{"id":281100,"date":"2024-07-25T11:18:24","date_gmt":"2024-07-25T04:18:24","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-thanh-cong-truong-hop-be-4-tuoi-liet-mat-meo-mieng-do-benh-ly-viem-tai-bam-sinh-hiem-gap\/"},"modified":"2025-11-10T11:57:06","modified_gmt":"2025-11-10T04:57:06","slug":"dieu-tri-thanh-cong-truong-hop-be-4-tuoi-liet-mat-meo-mieng-do-benh-ly-viem-tai-bam-sinh-hiem-gap","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-thanh-cong-truong-hop-be-4-tuoi-liet-mat-meo-mieng-do-benh-ly-viem-tai-bam-sinh-hiem-gap\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p b\u00e9 4 tu\u1ed5i li\u1ec7t m\u1eb7t, m\u00e9o mi\u1ec7ng do b\u1ec7nh l\u00fd vi\u00eam tai b\u1ea9m sinh hi\u1ebfm g\u1eb7p"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1eeba ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh l\u00fd vi\u00eam tai hi\u1ebfm g\u1eb7p, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y li\u1ec7t m\u1eb7t cho m\u1ed9t b\u1ec7nh nhi 4 tu\u1ed5i \u0111\u1ebfn t\u1eeb Qu\u1ea3ng Ng\u00e3i.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/HMDNG-Viem-tai-xuong-chum-bam-sinh_Cover_1436x1080-1024x770-1.jpg\" alt=\"\u0110i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p b\u00e9 4 tu\u1ed5i li\u1ec7t m\u1eb7t, m\u00e9o mi\u1ec7ng do b\u1ec7nh l\u00fd vi\u00eam tai b\u1ea9m sinh hi\u1ebfm g\u1eb7p\" class=\"wp-image-169693\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Li\u1ec7t n\u1eeda m\u1eb7t do d\u1ecb t\u1eadt b\u1ea9m sinh hi\u1ebfm g\u1eb7p: vi\u00eam tai x\u01b0\u01a1ng ch\u0169m c\u00f3 Cholesteatoma<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e9 P.T.Ph\u00fac (4 tu\u1ed5i, tr\u00fa t\u1ec9nh Qu\u1ea3ng Ng\u00e3i) \u0111\u01b0\u1ee3c b\u1ed1 m\u1eb9 \u0111\u01b0a \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng trong t\u00ecnh tr\u1ea1ng li\u1ec7t m\u1eb7t, mi\u1ec7ng m\u00e9o b\u00ean tr\u00e1i. Tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh nhi \u0111\u00e3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nhi\u1ec1u c\u01a1 s\u1edf y t\u1ebf tr\u00ean \u0111\u1ecba b\u00e0n v\u1edbi ch\u1ea9n \u0111o\u00e1n vi\u00eam tai gi\u1eefa nh\u01b0ng t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u1eabn kh\u00f4ng c\u1ea3i thi\u1ec7n.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng, b\u1ec7nh nhi \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 khoa Tai \u2013 M\u0169i \u2013 H\u1ecdng th\u0103m kh\u00e1m. Trong qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m, b\u00e1c s\u0129 quan s\u00e1t th\u1ea5y m\u00e0ng nh\u0129 b\u00ean tr\u00e1i \u0111ang vi\u00eam n\u1eb7ng. M\u00e0ng nh\u0129 \u0111\u1ecf, c\u0103ng ph\u1ed3ng, nung m\u1ee7, s\u1ee5p g\u00f3c sau tr\u00ean v\u00e0 c\u00f3 ph\u1ea3n \u1ee9ng x\u01b0\u01a1ng ch\u0169m c\u1ea5p t\u00ednh, g\u00e2y li\u1ec7t m\u1eb7t b\u00ean tr\u00e1i \u0111\u1ed9 IV (theo ph\u00e2n \u0111\u1ed9 House-Brackmann). V\u1edbi kinh nghi\u1ec7m l\u00e2m s\u00e0ng, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 nghi ng\u1edd c\u00f3 m\u1ed9t t\u1ed5n th\u01b0\u01a1ng \u1edf s\u00e2u khi \u1ea5n v\u00e0o v\u00f9ng m\u1eb7t x\u01b0\u01a1ng ch\u0169m. B\u1ec7nh nhi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n th\u00eam m\u1ed9t s\u1ed1 ch\u1ea9n \u0111o\u00e1n c\u1eadn l\u00e2m s\u00e0ng: n\u1ed9i soi \u1ed1ng tai, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ch\u1ea9n \u0111o\u00e1n. K\u1ebft qu\u1ea3 ch\u1ee5p C\u1eaft l\u1edbp vi t\u00ednh x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng cho th\u1ea5y: C\u00e1c th\u00f4ng b\u00e0o ch\u0169m m\u1edd \u0111\u1eb7c to\u00e0n b\u1ed9, c\u00f3 h\u00ecnh \u1ea3nh ti\u00eau x\u01b0\u01a1ng\/ nghi ng\u1edd ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh chi ph\u1ed1i v\u1eadn \u0111\u1ed9ng c\u01a1 m\u1eb7t b\u00ean tr\u00e1i .<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nhi sau \u0111\u00f3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt m\u1edf x\u01b0\u01a1ng ch\u1ee7m b\u00ean tr\u00e1i, l\u1ea5y ra r\u1ea5t nhi\u1ec1u t\u1ed5 ch\u1ee9c b\u1ec7nh l\u00fd t\u1eeb x\u01b0\u01a1ng ch\u0169m v\u00e0 s\u00e0o \u0111\u1ea1o (k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00e0 Cholesteatoma), gi\u1ea3m \u00e1p \u0111o\u1ea1n III c\u1ee7a d\u00e2y th\u1ea7n kinh s\u1ed1 VII \u0111o\u1ea1n \u0111i trong x\u01b0\u01a1ng \u0111\u00e1. T\u00e1i l\u1eadp d\u1eabn l\u01b0u gi\u1eefa c\u00e1c t\u1ebf b\u00e0o ch\u0169m, tai gi\u1eefa ra tai ngo\u00e0i qua \u1ed1ng th\u00f4ng kh\u00ed m\u00e0ng nh\u0129.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/HMDNG-Viem-tai-xuong-chum-bam-sinh-1024x648-1.jpg\" alt=\"Li\u1ec7t n\u1eeda m\u1eb7t do d\u1ecb t\u1eadt b\u1ea9m sinh hi\u1ebfm g\u1eb7p: vi\u00eam tai x\u01b0\u01a1ng ch\u0169m c\u00f3 Cholesteatoma\" class=\"wp-image-169695\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Sau ph\u1eabu thu\u1eadt, t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m t\u1ea1i ch\u1ed7 v\u00e0 to\u00e0n th\u00e2n c\u1ea3i thi\u1ec7n r\u1ea5t nhanh. T\u00e1i kh\u00e1m sau ph\u1eabu thu\u1eadt 3 th\u00e1ng, ph\u1ea7n m\u1eb7t tr\u00e1i b\u1ecb li\u1ec7t \u0111\u00e3 kh\u00f4i ph\u1ee5c ho\u00e0n to\u00e0n.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cholesteatoma l\u00e0 kh\u1ed1i u bi\u1ec3u b\u00ec l\u1ea1c ch\u1ed7, th\u01b0\u1eddng n\u1eb1m \u1edf tai gi\u1eefa ho\u1eb7c x\u01b0\u01a1ng ch\u0169m. Cholesteatoma l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n kh\u00f4ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a t\u1ed5 ch\u1ee9c bi\u1ec3u b\u00ec.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cholesteatoma nguy\u00ean ph\u00e1t t\u1eeb trong th\u1eddi k\u1ef3 b\u00e0o thai v\u1edbi t\u1ef7 l\u1ec7 0,12\/100.000 tr\u1ebb, th\u01b0\u1eddng g\u1eb7p \u1edf b\u00e9 trai. Do t\u00ednh ch\u1ea5t \u00edt g\u1eb7p c\u1ee7a b\u1ec7nh, vi\u1ec7c th\u0103m kh\u00e1m thi\u1ebfu t\u1ec9 m\u1ec9 ho\u1eb7c kh\u00f4ng c\u00f3 kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 khi\u1ebfn b\u1ec7nh b\u1ecb b\u1ecf s\u00f3t kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cholesteatoma c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n l\u1edbn d\u1ea7n v\u00e0 ph\u00e1 h\u1ee7y c\u00e1c x\u01b0\u01a1ng con g\u00e2y ra nghe k\u00e9m d\u1eabn truy\u1ec1n, ho\u1eb7c g\u00e2y b\u00edt t\u1eafc v\u00f2i nh\u0129 d\u1eabn t\u1edbi vi\u00eam tai gi\u1eefa \u1ee9 d\u1ecbch. \u1ede giai \u0111o\u1ea1n mu\u1ed9n, cholesteatoma c\u00f3 th\u1ec3 ph\u00e1 h\u1ee7y c\u00e1c c\u1ea5u tr\u00fac x\u01b0\u01a1ng th\u00e1i d\u01b0\u01a1ng g\u00e2y nghe k\u00e9m, li\u1ec7t m\u1eb7t. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y \u0103n m\u00f2n c\u00e1c th\u00e0nh x\u01b0\u01a1ng ch\u0169m, \u0111\u00e8 \u00e9p th\u00f9y n\u00e3o th\u00e1i d\u01b0\u01a1ng ho\u1eb7c xu\u1ea5t ngo\u1ea1i th\u00e0nh kh\u1ed1i m\u1ee7 d\u01b0\u1edbi da<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n s\u1edbm l\u00e0 y\u1ebfu t\u1ed1 v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u. Do t\u00ednh ch\u1ea5t \u00edt g\u1eb7p, d\u1ec5 l\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd vi\u00eam tai kh\u00e1c khi\u1ebfn cho vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cTrong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0 kh\u00f3 ph\u00e1t hi\u1ec7n v\u00e0 d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi b\u1ec7nh l\u00fd vi\u00eam tai gi\u1eefa nh\u01b0 \u1edf b\u00e9 P, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh hi\u1ec7n \u0111\u1ea1i nh\u01b0 ch\u1ee5p C\u1eaft l\u1edbp vi t\u00ednh c\u00f3 th\u1ec3 gi\u00fap kh\u1eb3ng \u0111\u1ecbnh b\u1ec7nh. Khi tr\u1ebb b\u1ecb ch\u1ea3y m\u1ee7, \u0111au tai, li\u1ec7t m\u1eb7t ho\u1eb7c c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng \u1edf h\u1ec7 th\u1ea7n kinh, s\u1ecd n\u00e3o, c\u1ea7n \u0111\u01b0a tr\u1ebb \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi.\u201d &#8211; BS.CKII Nguy\u1ec5n Ng\u1ecdc Quang \u2013 Tr\u01b0\u1edfng khoa Tai \u2013 M\u0169i \u2013 H\u1ecdng khuy\u1ebfn c\u00e1o.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khoa Tai \u2013 M\u0169i \u2013 H\u1ecdng, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng c\u00f3 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 n\u1ed9i tr\u00fa, chuy\u00ean khoa II gi\u00e0u kinh nghi\u1ec7m trong th\u0103m kh\u00e1m, h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c \u0111\u01b0\u1ee3c trang b\u1ecb hi\u1ec7n \u0111\u1ea1i ph\u1ee5c v\u1ee5 nhu c\u1ea7u th\u0103m kh\u00e1m, v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh: D\u00e0n m\u00e1y n\u1ed9i soi tai m\u0169i h\u1ecdng \u1ed1ng c\u1ee9ng &#8211; \u1ed1ng m\u1ec1m Karl Storz, CT 256 l\u00e1t,\u2026&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1eeba ph\u1eabu thu\u1eadt v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh l\u00fd vi\u00eam tai hi\u1ebfm g\u1eb7p, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y li\u1ec7t m\u1eb7t cho m\u1ed9t b\u1ec7nh nhi 4 tu\u1ed5i \u0111\u1ebfn t\u1eeb Qu\u1ea3ng Ng\u00e3i.\u00a0 Li\u1ec7t n\u1eeda m\u1eb7t do d\u1ecb t\u1eadt b\u1ea9m sinh hi\u1ebfm g\u1eb7p: vi\u00eam tai x\u01b0\u01a1ng ch\u0169m c\u00f3 Cholesteatoma [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":281101,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1267],"tags":[],"class_list":["post-281100","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-da-nang___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281100","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\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281100"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281100\/revisions"}],"predecessor-version":[{"id":297530,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281100\/revisions\/297530"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281101"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281100"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281100"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}