{"id":2402,"date":"2023-07-22T13:59:57","date_gmt":"2023-07-22T06:59:57","guid":{"rendered":"https:\/\/hienbacsi.com\/?p=2402"},"modified":"2024-07-22T10:08:40","modified_gmt":"2024-07-22T03:08:40","slug":"1-truong-hop-viem-gan-b-xo-hoa-gan-nang-dieu-tri-ve-gan-nhu-binh-thuong","status":"publish","type":"post","link":"https:\/\/hienbacsi.com\/index.php\/2023\/07\/22\/1-truong-hop-viem-gan-b-xo-hoa-gan-nang-dieu-tri-ve-gan-nhu-binh-thuong\/","title":{"rendered":"1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B: x\u01a1 ho\u00e1 gan n\u1eb7ng \u0111i\u1ec1u tr\u1ecb v\u1ec1 g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng."},"content":{"rendered":"\n

[chuy\u1ec7n ngh\u1ec1 y c\u00f9ng BS Hi\u1ec1n] s\u1ed1 86<\/p>\n\n\n\n

Trong m\u1ed9t s\u00e1ng \u0111\u1ea7u n\u0103m, anh Nguy\u1ec5n V\u0103n T. t\u1eeb mi\u1ec1n Trung \u0111\u00e3 \u0111\u1ebfn kh\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m c\u1ee7a th\u1ea1c s\u0129 b\u00e1c s\u0129 Tr\u1ea7n H\u1eefu Hi\u1ec1n v\u1edbi t\u00e2m tr\u1ea1ng lo l\u1eafng. Anh T. m\u1eafc vi\u00eam gan B v\u00e0 t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a gan r\u1ea5t n\u1eb7ng (F4), s\u1eafp \u0111\u1ebfn giai \u0111o\u1ea1n x\u01a1 gan. \u0110i\u1ec1u \u0111\u00e1ng n\u00f3i l\u00e0 c\u01a1 th\u1ec3 anh kh\u00f4ng h\u1ec1 c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u1ec7t n\u00e0o.<\/p>\n\n\n\n

D\u01b0\u1edbi s\u1ef1 t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 Hi\u1ec1n, anh T. \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 ch\u1ed1ng x\u01a1 h\u00f3a gan c\u1ee7a H\u1ed9i Nghi\u00ean c\u1ee9u Gan Ch\u00e2u \u00c2u (EASL) k\u1ebft h\u1ee3p v\u1edbi ch\u1ebf \u0111\u1ed9 h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia nghi\u00eam ng\u1eb7t. B\u00e1c s\u0129 Hi\u1ec1n, v\u1edbi kinh nghi\u1ec7m v\u00e0 s\u1ef1 t\u1eadn t\u00e2m c\u1ee7a m\u00ecnh, \u0111\u00e3 theo s\u00e1t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t cho anh T.<\/p>\n\n\n\n

<\/figure>\n\n\n\n

Sau 6 th\u00e1ng \u0111i\u1ec1u tr\u1ecb ki\u00ean tr\u00ec v\u00e0 tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 Hi\u1ec1n, k\u1ebft qu\u1ea3 th\u1eadt b\u1ea5t ng\u1edd v\u00e0 \u0111\u00e1ng m\u1eebng: m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan c\u1ee7a anh T. \u0111\u00e3 gi\u1ea3m d\u1ea7n, g\u1ea7n nh\u01b0 tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng (F0). \u0110\u00e2y kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t th\u00e0nh c\u00f4ng y h\u1ecdc m\u00e0 c\u00f2n l\u00e0 minh ch\u1ee9ng s\u1ed1ng \u0111\u1ed9ng cho s\u1ef1 n\u1ed7 l\u1ef1c v\u00e0 quy\u1ebft t\u00e2m c\u1ee7a c\u1ea3 b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129.<\/p>\n\n\n\n

B\u00e1c s\u0129 Tr\u1ea7n H\u1eefu Hi\u1ec1n chia s\u1ebb: “\u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb vi\u00eam gan B v\u00e0 x\u01a1 h\u00f3a gan l\u00e0 s\u1ef1 ki\u00ean tr\u00ec v\u00e0 tu\u00e2n th\u1ee7 \u0111\u00fang ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i tin t\u01b0\u1edfng v\u00e0o qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1eef cho m\u00ecnh m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh. H\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia v\u00e0 \u0103n u\u1ed1ng \u0111i\u1ec1u \u0111\u1ed9 l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh gi\u00fap gan ph\u1ee5c h\u1ed3i t\u1ed1t h\u01a1n.”<\/p>\n\n\n\n

Nh\u1eefng l\u1eddi khuy\u00ean t\u1eeb b\u00e1c s\u0129 Hi\u1ec1n lu\u00f4n nh\u1ea5n m\u1ea1nh v\u00e0o vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh l\u00fd gan m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3:<\/p>\n\n\n\n

    \n
  1. Kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3:<\/strong> \u0110\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n\n\n\n
  2. Tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb:<\/strong> L\u00e0m theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, kh\u00f4ng t\u1ef1 \u00fd thay \u0111\u1ed5i thu\u1ed1c ho\u1eb7c ng\u01b0ng \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n
  3. Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh:<\/strong> H\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, t\u0103ng c\u01b0\u1eddng rau xanh v\u00e0 tr\u00e1i c\u00e2y, tr\u00e1nh th\u1ee9c \u0103n nhi\u1ec1u d\u1ea7u m\u1ee1.<\/li>\n\n\n\n
  4. T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n:<\/strong> Gi\u00fap c\u01a1 th\u1ec3 kh\u1ecfe m\u1ea1nh v\u00e0 t\u0103ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng gan.<\/li>\n<\/ol>\n\n\n\n

    C\u00e2u chuy\u1ec7n c\u1ee7a anh T. l\u00e0 ngu\u1ed3n c\u1ea3m h\u1ee9ng l\u1edbn cho nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00e1c \u0111ang chi\u1ebfn \u0111\u1ea5u v\u1edbi b\u1ec7nh gan. N\u00f3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng, v\u1edbi s\u1ef1 quy\u1ebft t\u00e2m v\u00e0 ch\u0103m s\u00f3c y t\u1ebf t\u1eadn t\u00e2m, ch\u00fang ta ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 v\u01b0\u1ee3t qua nh\u1eefng th\u1eed th\u00e1ch l\u1edbn c\u1ee7a s\u1ee9c kh\u1ecfe.<\/p>\n\n\n\n

    H\u00e3y c\u00f9ng lan t\u1ecfa nh\u1eefng c\u00e2u chuy\u1ec7n nh\u01b0 th\u1ebf n\u00e0y, \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi th\u00eam tin t\u01b0\u1edfng v\u00e0o kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c v\u00e0 s\u1ee9c m\u1ea1nh c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i. S\u1ef1 ch\u0103m s\u00f3c v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u1eefng chuy\u00ean gia nh\u01b0 b\u00e1c s\u0129 Tr\u1ea7n H\u1eefu Hi\u1ec1n ch\u00ednh l\u00e0 ch\u00eca kh\u00f3a m\u1edf ra c\u00e1nh c\u1eeda hy v\u1ecdng cho nhi\u1ec1u b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

    \"\"
    1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam gan B: x\u01a1 ho\u00e1 gan n\u1eb7ng \u0111i\u1ec1u tr\u1ecb v\u1ec1 g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/strong><\/figcaption><\/figure>\n\n\n\n

    drhienchuyennghey #bacsitranhuuhien<\/h1>\n\n\n\n

    Gia \u0111\u00ecnh r\u1ea5t vui m\u1eebng.<\/p>\n\n\n\n

    ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n
    T\u1ed1t nghi\u1ec7p b\u1eb1ng DIU \u0110H Corse CH Ph\u00e1p<\/p>\n","protected":false},"excerpt":{"rendered":"

    [chuy\u1ec7n ngh\u1ec1 y c\u00f9ng BS Hi\u1ec1n] s\u1ed1 86 Trong m\u1ed9t s\u00e1ng \u0111\u1ea7u n\u0103m, anh Nguy\u1ec5n V\u0103n T. t\u1eeb mi\u1ec1n Trung \u0111\u00e3 \u0111\u1ebfn kh\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m c\u1ee7a th\u1ea1c s\u0129 b\u00e1c…<\/p>\n","protected":false},"author":1,"featured_media":2401,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[106,39],"tags":[67,53,51],"jetpack_featured_media_url":"https:\/\/hienbacsi.com\/wp-content\/uploads\/2023\/07\/img_5558-scaled.jpg","_links":{"self":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2402"}],"collection":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/comments?post=2402"}],"version-history":[{"count":3,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2402\/revisions"}],"predecessor-version":[{"id":2997,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2402\/revisions\/2997"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media\/2401"}],"wp:attachment":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media?parent=2402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/categories?post=2402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/tags?post=2402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}