{"id":282002,"date":"2025-05-19T11:33:40","date_gmt":"2025-05-19T04:33:40","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-chay-mau-mui-tai-dien-bang-noi-soi-that-dong-mach-buom-khau-cai\/"},"modified":"2025-11-08T10:03:23","modified_gmt":"2025-11-08T03:03:23","slug":"dieu-tri-chay-mau-mui-tai-dien-bang-noi-soi-that-dong-mach-buom-khau-cai","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-chay-mau-mui-tai-dien-bang-noi-soi-that-dong-mach-buom-khau-cai\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ch\u1ea3y m\u00e1u m\u0169i t\u00e1i di\u1ec5n b\u1eb1ng n\u1ed9i soi th\u1eaft \u0111\u1ed9ng m\u1ea1ch b\u01b0\u1edbm kh\u1ea9u c\u00e1i"},"content":{"rendered":"\n

T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i (c\u00f2n g\u1ecdi l\u00e0 ch\u1ea3y m\u00e1u cam) n\u1ebfu t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 m\u1ea5t m\u00e1u nghi\u00eam tr\u1ecdng, \u0111\u1ed3ng th\u1eddi gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ti\u1ec1m \u1ea9n.<\/em><\/p>\n\n\n\n

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T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i t\u00e1i di\u1ec5n c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi tr\u00e1nh di\u1ec5n ti\u1ebfn n\u1eb7ng<\/em><\/p>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh V.B.M (46 tu\u1ed5i, ng\u1ee5 t\u1ea1i qu\u1eadn 4, TP.HCM) c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng th\u01b0\u1eddng xuy\u00ean, b\u1eaft \u0111\u1ea7u g\u1eb7p t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i ph\u1ea3i k\u00e9o d\u00e0i t\u1eeb kho\u1ea3ng m\u1ed9t th\u00e1ng tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n. Ban \u0111\u1ea7u, m\u00e1u ch\u1ea3y v\u1edbi l\u01b0\u1ee3ng v\u1eeba ph\u1ea3i v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 c\u1ea7m, n\u00ean ng\u01b0\u1eddi b\u1ec7nh ch\u1ee7 quan kh\u00f4ng \u0111i kh\u00e1m.<\/p>\n\n\n\n

Tuy nhi\u00ean, ch\u1ec9 10 ng\u00e0y tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, t\u00ecnh tr\u1ea1ng tr\u1edf n\u1eb7ng khi m\u00e1u ch\u1ea3y nhi\u1ec1u t\u1eeb m\u0169i b\u00ean ph\u1ea3i, kh\u00f4ng th\u1ec3 t\u1ef1 c\u1ea7m, bu\u1ed9c ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

T\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi m\u0169i v\u00e0 ph\u00e1t hi\u1ec7n ch\u1ea3y m\u00e1u m\u0169i sau ph\u1ea3i, t\u1ea1i v\u1ecb tr\u00ed khe gi\u1eefa v\u00e0 ng\u00e1ch s\u00e0ng b\u01b0\u1edbm ph\u1ea3i.<\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh n\u1ed9i soi m\u0169i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh V.B.M<\/em><\/p>\n\n\n\n

\u0110\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1eb7t g\u1ea1c c\u1ea7m m\u00e1u m\u0169i merocel v\u00e0o khe gi\u1eefa v\u00e0 ng\u00e1ch s\u00e0ng b\u01b0\u1edbm, k\u1ebft h\u1ee3p s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p. Tuy nhi\u00ean, sau khi \u0111\u00e3 r\u00fat merocel, m\u1eb7c d\u00f9 huy\u1ebft \u00e1p v\u1eabn trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng nh\u01b0ng t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i kh\u00f4ng c\u1ea3i thi\u1ec7n v\u00e0 v\u1eabn ti\u1ebfp t\u1ee5c t\u00e1i di\u1ec5n \u00edt nh\u1ea5t 3 l\u1ea7n\/ tu\u1ea7n.<\/p>\n\n\n\n

D\u1ef1a tr\u00ean c\u00e1c d\u1ea5u hi\u1ec7u ban \u0111\u1ea7u, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 cho t\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi, ch\u1ee9c n\u0103ng \u0111\u00f4ng ch\u1ea3y m\u00e1u, c\u00e1c y\u1ebfu t\u1ed1 VII, IX v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh m\u0169i xoang c\u00f3 thu\u1ed1c c\u1ea3n quang.<\/p>\n\n\n\n

K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng cho th\u1ea5y c\u00f4ng th\u1ee9c m\u00e1u, ch\u1ee9c n\u0103ng \u0111\u00f4ng ch\u1ea3y m\u00e1u v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 VIII, IX v\u1eabn trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam xoang s\u00e0ng 2 b\u00ean v\u00e0 xoang tr\u00e1n tr\u00e1i, \u00edt m\u00e1u t\u1ee5 trong xoang h\u00e0m ph\u1ea3i, nang ni\u00eam d\u1ecbch \u0111\u01b0\u1eddng k\u00ednh 17mm t\u1ea1i xoang h\u00e0m tr\u00e1i, \u0111\u1ed3ng th\u1eddi ph\u00e1t hi\u1ec7n v\u00e1ch ng\u0103n m\u0169i v\u1eb9o sang ph\u1ea3i.<\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb ch\u1ea3y m\u00e1u m\u0169i t\u00e1i di\u1ec5n b\u1eb1ng n\u1ed9i soi th\u1eaft \u0111\u1ed9ng m\u1ea1ch b\u01b0\u1edbm kh\u1ea9u c\u00e1i<\/strong><\/h2>\n\n\n\n

Sau khi h\u1ed9i ch\u1ea9n v\u1edbi H\u1ed9i \u0111\u1ed3ng chuy\u00ean m\u00f4n b\u1ec7nh vi\u1ec7n, BS.CKII L\u00ea Th\u1ecb H\u1ed3ng H\u1ea3i – tr\u01b0\u1edfng Li\u00ean chuy\u00ean khoa Tai M\u0169i H\u1ecdng – M\u1eaft – R\u0103ng H\u00e0m M\u1eb7t quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt th\u1eaft \u0111\u1ed9ng m\u1ea1ch b\u01b0\u1edbm kh\u1ea9u c\u00e1i b\u00ean ph\u1ea3i qua n\u1ed9i soi \u0111\u01b0\u1eddng m\u0169i cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

BS. H\u1ed3ng H\u1ea3i cho bi\u1ebft, \u0111\u00e2y l\u00e0 ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i sau t\u00e1i di\u1ec5n m\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi vi\u1ec7c nh\u00e9t meche c\u1ea7m m\u00e1u m\u0169i. T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 tr\u00ean 90% v\u00e0 t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng th\u1ea5p.<\/p>\n\n\n\n

Tuy nhi\u00ean, nh\u1eefng b\u1ea5t th\u01b0\u1eddng trong gi\u1ea3i ph\u1eabu t\u1ea1i h\u1ed1c m\u0169i c\u00f3 th\u1ec3 g\u00e2y tr\u1edf ng\u1ea1i cho vi\u1ec7c x\u00e1c \u0111\u1ecbnh \u0111\u1ed9ng m\u1ea1ch b\u01b0\u1edbm kh\u1ea9u c\u00e1i. \u0110i\u1ec3n h\u00ecnh \u1edf ng\u01b0\u1eddi b\u1ec7nh V.B.M, t\u00ecnh tr\u1ea1ng v\u1eb9o v\u00e1ch ng\u0103n nhi\u1ec1u v\u1ec1 ph\u00eda b\u00ean ph\u1ea3i c\u00f9ng v\u1edbi c\u00e1c cu\u1ed1n m\u0169i ph\u00ec \u0111\u1ea1i \u0111\u00e3 khi\u1ebfn qu\u00e1 tr\u00ecnh ti\u1ebfp c\u1eadn \u0111\u1ed9ng m\u1ea1ch kh\u00f3 kh\u0103n h\u01a1n.<\/p>\n\n\n\n

V\u1edbi tr\u01b0\u1eddng h\u1ee3p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh n\u00e0y, BS. H\u1ed3ng H\u1ea3i c\u00f9ng ekip \u0111\u00e3 ho\u00e0n th\u00e0nh th\u1eaft \u0111\u1ed9ng m\u1ea1ch b\u01b0\u1edbm kh\u1ea9u c\u00e1i b\u1eb1ng clip m\u1ea1ch m\u00e1u v\u00e0 \u0111\u1ed1t t\u0103ng c\u01b0\u1eddng b\u1eb1ng Bipolar t\u1ea7n s\u1ed1 th\u1ea5p (10Hz) trong 50 ph\u00fat. B\u1ed1n gi\u1edd sau ph\u1eabu thu\u1eadt ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 th\u1ec3 sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, v\u1ecb tr\u00ed h\u1ed1 m\u1ed5 kh\u00f4ng xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n\n\n

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B\u00e1c s\u0129 th\u0103m kh\u00e1m, ki\u1ec3m tra t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh sau ph\u1eabu thu\u1eadt<\/em><\/p>\n\n\n\n

C\u1ea9n tr\u1ecdng v\u1edbi t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i t\u00e1i di\u1ec5n<\/strong><\/h2>\n\n\n\n

B\u00e1c s\u0129 H\u1ed3ng H\u1ea3i chia s\u1ebb, nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y ch\u1ea3y m\u00e1u m\u0169i sau l\u00e0 t\u0103ng huy\u1ebft \u00e1p. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb theo ph\u00e1c \u0111\u1ed3 \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p, t\u1eeb \u0111\u00f3 kh\u00f4ng ch\u1ec9 ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i sau m\u00e0 c\u00f2n gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng b\u1ec7nh l\u00fd kh\u00e1c.<\/p>\n\n\n\n

Khi c\u00f3 t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 chuy\u00ean khoa Tai m\u0169i h\u1ecdng \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng m\u1ea5t m\u00e1u, t\u00ecm v\u1ecb tr\u00ed v\u00e0 nguy\u00ean nh\u00e2n ch\u1ea3y m\u00e1u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

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B\u00e1c s\u0129 th\u1ef1c hi\u1ec7n n\u1ed9i soi tai m\u0169i h\u1ecdng cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n

Ngo\u00e0i ra, ch\u1ea3y m\u00e1u m\u0169i c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba b\u1eb1ng c\u00e1ch gi\u1eef \u1ea9m ni\u00eam m\u1ea1c m\u0169i xoang, nh\u1ea5t l\u00e0 nh\u1eefng th\u00e1ng m\u01b0a, l\u1ea1nh kh\u00f4; s\u1eed d\u1ee5ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c n\u01b0\u1edbc bi\u1ec3n s\u00e2u v\u1ec7 sinh m\u0169i h\u00e0ng ng\u00e0y 1-2 l\u1ea7n; h\u1ea1n ch\u1ebf m\u00f3c, ngo\u00e1y m\u0169i; ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c b\u1ec7nh n\u1ec1n nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n \u0111\u00f4ng ch\u1ea3y m\u00e1u, vi\u00eam m\u0169i xoang,…<\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n \u1ee9ng d\u1ee5ng ph\u1eabu thu\u1eadt n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 Tai \u2013 M\u0169i \u2013 H\u1ecdng. \u0110\u01b0\u1eddng k\u00ednh \u1ed1ng n\u1ed9i soi ch\u1ec9 kho\u1ea3ng 3mm, kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn k\u00edch \u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 v\u1edbi h\u00ecnh \u1ea3nh s\u1eafc n\u00e9t, ch\u00ednh x\u00e1c h\u01a1n. \u1ed0ng soi \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf linh ho\u1ea1t, c\u00f3 th\u1ec3 g\u1eadp t\u1edbi 130 \u0111\u1ed9, gi\u00fap b\u00e1c s\u0129 d\u1ec5 d\u00e0ng ti\u1ebfp c\u1eadn v\u00e0 quan s\u00e1t nh\u1eefng khu v\u1ef1c s\u00e2u, c\u00e1c ng\u00f3c ng\u00e1ch nh\u1ecf kh\u00f3 nh\u00ecn th\u1ea5y trong tai m\u0169i h\u1ecdng.<\/p>\n\n\n\n

V\u1edbi th\u1ebf m\u1ea1nh n\u1ed5i tr\u1ed9i v\u1ec1 h\u1ec7 th\u1ed1ng trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i, c\u00f9ng \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m, c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao, b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n lu\u00f4n ch\u00fa tr\u1ecdng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n, mang \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao, mang l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i (c\u00f2n g\u1ecdi l\u00e0 ch\u1ea3y m\u00e1u cam) n\u1ebfu t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 m\u1ea5t m\u00e1u nghi\u00eam tr\u1ecdng, \u0111\u1ed3ng th\u1eddi gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ti\u1ec1m \u1ea9n. T\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u m\u0169i t\u00e1i di\u1ec5n c\u1ea7n \u0111\u01b0\u1ee3c […]<\/p>\n","protected":false},"author":3,"featured_media":282003,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-282002","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\/282002","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=282002"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282002\/revisions"}],"predecessor-version":[{"id":296246,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282002\/revisions\/296246"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/282003"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282002"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282002"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}