n nay t\u1ef7 l\u1ec7 ng\u01b0\u1eddi d\u00e2n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ecfi san h\u00f4 ng\u00e0y m\u1ed9t gia t\u0103ng, th\u01b0\u1eddng \u0111\u1ebfn B\u1ec7nh vi\u1ec7n khi tri\u1ec7u ch\u1ee9ng \u0111\u00e3 n\u1eb7ng. \u0110\u1eb7c bi\u1ec7t, ng\u01b0\u1eddi d\u00e2n th\u01b0\u1eddng tin theo c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u00e2n gian nh\u01b0 u\u1ed1ng thu\u1ed1c l\u00e1 d\u00e2n t\u1ed9c m\u00e0 kh\u00f4ng t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 n\u00ean \u0111\u1ec3 l\u1ea1i nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. Do d\u00f3, ng\u01b0\u1eddi d\u00e2n c\u1ea7n th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 t\u1eeb 03 \u2013 06 th\u00e1ng\/ l\u1ea7n v\u00e0 n\u1ebfu xu\u1ea5t hi\u1ec7n b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 \u0111au nh\u1ee9c v\u00f9ng h\u00f4ng, l\u01b0ng, ti\u1ec3u bu\u1ed1t, ti\u1ec3u g\u1eaft, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

* B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi s\u1ef1 t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n t\u1eeb BS.CKI. Nguy\u1ec5n Vi\u1ebft Tu\u1ea5n – Khoa Ngo\u1ea1i, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh.<\/em><\/p>\n\n\n\n

\u0110\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chi ti\u1ebft, vui l\u00f2ng li\u00ean h\u1ec7 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh:<\/strong><\/p>\n\n\n\n