{"id":281309,"date":"2024-10-21T10:27:50","date_gmt":"2024-10-21T03:27:50","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thung-da-day-do-vo-tinh-nuot-phai-tam-xia-rang\/"},"modified":"2025-11-10T11:46:40","modified_gmt":"2025-11-10T04:46:40","slug":"thung-da-day-do-vo-tinh-nuot-phai-tam-xia-rang","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thung-da-day-do-vo-tinh-nuot-phai-tam-xia-rang\/","title":{"rendered":"TH\u1ee6NG D\u1ea0 D\u00c0Y DO V\u00d4 T\u00ccNH NU\u1ed0T PH\u1ea2I T\u0102M X\u1ec8A R\u0102NG\u00a0"},"content":{"rendered":"\n

Kh\u00f4ng n\u00ean ch\u1ee7 quan v\u1edbi c\u00e1c t\u00ecnh hu\u1ed1ng h\u00f3c d\u1ecb v\u1eadt (t\u0103m, x\u01b0\u01a1ng c\u00e1\u2026) v\u00ec d\u1ecb v\u1eadt c\u00f3 th\u1ec3 l\u00e0m th\u1ee7ng d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n\u2026 th\u1eadm ch\u00ed l\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e2y t\u1eed vong.<\/strong> <\/p>\n\n\n\n

V\u1eeba qua, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n v\u1eeba c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p th\u1ee7ng d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng do nu\u1ed1t ph\u1ea3i d\u1ecb v\u1eadt. Theo chia s\u1ebb c\u1ee7a \u00f4ng \u0110.H.Q (43 tu\u1ed5i, ng\u1ee5 qu\u1eadn B\u00ecnh Th\u1ea1nh)<\/em>, kho\u1ea3ng 3 ng\u00e0y tr\u01b0\u1edbc tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, do v\u00f4 t\u00ecnh nu\u1ed1t ph\u1ea3i t\u0103m x\u1ec9a r\u0103ng khi\u1ebfn \u00f4ng b\u1ecb \u0111au \u00e2m \u1ec9 v\u00f9ng th\u01b0\u1ee3ng v\u1ecb. C\u01a1n \u0111au kh\u00f4ng kh\u1ecfi v\u00e0 t\u0103ng n\u1eb7ng m\u1ed7i ng\u00e0y n\u00ean ng\u01b0\u1eddi nh\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111\u01b0a \u00f4ng \u0111\u1ebfn c\u1ea5p c\u1ee9u t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n. <\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh minh h\u1ecda \u0111au th\u01b0\u1ee3ng v\u1ecb<\/em>\u00a0<\/figcaption><\/figure>\n\n\n\n

T\u1ea1i Khoa C\u1ea5p c\u1ee9u, nh\u1eadn \u0111\u1ecbnh \u00f4ng Q. c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb th\u1ee7ng d\u1ea1 d\u00e0y do nu\u1ed1t ph\u1ea3i d\u1ecb v\u1eadt, c\u00e1c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh \u00f4ng Q. th\u1ef1c hi\u1ec7n ch\u1ee5p CT b\u1ee5ng ch\u1eadu kh\u1ea9n. K\u1ebft qu\u1ea3 ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt d\u1ea1ng que th\u1eb3ng, \u0111\u01b0\u1eddng k\u00ednh 2mm d\u00e0i 4,5cm xuy\u00ean th\u00e0nh m\u1eb7t sau h\u00e0nh t\u00e1 tr\u00e0ng v\u00e0o m\u00f4 m\u1ee1 ph\u00fac m\u1ea1c.  <\/p>\n\n\n\n

Nh\u1eadn th\u1ea5y t\u00ecnh tr\u1ea1ng nguy c\u1ea5p, \u00ea-k\u00edp n\u1ed9i soi ngay l\u1eadp t\u1ee9c ti\u1ebfn h\u00e0nh n\u1ed9i soi an th\u1ea7n \u0111\u1ec3 g\u1eafp d\u1ecb v\u1eadt ra kh\u1ecfi d\u1ea1 d\u00e0y c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Sau khi th\u1ef1c hi\u1ec7n, c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng \u0111\u00e3 thuy\u00ean gi\u1ea3m, \u00f4ng Q. \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 xu\u1ea5t vi\u1ec7n trong ng\u00e0y.  <\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh CT b\u1ee5ng ch\u1eadu ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt<\/em>\u00a0<\/figcaption><\/figure>\n\n\n\n

Chia s\u1ebb v\u1ec1 tr\u01b0\u1eddng h\u1ee3p n\u00e0y, ThS.BS Ph\u1ea1m Ho\u00e0ng Thi\u00ean, Khoa C\u1ea5p c\u1ee9u, BV. Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n cho bi\u1ebft \u201cTh\u00f3i quen ng\u1eadm t\u0103m khi x\u1ec9a r\u0103ng, hay v\u1eeba ng\u1eadm t\u0103m v\u1eeba n\u00f3i chuy\u1ec7n, th\u1eadm ch\u00ed l\u00e0 ng\u1ee7 qu\u00ean khi v\u1eabn ng\u1eadm t\u0103m trong mi\u1ec7ng r\u1ea5t d\u1ec5 x\u1ea3y ra t\u00ecnh tr\u1ea1ng h\u00f3c t\u0103m. T\u00ecnh hu\u1ed1ng n\u00e0y kh\u00e1 ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u00ec \u0111\u1ed9 tu\u1ed5i n\u00e0o. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh ch\u1ee7 quan v\u1edbi tai n\u1ea1n n\u00e0y, kh\u00f4ng \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ki\u1ec3m tra ho\u1eb7c t\u1ef1 \u0111i\u1ec1u tr\u1ecb khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng, d\u1ecb v\u1eadt t\u1ed3n t\u1ea1i trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e2u ng\u00e0y s\u1ebd g\u00e2y th\u1ee7ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y \u2013 ru\u1ed9t, \u00e1p xe \u1ed5 b\u1ee5ng, nhi\u1ec5m tr\u00f9ng\u2026 Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u1eed vong\u201d<\/em><\/p>\n\n\n\n

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\"\"<\/figure>\n\n\n\n
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D\u1ecb v\u1eadt \u0111\u01b0\u1ee3c g\u1eafp ra t\u1eeb d\u1ea1 d\u00e0y ng\u01b0\u1eddi b\u1ec7nh<\/em>\u00a0<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n

C\u0169ng theo b\u00e1c s\u0129 Thi\u00ean, nh\u1eefng th\u00e1ng g\u1ea7n \u0111\u00e2y, b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ecb h\u1ecdc d\u1ecb v\u1eadt, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p khi b\u1ecb h\u00f3c kh\u00f4ng \u0111\u1ebfn b\u1ec7nh vi\u1ec7n m\u00e0 t\u1ef1 ch\u1eefa tr\u1ecb m\u1eb9o khi\u1ebfn d\u1ecb c\u1eadt c\u00e0ng \u0111\u00e2m s\u00e2u g\u00e2y t\u1ed5n th\u01b0\u01a1ng. Do \u0111\u00f3, khi b\u1ecb h\u00f3c t\u0103m kh\u00f4ng n\u00ean t\u1ef1 ch\u1eefa b\u1eb1ng m\u1eb9o d\u00e2n gian, nh\u01b0 nu\u1ed1t c\u01a1m, nu\u1ed1t m\u1ed9t s\u1ed1 lo\u1ea1i qu\u1ea3, l\u00e1. \u0110i\u1ec1u n\u00e0y d\u1ec5 d\u1eabn \u0111\u1ebfn vi\u1ec7c t\u0103m c\u00f3 th\u1ec3 \u0111\u00e2m s\u00e2u h\u01a1n v\u00e0o v\u1ecb tr\u00ed \u0111\u00e3 ghim d\u1eabn \u0111\u1ebfn th\u1ee7ng n\u1ed9i t\u1ea1ng. B\u00e1c s\u0129 c\u0169ng khuy\u1ebfn c\u00e1o sau khi h\u00f3c t\u0103m, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n nhanh ch\u00f3ng \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 b\u00e1c s\u0129 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng c\u1ee7a d\u1ecb v\u1eadt, tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.\u00a0<\/p>\n\n\n\n

\u0110\u01a0N V\u1eca N\u1ed8I SOI TI\u00caU H\u00d3A BV HO\u00c0N M\u1ef8 S\u00c0I G\u00d2N<\/strong> <\/p>\n\n\n\n

\u0110\u01a1n v\u1ecb N\u1ed9i soi Ti\u00eau h\u00f3a c\u1ee7a BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n \u0111\u01b0\u1ee3c trang b\u1ecb h\u1ec7 th\u1ed1ng n\u1ed9i soi th\u1ebf h\u1ec7 m\u1edbi nh\u1ea5t c\u1ee7a Olympus v\u00e0 Pentax, h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb an to\u00e0n, hi\u1ec7u qu\u1ea3. \u0110\u1ed9i ng\u0169 y b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng n\u1ed9i soi chuy\u00ean nghi\u1ec7p ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c b\u00e1c s\u0129, k\u1ef9 thu\u1eadt vi\u00ean G\u00e2y m\u00ea H\u1ed3i s\u1ee9c cho ph\u00e9p \u00e1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u c\u1ee7a n\u1ed9i soi nh\u01b0 an th\u1ea7n v\u00e0 g\u00e2y m\u00ea.  <\/p>\n\n\n\n

K\u1ebft h\u1ee3p v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa Ti\u00eau h\u00f3a, khoa Ung B\u01b0\u1edbu, n\u1ed9i soi \u1ed1ng ti\u00eau h\u00f3a \u0111\u01b0\u1ee3c xem l\u00e0 \u201cti\u00eau chu\u1ea9n v\u00e0ng\u201d trong t\u1ea7m so\u00e1t ung th\u01b0 s\u1edbm v\u00e0 ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 ti\u00eau h\u00f3a, bao g\u1ed3m \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean (th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng) v\u00e0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a d\u01b0\u1edbi (\u0111\u1ea1i tr\u00e0ng, tr\u1ef1c tr\u00e0ng, h\u1eadu m\u00f4n). B\u00ean c\u1ea1nh c\u00e1c d\u1ecbch v\u1ee5 n\u1ed9i soi t\u1ea7m so\u00e1t, n\u1ed9i soi c\u00f2n gi\u00fap gi\u1ea3i quy\u1ebft kh\u1ea9n c\u1ea5p c\u00e1c tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, lo\u00e9t v\u1ee1 gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y, l\u1ea5y d\u1ecb v\u1eadt \u1ed1ng ti\u00eau h\u00f3a m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 k\u1ecbp th\u1eddi. V\u1ec1 ph\u01b0\u01a1ng di\u1ec7n \u0111i\u1ec1u tr\u1ecb, th\u00f4ng qua n\u1ed9i soi, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa th\u1ef1c hi\u1ec7n th\u1eaft t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, ti\u00eam x\u01a1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y, nong h\u1eb9p t\u00e2m v\u1ecb, c\u1eaft polyp ti\u00eau h\u00f3a, \u0111\u1eb7t stent \u1ed1ng ti\u00eau h\u00f3a, d\u1eabn l\u01b0u nang t\u1ee5y,\u2026 N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (endoscopic retrograde cholangiopancreatography – ERCP) ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u1eadt t\u1ee5y nh\u01b0 s\u1ecfi m\u1eadt, ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt, ung th\u01b0 t\u1ee5y\u2026 <\/p>\n\n\n\n

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N\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u1eadt t\u1ee5y nh\u01b0 s\u1ecfi m\u1eadt, ung th\u01b0 \u0111\u01b0\u1eddng m\u1eadt, ung th\u01b0 t\u1ee5y\u00a0<\/em><\/figcaption><\/figure>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n \u0111\u00e3 trang b\u1ecb h\u1ec7 th\u1ed1ng n\u1ed9i soi th\u1ebf h\u1ec7 m\u1edbi nh\u1ea5t c\u1ee7a Olympus c\u00f3 ch\u1ee9c n\u0103ng nhu\u1ed9m m\u00e0u quang h\u1ecdc v\u00e0 ph\u00f3ng \u0111\u1ea1i t\u1ed5n th\u01b0\u01a1ng, gi\u00fap nh\u1eadn bi\u1ebft v\u00e0 ph\u00e2n bi\u1ec7t c\u00e1c m\u00f4 t\u1ed5n th\u01b0\u01a1ng v\u00e0 m\u00f4 th\u01b0\u1eddng, gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u1edf giai \u0111o\u1ea1n s\u1edbm.  <\/p>\n\n\n\n

_ ThS.BS Ph\u1ea1m Ho\u00e0ng Thi\u00ean, Khoa C\u1ea5p c\u1ee9u _ <\/p>\n\n\n\n

——— <\/p>\n\n\n\n

B\u1ec6NH VI\u1ec6N HO\u00c0N M\u1ef8 S\u00c0I G\u00d2N <\/p>\n\n\n\n

60-60A (S\u1ed1 m\u1edbi 295) Phan X\u00edch Long, P.1, Q.Ph\u00fa Nhu\u1eadn, TP.HCM <\/p>\n\n\n\n

\u0110i\u1ec7n tho\u1ea1i: (028) 3990 2468 <\/p>\n\n\n\n

Youtube: www.youtube.com\/c\/BVHoanMySaiGonOfficial<\/a> <\/p>\n\n\n\n

Tik Tok: https:\/\/tiktok.com\/@benhvienhoanmysaigon<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"

Kh\u00f4ng n\u00ean ch\u1ee7 quan v\u1edbi c\u00e1c t\u00ecnh hu\u1ed1ng h\u00f3c d\u1ecb v\u1eadt (t\u0103m, x\u01b0\u01a1ng c\u00e1\u2026) v\u00ec d\u1ecb v\u1eadt c\u00f3 th\u1ec3 l\u00e0m th\u1ee7ng d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n\u2026 th\u1eadm ch\u00ed l\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng g\u00e2y t\u1eed vong.  V\u1eeba qua, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n v\u1eeba c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p th\u1ee7ng d\u1ea1 d\u00e0y t\u00e1 […]<\/p>\n","protected":false},"author":3,"featured_media":281310,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-281309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281309","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281309"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281309\/revisions"}],"predecessor-version":[{"id":297266,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281309\/revisions\/297266"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281310"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}