{"id":281074,"date":"2024-07-23T11:51:57","date_gmt":"2024-07-23T04:51:57","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/phau-thuat-thanh-cong-dieu-tri-soi-duong-mat-trong-gan\/"},"modified":"2025-11-10T10:49:15","modified_gmt":"2025-11-10T03:49:15","slug":"phau-thuat-thanh-cong-dieu-tri-soi-duong-mat-trong-gan","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/phau-thuat-thanh-cong-dieu-tri-soi-duong-mat-trong-gan\/","title":{"rendered":"Ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan"},"content":{"rendered":"\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan cho n\u1eef b\u1ec7nh nh\u00e2n 47 tu\u1ed5i.<\/em><\/p>\n\n\n\n

M\u1edbi \u0111\u00e2y, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n N. T. T (47 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n Tri T\u00f4n, t\u1ec9nh An Giang) nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng s\u1ed1t cao \u1edbn l\u1ea1nh, \u0111au b\u1ee5ng tr\u00ean b\u00ean ph\u1ea3i, v\u00e0ng da v\u00e0ng m\u1eaft, \u0103n u\u1ed1ng kh\u00f3 ti\u00eau. Th\u00f4ng tin t\u1eeb gia \u0111\u00ecnh, <\/em>c\u00e1ch \u0111\u00e2y 7 n\u0103m ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt, c\u00f3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u l\u1ea7n t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng. Kho\u1ea3ng 01 tu\u1ea7n nay c\u00f3 tri\u1ec7u ch\u1ee9ng \u0103n u\u1ed1ng kh\u00f3 ti\u00eau, \u0111\u1ea7y h\u01a1i, s\u1ed1t, \u0111au b\u1ee5ng n\u00ean \u0111i \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

Sau khi \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m, l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, k\u1ebft qu\u1ea3 MSCT cho th\u1ea5y: Gi\u00e3n \u0111\u01b0\u1eddng m\u1eadt trong gan ph\u1ea3i, gi\u00e3n v\u00e0 nhi\u1ec1u s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan tr\u00e1i. Nh\u00e1nh gan tr\u00e1i, \u1ed1ng gan chung, gi\u00e3n \u1ed1ng m\u1eadt ch\u1ee7 kho\u1ea3ng 11 mm. C\u00f3 v\u00e0i s\u1ecfi c\u1ea3n quang k\u00edch th\u01b0\u1edbc kho\u1ea3ng 6 – 7mm trong l\u00f2ng \u0111o\u1ea1n cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7.<\/em> <\/em>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n: nhi\u1ec5m tr\u00f9ng huy\u1ebft do s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan 2 b\u00ean.<\/p>\n\n\n\n

Trong qu\u00e1 tr\u00ecnh m\u1ed5, c\u00e1c b\u00e1c s\u0129 nh\u1eadn th\u1ea5y gan b\u1ec7nh nh\u00e2n x\u01a1 teo, ch\u1ee9a nhi\u1ec1u s\u1ecfi n\u00ean quy\u1ebft \u0111\u1ecbnh c\u1eaft gan \u0111\u1ec3 ph\u00f2ng ng\u1eeba ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt v\u00e0 s\u1ecfi t\u00e1i ph\u00e1t. \u0110\u1ed3ng th\u1eddi, n\u1ed9i soi \u0111\u01b0\u1eddng m\u1eadt trong m\u1ed5 \u0111\u1ec3 l\u1ea5y s\u1ea1ch s\u1ecfi gan ph\u1ea3i, n\u1ed1i m\u1eadt ru\u1ed9t da \u0111\u1ec3 d\u1ec5 d\u00e0ng can thi\u1ec7p l\u1ea1i sau n\u00e0y n\u1ebfu s\u1ecfi t\u00e1i ph\u00e1t. Ca m\u1ed5 k\u00e9o d\u00e0i h\u01a1n 1 ti\u1ebfng, sau m\u1ed5 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c theo d\u00f5i t\u00edch c\u1ef1c. Hi\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c ch\u1ec9 s\u1ed1 sinh hi\u1ec7u \u1ed5n \u0111\u1ecbnh, \u0111\u01b0\u1ee3c h\u1eb9n t\u00e1i kh\u00e1m theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n\n

Theo BS.CKI. Hu\u1ef3nh V\u0103n \u00dat Ch\u00f3t, Khoa Ti\u00eau ho\u00e1, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long: S\u1ecfi gan hay c\u00f2n g\u1ecdi l\u00e0 s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan, \u0111\u00e2y l\u00e0 nh\u1eefng vi\u00ean s\u1ecfi (nh\u1ecf, to ho\u1eb7c b\u00f9n) c\u00f3 nhi\u1ec1u trong \u1ed1ng m\u1eadt c\u1ee7a gan ph\u1ea3i, gan tr\u00e1i. S\u1ecfi trong gan th\u01b0\u1eddng l\u00e0 c\u0103n b\u1ec7nh \u00edt g\u1eb7p nh\u01b0ng nguy hi\u1ec3m v\u00e0 d\u1ec5 g\u00e2y ra bi\u1ebfn ch\u1ee9ng h\u01a1n so v\u1edbi s\u1ecfi t\u1ea1i c\u00e1c v\u1ecb tr\u00ed kh\u00e1c trong \u0111\u01b0\u1eddng m\u1eadt\u2026C\u00e1c bi\u1ebfn ch\u1ee9ng do s\u1ecfi trong gan g\u00e2y ra \u0111\u1ec1u c\u00f3 t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn s\u1ee9c kh\u1ecfe. M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0: vi\u00eam gan, x\u01a1 gan, ung th\u01b0 gan, nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/p>\n\n\n\n

D\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan: \u1ede giai \u0111o\u1ea1n \u0111\u1ea7u, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n nh\u01b0 \u0111\u1ea7y ch\u01b0\u1edbng, ch\u1eadm ti\u00eau sau \u0103n. B\u1ec7nh d\u1ec5 d\u00e0ng ph\u00e1t hi\u1ec7n qua si\u00eau \u00e2m; Khi s\u1ecfi l\u1edbn d\u1ea7n s\u1ebd ch\u00e8n \u00e9p trong gan, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb 3 d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh nh\u01b0 sau: \u0110au qu\u1eb7n gan (\u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i), s\u1ed1t, v\u00e0ng da.<\/p>\n\n\n\n

Do \u0111\u00f3, khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00ean \u0111i kh\u00e1m \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, tr\u00e1nh bi\u1ebfn ch\u1ee9ng x\u1ea3y ra, \u0111i\u1ec1u tr\u1ecb r\u1ea5t kh\u00f3 kh\u0103n v\u00e0 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n\n\n\n

\n
\"Ph\u1eabu<\/figure>\n\n\n\n
\"Ph\u1eabu<\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan cho n\u1eef b\u1ec7nh nh\u00e2n 47 tu\u1ed5i. M\u1edbi \u0111\u00e2y, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n N. T. T (47 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i huy\u1ec7n Tri T\u00f4n, t\u1ec9nh An Giang) nh\u1eadp vi\u1ec7n trong t\u00ecnh […]<\/p>\n","protected":false},"author":14,"featured_media":281075,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-281074","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281074"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281074\/revisions"}],"predecessor-version":[{"id":297635,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281074\/revisions\/297635"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281075"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}