{"id":313,"date":"2021-01-09T22:48:57","date_gmt":"2021-01-09T15:48:57","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=313"},"modified":"2021-01-09T22:48:57","modified_gmt":"2021-01-09T15:48:57","slug":"sieu-am-cap-cuu-benh-ly-gan-mat","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/sieu-am-cap-cuu-benh-ly-gan-mat\/","title":{"rendered":"Si\u00eau \u00e2m c\u1ea5p c\u1ee9u b\u1ec7nh l\u00fd gan m\u1eadt"},"content":{"rendered":"\n<p><iframe loading=\"lazy\" title=\"Si\u00eau \u00e2m c\u1ea5p c\u1ee9u b\u1ec7nh l\u00fd gan m\u1eadt - Th\u1ea7y Tr\u1ecdng 2021\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/PEuFvHMpHlc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p style=\"text-align: justify;\" align=\"justify\">M\u1ed9t s\u1ed1 n\u1ed9i dung m\u1edbi trong b\u00e0i:<\/p>\n<ol>\n<li style=\"text-align: justify;\">Si\u00eau \u00e2m ch\u1ea9n \u0111o\u00e1n s\u1ecfi t\u00fai m\u1eadt kh\u00f4ng th\u00f4i ch\u01b0a \u0111\u1ee7, ph\u1ea3i x\u00e1c \u0111\u1ecbnh th\u00eam xem s\u1ecfi \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng hay ch\u01b0a bi\u1ebfn ch\u1ee9ng.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">Nghi\u1ec7m ph\u00e1p b\u1eaft bu\u1ed9c khi kh\u00e1m s\u1ecfi m\u1eadt l\u00e0 si\u00eau \u00e2m c\u1ea3 \u1edf t\u01b0 th\u1ebf n\u1eb1m v\u00e0 t\u01b0 th\u1ebf ng\u1ed3i \u0111\u1ec3 xem s\u1ef1 di \u0111\u1ed9ng c\u1ee7a s\u1ecfi m\u1eadt.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">T\u00fai m\u1eadt c\u0103ng to khi \u0111\u01b0\u1eddng k\u00ednh ngang &gt; 4cm, chi\u1ec1u d\u00e0i &gt; 8cm (ngang quan tr\u1ecdng h\u01a1n) l\u00e0 h\u00ecnh \u1ea3nh r\u1ea5t quan tr\u1ecdng. Khi t\u00fai m\u1eadt qu\u00e1 c\u0103ng th\u00ec th\u00e0nh t\u00fai m\u1eadt m\u1ecfng l\u1ea1i. N\u00ean kh\u00f4ng th\u1ea5y d\u00e0y th\u00e0nh t\u00fai m\u1eadt ch\u01b0a ch\u1eafc kh\u00f4ng c\u00f3 vi\u00eam t\u00fai m\u1eadt.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">D\u1ea5u Murphy si\u00eau \u00e2m d\u01b0\u01a1ng t\u00ednh (&gt;90%): r\u1ea5t quan tr\u1ecdng nh\u01b0ng c\u00f3 10% kh\u00f4ng c\u00f3 d\u1ea5u n\u00e0y do qu\u00e1 tr\u00ecnh vi\u00eam l\u00e0m th\u1ea7n kinh c\u1ea3m nh\u1eadn \u0111au b\u1ecb t\u1ed5n th\u01b0\u01a1ng, m\u1ea5t d\u1eabn truy\u1ec1n.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">T\u00fai m\u1eadt c\u0103ng, l\u00f2ng c\u00f3 c\u1eb7n b\u00f9n, th\u00e0nh kh\u00f4ng d\u00e0y nh\u01b0ng murphy si\u00eau \u00e2m (+), xung quanh c\u00f3 th\u00e2m nhi\u1ec5m m\u1ee1, c\u00f3 d\u1ecbch -&gt; coi ch\u1eebng c\u00f3 vi\u00eam t\u00fai m\u1eadt.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">Vi\u00eam t\u00fai m\u1eadt c\u1ea5p kh\u00f4ng do s\u1ecfi si\u00eau \u00e2m t\u00fai m\u1eadt c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng (kho\u1ea3ng ph\u00fat 15 trong video), ph\u00e1t hi\u1ec7n b\u1eb1ng CT.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">D\u1ea5u hi\u1ec7u vi\u00eam gan c\u1ea5p:\n<ol>\n<li data-xf-list-type=\"ol\">Gan to: \u0111o nh\u01b0 c\u1ed5 \u0111i\u1ec3n &gt; 15.5cm, ch\u00fa \u00fd th\u00eam d\u1ea5u hi\u1ec7u gan ph\u1ea3i v\u01b0\u1ee3t qu\u00e1 b\u1edd d\u01b0\u1edbi th\u1eadn ph\u1ea3i v\u00e0 g\u00f3c gan &gt; 45 \u0111\u1ed9.<\/li>\n<li data-xf-list-type=\"ol\">Ph\u00f9 n\u1ec1 quanh kho\u1ea3ng c\u1eeda: d\u1ea5u \u00e1nh sao \u0111\u00eam.<\/li>\n<li data-xf-list-type=\"ol\">D\u00e0y th\u00e0nh t\u00fai m\u1eadt nh\u01b0ng l\u00f2ng x\u1eb9p, nguy\u00ean nh\u00e2n do t\u1ebf b\u00e0o gan t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng b\u00e0i ti\u1ebft m\u1eadt \u0111\u01b0\u1ee3c -&gt; t\u00fai m\u1eadt x\u1eb9p. \u0110\u1ed3ng th\u1eddi vi\u00eam gan th\u00ec c\u0169ng vi\u00eam c\u1ea3 t\u00fai m\u1eadt.<\/li>\n<li data-xf-list-type=\"ol\">Murphy si\u00eau \u00e2m \u00e2m t\u00ednh.<\/li>\n<\/ol>\n<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">\u0110\u01b0\u1eddng m\u1eadt trong gan b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 th\u1ea5y nh\u01b0ng ko b\u1eb1ng t\u0129nh m\u1ea1ch c\u1eeda. (c\u1ea7n check th\u00eam).<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">\u0110\u01b0\u1eddng k\u00ednh \u00d4MC b\u00ecnh th\u01b0\u1eddng = tu\u1ed5i\/10 mm (thumb rule). Sau c\u1eaft t\u00fai m\u1eadt c\u00f3 th\u1ec3 &lt; 10mm l\u00e0 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">Sau c\u1eaft t\u00fai m\u1eadt omc d\u00e3n v\u00ec c\u01a1 th\u1ec3 th\u00edch nghi d\u00e3n omc ra \u0111\u1ec3 b\u00f9 v\u00e0o l\u01b0\u1ee3ng m\u1eadt trong t\u00fai m\u1eadt b\u1ecb c\u1eaft \u0111i. Qu\u00e1 tr\u00ecnh n\u00e0y m\u1ea5t kho\u1ea3ng 6 th\u00e1ng.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">\u0110\u1ea7u t\u1ee5y c\u00f3 2 con m\u1eaft, m\u1ed9t l\u00e0 \u1ed1ng m\u1eadt ch\u1ee7, m\u1ed9t l\u00e0 \u0111\u1ed9ng m\u1ea1ch v\u1ecb t\u00e1 tr\u00e0ng. (th\u00e2n t\u1ea1ng t\u00e1ch ra gan chung v\u1edbi l\u00e1ch, gan chung t\u00e1ch ra gan ri\u00eang v\u1edbi v\u1ecb t\u00e1 tr\u00e0ng).<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t \u00e1p xe gan do vi tr\u00f9ng sinh m\u1ee7 v\u00e0 \u00e1p xe gan do amip kh\u00f4ng th\u1ec3 ch\u1ec9 d\u1ef1a v\u00e0o c\u0111ha. C\u1ea7n l\u00e0m th\u00eam huy\u1ebft thanh ch\u1ea9n \u0111o\u00e1n&#8230;<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">Nh\u1eefng \u1ed5 \u00e1p xe nh\u1ecf, \u0111i t\u1eeb ngo\u00e0i v\u00e0o trong, kh\u00f4ng c\u00f3 khuynh h\u01b0\u1edbng h\u1ee3p nh\u1ea5t c\u00f3 th\u1ec3 ngh\u0129 \u00e1p xe gan do fasciola.<\/li>\n<li style=\"text-align: justify;\" data-xf-list-type=\"ol\">S\u00e1n l\u00e1 di chuy\u1ec3n t\u1eeb t\u00e1 tr\u00e0ng, \u0111\u00e2m xuy\u00ean qua ru\u1ed9t qua bao gan v\u00e0o gan (pha gan) sau \u0111\u00f3 v\u00e0o \u0111\u01b0\u1eddng m\u1eadt (pha m\u1eadt)<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed9t s\u1ed1 n\u1ed9i dung m\u1edbi trong b\u00e0i: Si\u00eau \u00e2m ch\u1ea9n \u0111o\u00e1n s\u1ecfi t\u00fai m\u1eadt kh\u00f4ng th\u00f4i ch\u01b0a \u0111\u1ee7, ph\u1ea3i x\u00e1c \u0111\u1ecbnh th\u00eam xem s\u1ecfi \u0111\u00e3<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,5],"tags":[48,45,46,47],"class_list":["post-313","post","type-post","status-publish","format-standard","hentry","category-bung-tq","category-sieu-am","tag-bung-chau","tag-cap-cuu","tag-gan-mat","tag-tieu-hoa"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=313"}],"version-history":[{"count":1,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/313\/revisions"}],"predecessor-version":[{"id":315,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/313\/revisions\/315"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}