{"id":7535,"date":"2021-07-10T09:32:05","date_gmt":"2021-07-10T09:32:05","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=7535"},"modified":"2021-07-10T09:32:06","modified_gmt":"2021-07-10T09:32:06","slug":"dieu-tri-nang-tuyen-giap-bang-con-tuyet-doi-ea-ethanol-ablation","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/dieu-tri-nang-tuyen-giap-bang-con-tuyet-doi-ea-ethanol-ablation\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb nang tuy\u1ebfn gi\u00e1p b\u1eb1ng c\u1ed3n tuy\u1ec7t \u0111\u1ed1i (EA \u2013 ethanol ablation)"},"content":{"rendered":"\n
Nang tuy\u1ebfn gi\u00e1p l\u00e0 b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn, \u0111a ph\u1ea7n l\u00e0 l\u00e0nh t\u00ednh tuy nhi\u00ean n\u00f3 c\u0169ng g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi cu\u1ed9c s\u1ed1ng v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Nang tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c chia l\u00e0m 2 lo\u1ea1i:\u00a0 kh\u1ed1i d\u1ea1ng nang (ph\u1ea7n d\u1ecbch t\u1eeb 50-90% th\u1ec3 t\u00edch nh\u00e2n g\u1ecdi l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang) v\u00e0 nang \u0111\u01a1n thu\u1ea7n (ph\u1ea7n d\u1ecbch >90%). Khi kh\u1ed1i nang nh\u1ecf v\u1edbi \u0111\u01b0\u1eddng k\u00ednh < 2cm, kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng g\u00ec th\u00ec kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean khi kh\u1ed1i c\u00f3 bi\u1ebfn ch\u1ee9ng nh\u01b0 ch\u1ea3y m\u00e1u trong nang l\u00e0m cho nang t\u0103ng nhanh k\u00edch th\u01b0\u1edbc, \u0111au t\u1ea1i ch\u1ed7, nu\u1ed1t ngh\u1eb9n ho\u1eb7c b\u1ec7nh nh\u00e2n lo l\u1eafng mu\u1ed1n \u0111i\u1ec1u tr\u1ecb th\u00ec n\u00ean \u0111i\u1ec1u tr\u1ecb.<\/h5>\n\n\n\n

Tr\u01b0\u1edbc \u0111\u00f3, t\u1eeb n\u0103m 1976, ph\u01b0\u01a1ng ph\u00e1p h\u00fat d\u1ecbch \u0111\u01a1n thu\u1ea7n \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tuy nhi\u00ean t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao (> 70%) n\u00ean \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Ph\u1eabu thu\u1eadt c\u0169ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p tri\u1ec7t \u0111\u1ec3 v\u00e0 l\u00e0 l\u1ef1a ch\u1ecdn l\u00e2u d\u00e0i. Tuy nhi\u00ean, c\u0169ng c\u00f3 nhi\u1ec1u b\u0103n kho\u0103n v\u00ec nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m nh\u1ea5t \u0111\u1ecbnh nh\u01b0 chi ph\u00ed l\u1edbn, h\u1eadu ph\u1eabu ph\u1ee9c t\u1ea1p, bi\u1ebfn ch\u1ee9ng tr\u01b0\u1edbc m\u1eaft v\u00e0 l\u00e2u d\u00e0i. Hi\u1ec7n nay, ph\u01b0\u01a1ng ph\u00e1p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ebf gi\u1edbi \u00e1p d\u1ee5ng t\u1eeb 1987 tr\u00ean c\u01a1 s\u1edf \u00e1p d\u1ee5ng c\u01a1 ch\u1ebf ti\u00eam c\u1ed3n nang th\u1eadn v\u00e0 t\u1ea1i Vi\u1ec7t Nam \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb n\u0103m 1995. C\u0169ng theo khuy\u1ebfn c\u00e1o c\u1ee7a Hi\u1ec7p h\u1ed9i N\u1ed9i ti\u1ebft Hoa K\u00ec 2016 th\u00ec ph\u01b0\u01a1ng ph\u00e1p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m \u0111i\u1ec1u tr\u1ecb nang l\u00e0nh t\u00ednh tuy\u1ebfn gi\u00e1p l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ea7u tay v\u00ec an to\u00e0n v\u00e0 d\u1ec5 th\u1ef1c hi\u1ec7n. V\u1edbi c\u01a1 ch\u1ebf c\u1ed3n tuy\u1ec7t \u0111\u1ed1i l\u00e0m ho\u1ea1i t\u1eed do \u0111\u00f4ng m\u00e1u v\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch nh\u1ecf, g\u00e2y m\u1ea5t n\u01b0\u1edbc t\u1ebf b\u00e0o v\u00e0 \u0111\u00f4ng v\u00f3n protein d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed t\u1ebf b\u00e0o. H\u1eadu qu\u1ea3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o ch\u1ebf ti\u1ebft d\u1ecbch v\u00e0 x\u01a1 h\u00f3a m\u00f4 ti\u1ebfp x\u00fac ethanol, thay th\u1ebf v\u00e0o \u0111\u00f3 l\u00e0 m\u00f4 h\u1ea1t, x\u01a1 h\u00f3a v\u00e0 co r\u00fat nh\u1ecf l\u1ea1i c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n\n\n\n

N\u1ed5i b\u1eadt v\u1edbi nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 d\u1ec5 th\u1ef1c hi\u1ec7n; h\u1eadu ph\u1eabu nh\u1eb9 nh\u00e0ng v\u00e0 r\u1ea5t an to\u00e0n, kh\u00f4ng h\u1ec1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p; c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nh\u1eafc l\u1ea1i th\u1ee7 thu\u1eadt, ph\u01b0\u01a1ng ph\u00e1p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u01b0\u1eddng quy v\u00e0 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao cho ng\u01b0\u1eddi b\u1ec7nh. T\u1eeb khi tri\u1ec3n khai th\u1ef1c hi\u1ec7n cho \u0111\u1ebfn nay, Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n qu\u1ed1c t\u1ebf S\u1ea3n Nhi H\u1ea3i Ph\u00f2ng \u0111\u00e3 ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb cho r\u1ea5t nhi\u1ec1u ca nang tuy\u1ebfn gi\u00e1p b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ghi nh\u1eadn \u0111\u1ec1u r\u1ea5t kh\u1ea3 quan, v\u1edbi nang \u0111\u01a1n thu\u1ea7n cho hi\u1ec7u qu\u1ea3 r\u1ea5t cao; nang nh\u1ecf < 5ml cho t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng 100% v\u00e0 nang l\u1edbn th\u00ec hi\u1ec7u qu\u1ea3 th\u1ea5p h\u01a1n.<\/p>\n\n\n\n

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H\u00ecnh \u1ea3nh tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh nh\u00e2n T<\/figcaption><\/figure><\/div>\n\n\n\n
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H\u00ecnh \u1ea3nh sau \u0111i\u1ec1u tr\u1ecb 1 th\u00e1ng c\u1ee7a b\u1ec7nh nh\u00e2n T<\/figcaption><\/figure><\/div>\n\n\n\n

\u0110i\u1ec3n h\u00ecnh \u1edf b\u1ec7nh nh\u00e2n \u0110\u1ed7 Ph\u01b0\u01a1ng T, 15 tu\u1ed5i g\u1eb7p t\u00ecnh tr\u1ea1ng \u0111au, c\u0103ng t\u1ee9c c\u1ed5 \u0111\u1ebfn kh\u00e1m t\u1ea1i B\u1ec7nh vi\u1ec7n. Qua th\u0103m kh\u00e1m v\u00e0 h\u00ecnh \u1ea3nh si\u00eau \u00e2m cho th\u1ea5y, b\u1ec7nh nh\u00e2n c\u00f3 nang xu\u1ea5t huy\u1ebft th\u00f9y tr\u00e1i; k\u00edch th\u01b0\u1edbc: 20x14x17mm~ 3ml. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p h\u00fat d\u1ecbch v\u00e0 ti\u00eam Ethanol tuy\u1ec7t \u0111\u1ed1i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m; h\u00fat ra 3,5ml d\u1ecbch m\u00e1u k\u00e8m m\u00e1u \u0111\u00f4ng trong nang gi\u00e1p;\u00a0b\u01a1m c\u1ed3n tuy\u1ec7t \u0111\u1ed1i v\u00e0o nang. K\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb sau 1 th\u00e1ng, kh\u1ed1i nang v\u00f9ng c\u1ed5, c\u1ea3m gi\u00e1c \u0111au, c\u0103ng t\u1ee9c c\u1ed5\u2026\u1edf ng\u01b0\u1eddi b\u1ec7nh g\u1ea7n nh\u01b0 kh\u00f4ng c\u00f2n.<\/p>\n\n\n\n

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

V\u1edbi ph\u01b0\u01a1ng ph\u00e1p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i trong \u0111i\u1ec1u tr\u1ecb nang tuy\u1ebfn gi\u00e1p s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt; sau th\u1ee7 thu\u1eadt b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 v\u1ec1 ngay. Kh\u00f4ng t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00f9ng c\u1ed5; kh\u00f4ng c\u00f3 s\u1eb9o m\u1ed5. Ngo\u00e0i ra, d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m n\u00ean \u0111\u1eb7c bi\u1ec7t an to\u00e0n, ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu d\u01b0\u1edbi h\u00ecnh \u1ea3nh si\u00eau \u00e2m; ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u1ed3n tuy\u1ec7t \u0111\u1ed1i v\u00e0 t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u trong l\u00fac l\u00e0m th\u1ee7 thu\u1eadt. B\u1ec7nh nh\u00e2n ho\u00e0n to\u00e0n t\u1ec9nh trong l\u00fac l\u00e0m th\u1ee7 thu\u1eadt n\u00ean c\u00f3 th\u1ec3 ki\u1ec3m tra \u0111\u01b0\u1ee3c gi\u1ecdng n\u00f3i c\u1ee7a b\u1ec7nh nh\u00e2n. \u0110\u1ed3ng th\u1eddi v\u1edbi chi ph\u00ed r\u1ebb, \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c b\u00e1c s\u0129 c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao, ph\u01b0\u01a1ng ph\u00e1p ti\u00eam c\u1ed3n tuy\u1ec7t \u0111\u1ed1i trong \u0111i\u1ec1u tr\u1ecb nang tuy\u1ebfn gi\u00e1p t\u1ea1i B\u1ec7nh vi\u1ec7n \u0111a khoa qu\u1ed1c t\u1ebf H\u1ea3i Ph\u00f2ng \u0111\u00e3 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u0111a cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nang tuy\u1ebfn gi\u00e1p l\u00e0 b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn, \u0111a ph\u1ea7n l\u00e0 l\u00e0nh t\u00ednh tuy nhi\u00ean n\u00f3 c\u0169ng g\u00e2y \u1ea3nh h\u01b0\u1edfng t\u1edbi cu\u1ed9c s\u1ed1ng v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Nang tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c chia l\u00e0m 2 lo\u1ea1i:\u00a0 kh\u1ed1i d\u1ea1ng nang (ph\u1ea7n d\u1ecbch t\u1eeb 50-90% th\u1ec3 t\u00edch nh\u00e2n g\u1ecdi l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang) v\u00e0<\/p>\n","protected":false},"author":1,"featured_media":7539,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[91,58],"tags":[],"class_list":["post-7535","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-phau-thuat-tao-hinh-tham-my","category-tin-moi"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=7535"}],"version-history":[{"count":1,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7535\/revisions"}],"predecessor-version":[{"id":7540,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7535\/revisions\/7540"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/7539"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=7535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=7535"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=7535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}