{"id":540,"date":"2022-05-17T07:11:38","date_gmt":"2022-05-17T07:11:38","guid":{"rendered":"https:\/\/webgana.com\/?page_id=540"},"modified":"2022-05-21T08:42:11","modified_gmt":"2022-05-21T08:42:11","slug":"phau-thuat-mong","status":"publish","type":"page","link":"https:\/\/webgana.com\/phau-thuat-mong\/","title":{"rendered":"PH\u1eaaU THU\u1eacT M\u1ed8NG"},"content":{"rendered":"\n<section id=\"section-49c9301b-8dac-4664-9a61-e038bbdc6d6d\" class=\"wp-block-gutentor-featured-block gutentor-section gutentor-featured-block featured-template1\"><div class=\"grid-container\"><div class=\"gutentor-grid-item-wrap\"><div class=\"gutentor-single-item\"><div class=\"grid-row\"><div class=\"grid-md-6\"><div class=\"gutentor-single-item-image-box\"><div class=\"gutentor-image-thumb\"><img decoding=\"async\" class=\"normal-image\" src=\"https:\/\/webgana.com\/wp-content\/uploads\/2022\/05\/mat-mong-thit7.jpg\" alt=\"\"\/><\/div><\/div><\/div><div class=\"grid-md-6\"><div class=\"gutentor-single-item-content\"><div class=\"gutentor-featured-content\"><p class=\"gutentor-single-item-desc\"><br><br><br>\u0110i\u1ec1u tr\u1ecb m\u1ed9ng \u0111\u01b0\u1ee3c ph\u00e2n l\u00e0m 4 nh\u00f3m :<br>&#8211; \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<br>&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a ch\u1ea5t<br>&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c t\u00e1c nh\u00e2n v\u1eadt l\u00fd<br>&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1ed1i h\u1ee3p kh\u00e1c<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n\n\n\n<p><a><em><strong>1. \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/strong><\/em><\/a><\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng thu\u1ed1c \u0111\u1ec3 c\u1ed1 g\u1eafng ng\u0103n c\u1ea3n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a m\u1ed9ng hay ng\u0103n ch\u1eb7n vi\u1ec7c h\u00ecnh th\u00e0nh s\u1eb9o x\u01a1 d\u00ednh sau ph\u1eabu thu\u1eadt. Tuy nhi\u00ean kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa n\u00e0o \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i.<\/p>\n\n\n\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb m\u1ed9ng vi\u00eam ho\u1eb7c m\u1ed9ng m\u1ee1 ng\u01b0\u1eddi ta c\u0169ng c\u00f3 th\u1ec3 nh\u1ecf Indomethacin 1% v\u00e0 th\u1ea5y c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n v\u1edbi Dexamethason 1%.<\/p>\n\n\n\n<p><a><strong><em>2. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng h\u00f3a ch\u1ea5t<\/em><\/strong><\/a><strong><em><\/em><\/strong><\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt m\u00e0 ng\u00e0y nay ng\u01b0\u1eddi ta kh\u00f4ng d\u00f9ng n\u1eefa nh\u01b0:<\/p>\n\n\n\n<p>&#8211; \u0102n m\u00f2n v\u1edbi Carbolic acid.<\/p>\n\n\n\n<p>&#8211; \u0110i\u1ec7n ph\u00e2n.<\/p>\n\n\n\n<p>&#8211; \u0110i\u1ec7n \u0111\u00f4ng.<\/p>\n\n\n\n<p>&#8211; Shock \u0111i\u1ec7n.<\/p>\n\n\n\n<p>&#8211; Tia Roentgen.<\/p>\n\n\n\n<p>&#8211; \u00c1p l\u1ea1nh.<\/p>\n\n\n\n<p><a><em><strong>3. Li\u1ec7u ph\u00e1p v\u1eadt l\u00fd<\/strong><\/em><\/a><\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb m\u1ed9ng th\u1ecbt v\u1edbi ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng laser g\u1ea7n \u0111\u00e2y r\u1ea5t hi\u1ec7u qu\u1ea3 nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c th\u00f4ng d\u1ee5ng v\u00e0 vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u0169ng c\u1ea7n ph\u1ea3i c\u00f3 m\u1ed9t th\u1eddi gian d\u00e0i. K\u1ef9 thu\u1eadt Laser c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n\n\n\n<ul><li>Quang \u0111\u00f4ng b\u1eb1ng Laser Argon: t\u1ea1o ra nhi\u1ec7t l\u00e0m cho m\u1ea1ch m\u00e1u \u1edf \u0111\u1ea7u, th\u00e2n m\u1ed9ng, c\u00e1c m\u00f4 s\u1ee3i d\u01b0\u1edbi k\u1ebft m\u1ea1c r\u00fat l\u1ea1i v\u00e0 cu\u1ed1i c\u00f9ng t\u1ea9y tr\u1eafng l\u00e0m ph\u1eb3ng m\u00f4 c\u00f9ng v\u1edbi vi\u1ec7c \u0111\u1ea9y l\u00f9i c\u00e1c t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7.<\/li><li>Quang \u0111\u00f4ng b\u1eb1ng Laser Yag: v\u1edbi m\u1ee9c n\u0103ng l\u01b0\u1ee3ng 0,6-0,8mJ v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a nhi\u1ec7t cao h\u01a1n l\u00e0 Laser Argon, \u0111i\u1ec1u n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/li><li>Excimer Laser: k\u1ef9 thu\u1eadt n\u00e0y li\u00ean quan t\u1edbi vi\u1ec7c c\u1eaft m\u1ed9t ph\u1ea7n gi\u00e1c m\u1ea1c, n\u01a1i b\u1ec1 m\u1eb7t gi\u00e1c m\u1ea1c b\u1ecb th\u00e2m nhi\u1ec5m kh\u00f4ng \u0111\u1ec1u b\u1eb1ng Laser Excimer.S\u1ef1 c\u1eaft \u0111i \u0111\u1ea7u m\u1ed9ng b\u1eb1ng ph\u1eabu thu\u1eadt cu\u1ed1i c\u00f9ng t\u00e1i t\u1ea1o l\u1ea1i b\u1ec1 m\u1eb7t c\u1ee7a nh\u00e3n c\u1ea7u, b\u1eb1ng c\u00e1ch kh\u00e2u l\u1ea1i k\u1ebft m\u1ea1c. Laser Excimer l\u00e0m cho b\u1ec1 m\u1eb7t c\u1ee7a gi\u00e1c m\u1ea1c v\u00f9ng r\u00eca ph\u1eb3ng, trong su\u1ed1t.<\/li><\/ul>\n\n\n\n<p>&#8211; Ngo\u00e0i ra, ng\u01b0\u1eddi ta c\u00f2n d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p x\u1ea1 tr\u1ecb b\u1eb1ng tia Beta:<\/p>\n\n\n\n<p><a><strong><em>4.<\/em><\/strong><\/a><em><strong> \u0110i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1ed1i h\u1ee3p kh\u00e1c<\/strong><\/em><\/p>\n\n\n\n<p><em>&#8211; Ph\u1eabu thu\u1eadt c\u1eaft m\u1ed9ng \u0111\u01a1n thu\u1ea7n<\/em><\/p>\n\n\n\n<p>C\u1eaft g\u1ecdt \u0111\u1ea7u m\u1ed9ng v\u00e0 v\u00f9ng r\u00eca hay v\u00f9ng chu bi\u00ean gi\u00e1c m\u1ea1c, l\u1ea5y \u0111i c\u1ea3 th\u00e2n m\u1ed9ng v\u00e0 m\u00f4 s\u1ee3i m\u1ea1ch d\u01b0\u1edbi k\u1ebft m\u1ea1c \u0111\u1ec3 h\u1edf c\u1ee7ng m\u1ea1c ho\u1eb7c kh\u00e2u l\u1ea1i k\u1ebft m\u1ea1c. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n n\u00e0y th\u01b0\u1eddng d\u00f9ng cho m\u1ed9ng \u0111\u1ed9 I \u1edf giai \u0111o\u1ea1n kh\u00f4ng ti\u1ebfn tri\u1ec3n.<\/p>\n\n\n\n<p><em>&#8211; Ph\u1eabu thu\u1eadt can thi\u1ec7p v\u00e0o c\u01a1 ch\u1ebf r\u00e0o ch\u1eafn \u1edf v\u00f9ng r\u00eca ng\u1eeba t\u00e1i ph\u00e1t<\/em><\/p>\n\n\n\n<p>K\u1ef9 thu\u1eadt n\u00e0y d\u00f9ng cho c\u1ea3 m\u1ed9ng th\u1ecbt nguy\u00ean ph\u00e1t v\u00e0 t\u00e1i ph\u00e1t \u0111\u1ed9 II v\u00e0 \u0111\u1ed9 III khi m\u1ed9ng th\u1ecbt x\u00e2m l\u1ea5n v\u00e0o v\u00f9ng trung t\u00e2m th\u1ecb gi\u00e1c. K\u1ef9 thu\u1eadt n\u00e0y t\u1ea1o ra m\u1ed9t c\u01a1 ch\u1ebf r\u00e0o c\u1ea3n sinh h\u1ecdc t\u1ea1i v\u00f9ng r\u00eca \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 t\u00e1i ph\u00e1t c\u1ee7a m\u1ed9ng. R\u00e0o c\u1ea3n n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1ch gh\u00e9p ni\u00eam m\u1ea1c \u1edf v\u00f9ng r\u00eca, gh\u00e9p m\u00f4 gi\u00e1c m\u1ea1c \u1edf v\u00f9ng chu bi\u00ean ho\u1eb7c d\u00f9ng c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf t\u0103ng sinh nguy\u00ean b\u00e0o s\u1ee3i v\u1edbi nh\u1eefng thu\u1ed1c ch\u1ed1ng ung th\u01b0 hay ch\u1ea5t ph\u00f3ng x\u1ea1 \u00e1p v\u00e0o c\u1ee7ng m\u1ea1c sau khi \u0111\u00e3 c\u1eaft b\u1ecf m\u1ed9ng. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p thu\u1ed9c nh\u00f3m n\u00e0y l\u00e0:<\/p>\n\n\n\n<p>+ Gh\u00e9p k\u1ebft m\u1ea1c t\u1ef1 th\u00e2n<\/p>\n\n\n\n<p>+ Gh\u00e9p gi\u00e1c m\u1ea1c phi\u1ebfn v\u00f9ng chu bi\u00ean.<\/p>\n\n\n\n<p>+ Gh\u00e9p gi\u00e1c &#8211; c\u1ee7ng m\u1ea1c: ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c ch\u1ed1ng ung th\u01b0 nh\u01b0 Trihylene Thio-phosphoramide, Mitomycin-C ho\u1eb7c \u0111i\u1ec1u tri b\u1eb1ng x\u1ea1 tr\u1ecb v\u1edbi Buthenium 106 ho\u1eb7c Strongtium 90.<\/p>\n\n\n\n<p>+ Gh\u00e9p gi\u00e1c m\u1ea1c kh\u00f4 tr\u00ean c\u1ee7ng m\u1ea1c<\/p>\n\n\n\n<p>+ Gh\u00e9p t\u1ebf b\u00e0o m\u1ea7m v\u00f9ng r\u00eca t\u1eeb nu\u00f4i c\u1ea5y sinh h\u1ecdc \u0111\u01a1n d\u00f2ng.<\/p>\n\n\n\n<p><em>&#8211; Ph\u1eabu thu\u1eadt m\u1ed9ng th\u1ecbt khi m\u1ed9ng x\u00e2m l\u1ea5n v\u00e0o trung t\u00e2m gi\u00e1c m\u1ea1c<\/em><\/p>\n\n\n\n<p>Ch\u1ec9 \u0111\u1ecbnh cho m\u1ed9ng th\u1ecbt \u0111\u1ed9 III l\u00e0m gi\u1ea3m th\u1ecb l\u1ef1c v\u00e0 \u0111\u1ee5c gi\u00e1c m\u1ea1c khi m\u1ed9ng x\u00e2m l\u1ea5n v\u00e0o v\u00f9ng trung t\u00e2m th\u1ecb gi\u00e1c. M\u1ee5c \u0111\u00edch c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 tr\u1ea3 l\u1ea1i s\u1ef1 trong su\u1ed1t, \u0111\u1ec1u \u0111\u1eb7n c\u1ee7a v\u00f9ng trung t\u00e2m gi\u00e1c m\u1ea1c. C\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb:<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p gi\u00e1c m\u1ea1c phi\u1ebfn trung t\u00e2m ho\u1eb7c to\u00e0n b\u1ed9.<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p gi\u00e1c m\u1ea1c phi\u1ebfn \u0111\u01a1n thu\u1ea7n hay c\u00f3 Laser b\u1ed5 sung.<\/p>\n\n\n\n<p>&nbsp;+ G\u1ecdt gi\u00e1c m\u1ea1c b\u1eb1ng Laser Excimer.<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p gi\u00e1c m\u1ea1c xuy\u00ean.<\/p>\n\n\n\n<p><em>&#8211; Ph\u01b0\u01a1ng ph\u00e1p t\u00e1i t\u1ea1o l\u1ea1i k\u1ebft m\u1ea1c<\/em><\/p>\n\n\n\n<p>Nh\u00f3m n\u00e0y bao g\u1ed3m ph\u1eabu thu\u1eadt gh\u00e9p ni\u00eam m\u1ea1c v\u00e0 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh k\u1ebft m\u1ea1c \u0111\u1ec3 che ph\u1ee7 ph\u1ea7n c\u1ee7ng m\u1ea1c \u0111\u1ec3 h\u1edf sau khi \u0111\u00e3 l\u1ea5y b\u1ecf m\u1ed9ng th\u1ecbt. C\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p k\u1ebft m\u1ea1c t\u1ef1 th\u00e2n.<\/p>\n\n\n\n<p>&nbsp;+ Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh l\u1ea1i k\u1ebft m\u1ea1c b\u1eb1ng c\u00e1ch b\u00f3c t\u00e1ch v\u00e0 k\u00e9o c\u0103ng k\u1ebft m\u1ea1c. Di chuy\u1ec3n k\u1ebft m\u1ea1c xu\u1ed1ng d\u01b0\u1edbi ho\u1eb7c l\u00ean tr\u00ean v\u00e0 kh\u00e2u l\u1ea1i.<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p m\u00e0ng \u1ed1i.<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p ni\u00eam m\u1ea1c m\u00f4i.<\/p>\n\n\n\n<p>&nbsp;+ Chuy\u1ec3n d\u1ecbch \u0111\u1ea7u m\u1ed9ng: v\u00f9i xu\u1ed1ng d\u01b0\u1edbi k\u1ebft m\u1ea1c c\u00f9ng \u0111\u1ed3 d\u01b0\u1edbi ho\u1eb7c v\u00f9i xu\u1ed1ng d\u01b0\u1edbi k\u1ebft m\u1ea1c c\u00f9ng \u0111\u1ed3 tr\u00ean. Ho\u1eb7c t\u00e1ch \u0111\u00f4i \u0111\u1ea7u m\u1ed9ng v\u00f9i 1\/2 xu\u1ed1ng c\u00f9ng \u0111\u1ed3 d\u01b0\u1edbi, 1\/2 xu\u1ed1ng c\u00f9ng \u0111\u1ed3 tr\u00ean. Ho\u1eb7c g\u1ea5p \u0111\u1ea7u m\u1ed9ng ng\u01b0\u1ee3c tr\u1edf l\u1ea1i b\u00ean d\u01b0\u1edbi th\u00e2n m\u1ed9ng.<\/p>\n\n\n\n<p><em>&#8211;&nbsp; Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p<\/em><\/p>\n\n\n\n<p>V\u1edbi m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng ung th\u01b0 nh\u01b0:<\/p>\n\n\n\n<p>&nbsp;+ Gh\u00e9p k\u1ebft m\u1ea1c t\u1ef1 th\u00e2n ph\u1ed1i h\u1ee3p v\u1edbi Mitomycin-C, Thiotepar<\/p>\n\n\n\n<p>&nbsp;+ Laser Excimer k\u1ebft h\u1ee3p v\u1edbi Mitomycin-C<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng thu\u1ed1c \u0111\u1ec3 c\u1ed1 g\u1eafng ng\u0103n c\u1ea3n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a m\u1ed9ng hay ng\u0103n ch\u1eb7n vi\u1ec7c h\u00ecnh th\u00e0nh s\u1eb9o x\u01a1 d\u00ednh sau ph\u1eabu thu\u1eadt. Tuy nhi\u00ean kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa n\u00e0o \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i. Vi\u1ec7c \u0111i\u1ec1u [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/pages\/540"}],"collection":[{"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/comments?post=540"}],"version-history":[{"count":4,"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/pages\/540\/revisions"}],"predecessor-version":[{"id":989,"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/pages\/540\/revisions\/989"}],"wp:attachment":[{"href":"https:\/\/webgana.com\/wp-json\/wp\/v2\/media?parent=540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}