{"id":281445,"date":"2024-12-21T10:16:10","date_gmt":"2024-12-21T03:16:10","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-vien-kip-thoi-cuu-song-cu-ong-93-tuoi-bi-nang-gan-lon-xuat-huyet\/"},"modified":"2025-11-08T10:34:41","modified_gmt":"2025-11-08T03:34:41","slug":"benh-vien-kip-thoi-cuu-song-cu-ong-93-tuoi-bi-nang-gan-lon-xuat-huyet","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-vien-kip-thoi-cuu-song-cu-ong-93-tuoi-bi-nang-gan-lon-xuat-huyet\/","title":{"rendered":"B\u1ec7nh vi\u1ec7n k\u1ecbp th\u1eddi c\u1ee9u s\u1ed1ng c\u1ee5 \u00f4ng 93 tu\u1ed5i b\u1ecb nang gan l\u1edbn xu\u1ea5t huy\u1ebft"},"content":{"rendered":"\n

V\u1eeba qua, khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n (HMSG) \u0111\u00e3 ti\u1ebfp nh\u1eadn v\u00e0 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng ng\u01b0\u1eddi b\u1ec7nh L.V.T. (93 tu\u1ed5i, TP.HCM) v\u1edbi ch\u1ea9n \u0111o\u00e1n Nang gan l\u1edbn, xu\u1ea5t huy\u1ebft d\u1ecda v\u1ee1.<\/strong><\/p>\n\n\n\n

Ng\u01b0\u1eddi nh\u00e0 \u00f4ng T. cho bi\u1ebft, ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t ng\u1ed9t \u0111au b\u1ee5ng v\u00e0i ng\u00e0y nay, c\u1ea3m gi\u00e1c b\u1ee5ng l\u1edbn nhanh. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u00ecnh tr\u1ea1ng sa s\u00fat tr\u00ed tu\u1ec7, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, g\u00e2y kh\u00f3 kh\u0103n trong ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.<\/p>\n\n\n\n

T\u1ea1i khoa C\u1ea5p c\u1ee9u, c\u00e1c b\u00e1c s\u0129 ghi nh\u1eadn c\u00f3 kh\u1ed1i r\u1ea5t l\u1edbn v\u00f9ng d\u01b0\u1edbi s\u01b0\u1eddn ph\u1ea3i, si\u00eau \u00e2m ghi nh\u1eadn c\u00f3 nang gan r\u1ea5t l\u1edbn, nghi c\u00f3 d\u1ea5u hi\u1ec7u xu\u1ea5t huy\u1ebft trong nang. C\u00e1c b\u00e1c s\u0129 nhanh ch\u00f3ng th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (ch\u1ee5p CT b\u1ee5ng), ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n Nang gan r\u1ea5t l\u1edbn, nghi xu\u1ea5t huy\u1ebft trong nang do\u1ea1 v\u1ee1.<\/p>\n\n\n\n

B\u00e1c s\u0129 Tr\u1ea7n Th\u00e0nh C\u00f4ng, Khoa Ngo\u1ea1i T\u1ed5ng Qu\u00e1t, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n – b\u00e1c s\u0129 ch\u00ednh th\u1ef1c hi\u1ec7n ca ph\u1eabu thu\u1eadt cho \u00f4ng T. chia s\u1ebb \u201cDo ng\u01b0\u1eddi b\u1ec7nh<\/em> l\u1edbn tu\u1ed5i, sau khi c\u00e2n nh\u1eafc c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ed9 tu\u1ed5i, b\u1ec7nh n\u1ec1n ph\u1ee9c t\u1ea1p, t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, ch\u00fang t\u00f4i \u0111\u00e3 quy\u1ebft \u0111\u1ecbnh m\u1eddi h\u1ed9i ch\u1ea9n to\u00e0n vi\u1ec7n \u0111\u1ec3 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u v\u00e0 th\u1ed1ng nh\u1ea5t c\u00e1c ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 n\u00e2ng \u0111\u1ee1 tr\u01b0\u1edbc, trong v\u00e0 sau ph\u1eabu thu\u1eadt nh\u1eb1m k\u1ecbp th\u1eddi c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh. V\u1edbi s\u1ef1 th\u1ea5u hi\u1ec3u v\u00e0 tin t\u01b0\u1edfng c\u1ee7a ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh, ekip l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u1ed9i soi h\u01b0\u1edbng t\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3, v\u1ebft m\u1ed5 nh\u1ecf cho ph\u00e9p ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng h\u01a1n v\u00e0 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng\u2026.<\/em><\/p>\n\n\n\n

Trong m\u1ed5, b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt n\u1ed9i soi kho\u00e9t ch\u1ecfm nang gan, h\u00fat ra kho\u1ea3ng 4,8 l\u00edt d\u1ecbch nang k\u00e8m m\u00e1u, \u0111\u1ed1t c\u1ea7m m\u00e1u v\u1ecb tr\u00ed xu\u1ea5t huy\u1ebft trong th\u00e0nh nang gan. Ca m\u1ed5 th\u00e0nh c\u00f4ng, ch\u1ec9 di\u1ec5n ra trong 1 gi\u1edd \u0111\u1ed3ng h\u1ed3<\/em>\u201d.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

K\u1ebft qu\u1ea3 h\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh CT b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n

Ngay sau m\u1ed5, \u00f4ng T. \u0111\u01b0\u1ee3c r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n, t\u1ef1 th\u1edf v\u00e0 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 t\u00edch c\u1ef1c t\u1eeb c\u00e1c chuy\u00ean khoa Dinh d\u01b0\u1ee1ng , V\u1eadt l\u00fd tr\u1ecb li\u1ec7u, N\u1ed9i Th\u1ea7n kinh \u2026 theo ch\u01b0\u01a1ng tr\u00ecnh h\u1ed3i ph\u1ee5c s\u1edbm sau m\u1ed5 (ERAS) gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u01b0\u1ee3t qua c\u00e1c y\u1ebfu t\u1ed1 b\u1ea5t l\u1ee3i do c\u01a1 \u0111\u1ecba l\u1edbn tu\u1ed5i, sa s\u00fat tr\u00ed tu\u1ec7. Do \u0111\u00f3, c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n nhanh ch\u00f3ng ph\u1ee5c h\u1ed3i, ng\u01b0\u1eddi b\u1ec7nh s\u1ee9c kh\u1ecfe ti\u1ebfn tri\u1ec3n t\u1ed1t, c\u00f3 th\u1ec3 t\u1ef1 v\u1eadn \u0111\u1ed9ng, \u0111i l\u1ea1i, v\u00e0 xu\u1ea5t vi\u1ec7n v\u00e0i ng\u00e0y sau m\u1ed5.<\/p>\n\n\n\n

Sau khi xu\u1ea5t vi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u00e0 \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf h\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c v\u1ebft m\u1ed5 t\u1ea1i nh\u00e0, t\u00e1i kh\u00e1m c\u1eaft ch\u1ec9 v\u00e0 sinh ho\u1ea1t l\u1ea1i nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

Ng\u00e0y nay, ch\u1ea5t l\u01b0\u1ee3ng y t\u1ebf c\u1ee7a Vi\u1ec7t Nam \u0111\u00e3 \u0111\u01b0\u1ee3c n\u00e2ng cao, c\u00f9ng v\u1edbi nhi\u1ec1u k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng, c\u0169ng nh\u01b0 nh\u1eefng ch\u01b0\u01a1ng tr\u00ecnh h\u1ed3i ph\u1ee5c s\u1edbm sau m\u1ed5 \u0111\u01b0\u1ee3c tri\u1ec3n khai gi\u00fap gi\u1ea3m thi\u1ec3u r\u1ee7i ro bi\u1ebfn ch\u1ee9ng v\u00e0 nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n

Nang gan l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

Nang gan l\u00e0 m\u1ed9t khoang tr\u1ed1ng c\u00f3 ch\u1ee9a d\u1ecbch, m\u00e1u ho\u1eb7c kh\u00f4ng ch\u1ee9a g\u00ec, n\u1eb1m trong gan. Nang gan r\u1ea5t hi\u1ebfm g\u1eb7p, n\u1eef gi\u1edbi th\u01b0\u1eddng g\u1eb7p nhi\u1ec1u h\u01a1n so v\u1edbi nam gi\u1edbi. Nang gan c\u00f3 k\u00edch th\u01b0\u1edbc thay \u0111\u1ed5i t\u1eeb v\u00e0i milim\u00e9t \u0111\u1ebfn 15cm, m\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t hay nhi\u1ec1u nang. Ph\u1ea7n l\u1edbn nang gan l\u00e0 l\u00e0nh t\u00ednh v\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 m\u1ed9t d\u1ea5u hi\u1ec7u n\u00e0o c\u1ee7a b\u1ec7nh. Tuy nhi\u00ean, c\u00f3 kho\u1ea3ng 10 – 15% ng\u01b0\u1eddi c\u00f3 nang gan l\u00e0 c\u00f3 d\u1ea5u hi\u1ec7u, song vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft, nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nang k\u00fd sinh tr\u00f9ng v\u00e0 nang ung th\u01b0.. T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u01b0\u1edbc t\u00ednh trong kho\u1ea3ng t\u1eeb 2,5% \u0111\u1ebfn 4,7% d\u00e2n s\u1ed1.<\/p>\n\n\n\n

<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

B\u00e1c s\u0129 C\u00f4ng th\u0103m kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh sau ph\u1eabu thu\u1eadt<\/em><\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb nang gan khi s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u, c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn g\u00e2y \u0111au ho\u1eb7c kh\u00f3 ch\u1ecbu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra nh\u01b0: ch\u00e8n \u00e9p (m\u1eadt, m\u1ea1ch m\u00e1u, ti\u00eau h\u00f3a, ph\u1ed5i) t\u1eeb 3 \u0111\u1ebfn 9 % tr\u01b0\u1eddng h\u1ee3p, xu\u1ea5t huy\u1ebft trong nang trong 2 \u0111\u1ebfn 5% tr\u01b0\u1eddng h\u1ee3p, nhi\u1ec5m tr\u00f9ng trong nang 1% tr\u01b0\u1eddng h\u1ee3p v\u00e0 hi\u1ebfm h\u01a1n nhi\u1ec1u l\u00e0 v\u1ee1 nang trong ho\u1eb7c ngo\u00e0i ph\u00fac m\u1ea1c. Si\u00eau \u00e2m l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ea7u tay trong ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i nang gan, \u0111\u00f4i khi ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u1ee5p th\u00eam MsCT ho\u1eb7c MRI \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nang gan v\u00e0 c\u00f3 h\u01b0\u1edbng theo d\u00f5i ho\u1eb7c can thi\u1ec7p th\u00edch h\u1ee3p, c\u0169ng nh\u01b0 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c c\u1ee7a gan nh\u01b0 b\u01b0\u1edbu gan, \u00e1p xe gan\u2026.<\/p>\n\n\n\n

Khi ph\u00e1t hi\u1ec7n b\u1ec7nh, b\u1ea1n n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa Ti\u00eau h\u00f3a \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch theo d\u00f5i l\u00e2u d\u00e0i ho\u1eb7c ph\u1eabu thu\u1eadt s\u1edbm, ph\u00f2ng nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nang gan l\u1edbn g\u00e2y c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng, \u0111\u1ed3ng th\u1eddi t\u0103ng t\u1ef7 l\u1ec7 t\u1eed vong.<\/p>\n\n\n\n

Nh\u1ea5n \u201c\u0110\u0103ng k\u00fd\u201d \u0111\u1ec3 theo d\u00f5i c\u00e1c video m\u1edbi nh\u1ea5t v\u1ec1 s\u1ee9c kh\u1ecfe t\u1ea1i: https:\/\/www.youtube.com\/c\/BVHoanMySaiGonOfficial\u00a0<\/p>\n\n\n\n

\u2014———-\u00a0
Li\u00ean l\u1ea1c v\u1edbi b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n:\u00a0\u00a0
Chat v\u1edbi ch\u00fang t\u00f4i: m.me\/HoanMySaiGon\u00a0\u00a0
\u0110\u0103ng k\u00fd kh\u00e1m: https:\/\/dangkykham.hoanmysaigon.com\/\u00a0\u00a0
Fanpage: https:\/\/www.facebook.com\/HoanMySaiGon\/\u00a0
Website: http:\/\/hoanmysaigon.com\/\u00a0
<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

V\u1eeba qua, khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n (HMSG) \u0111\u00e3 ti\u1ebfp nh\u1eadn v\u00e0 ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng ng\u01b0\u1eddi b\u1ec7nh L.V.T. (93 tu\u1ed5i, TP.HCM) v\u1edbi ch\u1ea9n \u0111o\u00e1n Nang gan l\u1edbn, xu\u1ea5t huy\u1ebft d\u1ecda v\u1ee1. Ng\u01b0\u1eddi nh\u00e0 \u00f4ng T. cho bi\u1ebft, ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t ng\u1ed9t \u0111au b\u1ee5ng v\u00e0i ng\u00e0y nay, c\u1ea3m gi\u00e1c […]<\/p>\n","protected":false},"author":3,"featured_media":281446,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-281445","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\/281445","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=281445"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281445\/revisions"}],"predecessor-version":[{"id":297059,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281445\/revisions\/297059"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281446"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281445"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281445"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281445"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}