{"id":282357,"date":"2025-08-08T17:31:07","date_gmt":"2025-08-08T10:31:07","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/viem-ruot-thua-o-tre-em-benh-ly-ngoai-khoa-pho-bien-o-tre-em-va-thieu-nien\/"},"modified":"2025-11-08T09:46:12","modified_gmt":"2025-11-08T02:46:12","slug":"viem-ruot-thua-o-tre-em-benh-ly-ngoai-khoa-pho-bien-o-tre-em-va-thieu-nien","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/viem-ruot-thua-o-tre-em-benh-ly-ngoai-khoa-pho-bien-o-tre-em-va-thieu-nien\/","title":{"rendered":"Vi\u00eam ru\u1ed9t th\u1eeba \u1edf tr\u1ebb em &#8211; B\u1ec7nh l\u00fd ngo\u1ea1i khoa ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em v\u00e0 thi\u1ebfu ni\u00ean"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Vi\u00eam ru\u1ed9t th\u1eeba l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ngo\u1ea1i khoa c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf tr\u1ebb em v\u00e0 thi\u1ebfu ni\u00ean. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Th\u1ed1ng k\u00ea c\u1ee7a Vi\u1ec7n Nhi (H\u00e0 N\u1ed9i) cho th\u1ea5y, ch\u1ec9 trong 3 n\u0103m (1991 \u2013 1993) \u0111\u00e3 ghi nh\u1eadn 243 tr\u01b0\u1eddng h\u1ee3p tr\u1ebb b\u1ecb vi\u00eam ru\u1ed9t th\u1eeba. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/viem-ruot-thua.jpg\" alt=\"\" class=\"wp-image-175537\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u00ean th\u1ebf gi\u1edbi, vi\u00eam ru\u1ed9t th\u1eeba l\u00e0 b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn, \u0111i\u1ec3n h\u00ecnh t\u1ea1i Ph\u00e1p, theo s\u1ed1 li\u1ec7u do Sournia c\u00f4ng b\u1ed1, ch\u1ec9 ri\u00eang ng\u00e0y 17\/11\/1972, to\u00e0n qu\u1ed1c \u0111\u00e3 c\u00f3 1.260 ca ph\u1eabu thu\u1eadt c\u1eaft ru\u1ed9t th\u1eeba. C\u00f2n \u1edf M\u1ef9, m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 80.000 tr\u01b0\u1eddng h\u1ee3p vi\u00eam ru\u1ed9t th\u1eeba, trong \u0111\u00f3 10 \u2013 30% l\u00e0 \u201cm\u1ed5 ru\u1ed9t th\u1eeba \u00e2m t\u00ednh\u201d (ru\u1ed9t th\u1eeba kh\u00f4ng vi\u00eam nh\u01b0ng v\u1eabn b\u1ecb c\u1eaft b\u1ecf). \u0110\u00e1ng ch\u00fa \u00fd, kho\u1ea3ng 40% b\u1ec7nh nh\u00e2n khi m\u1ed5 \u0111\u00e3 \u1edf giai \u0111o\u1ea1n th\u1ee7ng ru\u1ed9t th\u1eeba, ti\u1ec1m \u1ea9n nguy c\u01a1 nhi\u1ec5m tr\u00f9ng \u1ed5 b\u1ee5ng v\u00e0 bi\u1ebfn ch\u1ee9ng n\u1eb7ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y vi\u00eam ru\u1ed9t th\u1eeba l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn l\u00f2ng ru\u1ed9t th\u1eeba. S\u1ef1 t\u1eafc ngh\u1ebdn n\u00e0y th\u01b0\u1eddng do ch\u1ea5t ph\u00e2n kh\u00f4 l\u1ea1i, \u0111\u00f4i khi b\u1ecb v\u00f4i h\u00f3a, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n tr\u00ean phim X-quang \u1edf kho\u1ea3ng 20% tr\u1ebb m\u1eafc b\u1ec7nh. Trong c\u00e1c ca vi\u00eam ru\u1ed9t th\u1eeba v\u1ee1, c\u00f3 t\u1edbi 65% t\u00ecm th\u1ea5y \u201cch\u1ea5t ph\u00e2n kh\u00f4 l\u1ea1i\u201d so v\u1edbi ch\u1ec9 25% \u1edf c\u00e1c ca ch\u01b0a v\u1ee1.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n <\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean trong tam ch\u1ee9ng c\u1ed5 \u0111i\u1ec3n (\u0111au, n\u00f4n v\u00e0 s\u1ed1t) l\u00e0 \u0111au quanh r\u1ed1n. T\u1eafc ru\u1ed9t th\u1eeba g\u00e2y tr\u01b0\u1edbng c\u0103ng \u0111\u01b0a \u0111\u1ebfn c\u1ea3m gi\u00e1c \u0111au qua nh\u1eefng th\u1ee5 th\u1ec3 c\u1ee7a c\u00e1c s\u1ee3i th\u1ea7n kinh t\u1ea1ng truy\u1ec1n \u0111\u1ebfn h\u1ea1ch ng\u1ef1c X. V\u00ec v\u1eady, \u0111au \u0111\u01b0\u1ee3c c\u1ea3m nh\u1eadn \u1edf v\u00f9ng da quanh r\u1ed1n. V\u00e0i gi\u1edd sau, \u0111au chuy\u1ec3n v\u1ec1 khu tr\u00fa v\u00f9ng h\u1ed1 ch\u1eadu ph\u1ea3i. \u0110au quanh r\u1ed1n th\u01b0\u1eddng x\u1ea3y ra v\u1edbi b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed vi\u00eam ru\u1ed9t th\u1eeba n\u00e0o: nh\u01b0 vi\u00eam ru\u1ed9t th\u1eeba trong ph\u00fac m\u1ea1c, vi\u00eam ru\u1ed9t th\u1eeba sau \u0111\u1ea1i tr\u00e0ng ho\u1eb7c sau manh tr\u00e0ng&#8230;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn sau l\u00e0 n\u00f4n ho\u1eb7c bu\u1ed3n n\u00f4n v\u00e0 s\u1ed1t. Tam ch\u1ee9ng vi\u00eam ru\u1ed9t th\u1eeba: \u0111au, n\u00f4n v\u00e0 s\u1ed1t l\u00e0 c\u1ed5 \u0111i\u1ec3n, nh\u01b0ng n\u00f3 kh\u00f4ng lu\u00f4n lu\u00f4n xu\u1ea5t hi\u1ec7n trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p. Nhi\u1ec5m virus ho\u1eb7c vi khu\u1ea9n c\u00f3 th\u1ec3 c\u00f3 tr\u01b0\u1edbc vi\u00eam ru\u1ed9t th\u1eeba, do \u0111\u00f3 nhi\u1ec5m tr\u00f9ng c\u00f3 tr\u01b0\u1edbc c\u00f3 th\u1ec3 che d\u1ea5u vi\u00eam ru\u1ed9t th\u1eeba \u0111ang ph\u00e1t tri\u1ec3n. \u1ede nh\u1eefng b\u1ec7nh nhi c\u00f3 vi\u00eam ru\u1ed9t do virus ho\u1eb7c vi khu\u1ea9n, th\u1ee9 t\u1ef1 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng \u0111\u1ea3o ng\u01b0\u1ee3c l\u1ea1i: bu\u1ed3n n\u00f4n, n\u00f4n c\u00f3 tr\u01b0\u1edbc c\u1ea3m gi\u00e1c \u0111au b\u1ee5ng. H\u1ecfi k\u1ef9 b\u1ec7nh s\u1eed gi\u00fap bi\u1ebft \u0111\u01b0\u1ee3c nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u00e3 t\u1eebng xu\u1ea5t hi\u1ec7n, d\u1ecb \u1ee9ng, b\u1ec7nh t\u1ed3n th\u00e2n, t\u00ecnh tr\u1ea1ng t\u0103ng tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n, \u0111i\u1ec1u ki\u1ec7n gia \u0111\u00ecnh v\u00e0 x\u00e3 h\u1ed9i.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Si\u00eau \u00e2m<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Si\u00eau \u00e2m \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam ru\u1ed9t th\u1eeba. C\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean si\u00eau \u00e2m bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u01b0\u1eddng k\u00ednh ru\u1ed9t th\u1eeba t\u0103ng l\u00ean tr\u00ean 6mm.<\/li>\n\n\n\n<li>C\u00f3 m\u1ed9t ho\u1eb7c nhi\u1ec1u s\u1ecfi ph\u00e2n t\u0103ng c\u1ea3n \u00e2m trong l\u00f2ng ru\u1ed9t th\u1eeba.<\/li>\n\n\n\n<li>M\u1ed9t l\u1edbp t\u0103ng \u00e2m bao quanh ru\u1ed9t th\u1eeba (h\u00ecnh \u1ea3nh m\u1ea1c n\u1ed1i l\u1edbn).<\/li>\n\n\n\n<li>Tr\u00e0n d\u1ecbch quanh ru\u1ed9t th\u1eeba.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C\u1eadn l\u00e2m s\u00e0ng kh\u00e1c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f4ng th\u1ee9c m\u00e1u, Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c kh\u00e1 cao trong ch\u1ea9n \u0111o\u00e1n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb <\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Vi\u00eam ru\u1ed9t th\u1eeba ch\u01b0a v\u1ee1<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p ch\u01b0a v\u1ee1 l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u ngo\u1ea1i khoa. Khi \u0111\u00e3 c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt s\u1edbm. Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, \u1edf c\u00e1c n\u01b0\u1edbc ti\u00ean ti\u1ebfn \u0111\u00e3 tri\u1ec3n khai c\u1eaft ru\u1ed9t th\u1eeba b\u1eb1ng n\u1ed9i soi. Ri\u00eang \u1edf Vi\u1ec7t Nam ph\u1eabu thu\u1eadt n\u1ed9i soi m\u1edbi b\u1eaft \u0111\u1ea7u ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd, n\u1ebfu theo d\u00f5i 6 &#8211; 12 gi\u1edd m\u00e0 v\u1eabn ch\u01b0a lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c vi\u00eam ru\u1ed9t th\u1eeba, c\u00f3 t\u00e1c gi\u1ea3 khuy\u00ean c\u0169ng n\u00ean can thi\u1ec7p ph\u1eabu thu\u1eadt \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, c\u00e1c chu\u1ea9n b\u1ecb ti\u1ec1n ph\u1eabu n\u00ean gi\u1edbi h\u1ea1n v\u1edbi m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n nh\u01b0 hematocrit, c\u00f4ng th\u1ee9c m\u00e1u, BUN v\u00e0 ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u. N\u1ebfu b\u1ec7nh nh\u00e2n n\u00f4n \u00f3i nhi\u1ec1u n\u00ean l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111i\u1ec7n gi\u1ea3i trong huy\u1ebft thanh ho\u1eb7c c\u00e1c x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u \u0111\u1eb7c hi\u1ec7u. Ph\u1eabu thu\u1eadt hi\u1ec7n t\u1ea1i l\u00e0 ch\u1ec9 \u0111\u1ecbnh, c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt m\u1edf hay n\u1ed9i soi.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Vi\u00eam ru\u1ed9t th\u1eeba b\u1ecb v\u1ee1<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi c\u1eaft ru\u1ed9t th\u1eeba, n\u00ean r\u1eeda \u1ed5 b\u1ee5ng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd ho\u1eb7c Betadin pha l\u00f5ang \u0111\u1ec3 l\u00e0m gi\u1ea3m b\u1edbt t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng sau m\u1ed5. Kh\u00f4ng n\u00ean d\u00f9ng dung d\u1ecbch Betadin \u0111\u1eb7c s\u1ebd d\u1ec5 l\u00e0m b\u1ecfng ph\u00fac m\u1ea1c v\u00e0 thanh m\u1ea1c c\u1ee7a ru\u1ed9t.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu m\u1ecfm ru\u1ed9t th\u1eeba qu\u00e1 m\u1ee7n n\u00e1t, t\u1ed5 ch\u1ee9c manh tr\u00e0ng n\u1ec1, d\u1ec5 b\u1ee5c, n\u00ean \u0111\u1eb7t m\u1ed9t sonde qua m\u1ecfm ru\u1ed9t th\u1eeba \u0111\u1ec3 d\u1eabn l\u01b0u manh tr\u00e0ng v\u00e0 c\u1ed1 \u0111\u1ecbnh c\u1ea9n th\u1eadn manh tr\u00e0ng v\u00e0o th\u00e0nh b\u1ee5ng. \u1ed0ng d\u1eabn l\u01b0u n\u00ean r\u00fat sau 14 ng\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long \u0111\u01b0\u1ee3c trang b\u1ecb k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i v\u1ec1 g\u00e2y m\u00ea c\u0169ng nh\u01b0 l\u00e0 ph\u1eabu thu\u1eadt vi\u00ean. Hi\u1ec7n t\u1ea1i, t\u1ea5t c\u1ea3 b\u1ec7nh nhi vi\u00eam ru\u1ed9t th\u1eeba \u0111\u1ec1u \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft ru\u1ed9t th\u1eeba. H\u1ea7u h\u1ebft nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u ph\u1ee5c h\u1ed3i t\u1ed1t v\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam ru\u1ed9t th\u1eeba l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ngo\u1ea1i khoa c\u1ea5p c\u1ee9u th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf tr\u1ebb em v\u00e0 thi\u1ebfu ni\u00ean. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi, b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Th\u1ed1ng k\u00ea c\u1ee7a Vi\u1ec7n Nhi (H\u00e0 N\u1ed9i) cho th\u1ea5y, [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273147,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282357","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\/282357","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=282357"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282357\/revisions"}],"predecessor-version":[{"id":295800,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282357\/revisions\/295800"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273147"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}