{"id":5115,"date":"2018-08-07T10:26:55","date_gmt":"2018-08-07T03:26:55","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/08\/07\/mot-so-dieu-can-biet-ve-u-men-ameloblastoma\/"},"modified":"2024-03-17T03:57:51","modified_gmt":"2024-03-16T20:57:51","slug":"mot-so-dieu-can-biet-ve-u-men-ameloblastoma","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/mot-so-dieu-can-biet-ve-u-men-ameloblastoma\/","title":{"rendered":"M\u1ed9t s\u1ed1 \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 u men (ameloblastoma)"},"content":{"rendered":"
\n

T\u1ed4NG QUAN <\/span> <\/span> <\/strong><\/p>\n

U men l\u00e0 g\u00ec?<\/h2>\n<\/div>\n

U men (hay g\u1ecdi \u0111\u1ea7y \u0111\u1ee7 t\u00ean: u nguy\u00ean b\u00e0o t\u1ea1o men<\/strong>) l\u00e0 lo\u1ea1i u do r\u0103ng l\u00e0nh t\u00ednh<\/strong> chi\u1ebfm t\u1ef7 l\u1ec7 cao trong c\u00e1c lo\u1ea1i u v\u00f9ng h\u00e0m m\u1eb7t. \u0110\u00e2y l\u00e0 m\u1ed9t u c\u00f3 t\u1ed5 ch\u1ee9c h\u1ecdc gi\u1ed1ng men r\u0103ng nh\u01b0ng bi\u1ec7t h\u00f3a theo h\u01b0\u1edbng kh\u00e1c kh\u00f4ng t\u1ea1o th\u00e0nh men r\u0103ng. <\/span> <\/span><\/p>\n

S\u1ef1 ph\u00e1t tri\u1ec3n, x\u00e2m l\u1ea5n c\u1ee7a u men m\u1ed9t c\u00e1ch \u00e2m th\u1ea7m, li\u00ean t\u1ee5c, g\u00e2y bi\u1ebfn d\u1ea1ng m\u1eb7t tr\u1ea7m tr\u1ecdng n\u1ebfu u l\u1edbn. \u0110\u1eb7c bi\u1ec7t l\u00e0 kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t cao sau \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u00f4ng th\u01b0\u1eddng. <\/span> <\/span><\/p>\n

Do u nguy\u00ean b\u00e0o t\u1ea1o men c\u00f3 t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao n\u00ean ph\u1eabu thu\u1eadt vi\u00ean th\u01b0\u1eddng c\u00f3 khuynh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3, nh\u1ea5t l\u00e0 tr\u00ean nh\u1eefng u nguy\u00ean b\u00e0o t\u1ea1o men t\u00e1i ph\u00e1t sau khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 \u0111\u00e3 \u0111\u1ec3 l\u1ea1i nhi\u1ec1u h\u1eadu qu\u1ea3, di ch\u1ee9ng n\u1eb7ng n\u1ec1 cho b\u1ec7nh nh\u00e2n v\u1ec1 th\u1ea9m m\u1ef9 v\u00e0 ch\u1ee9c n\u0103ng. Nh\u1ea5t l\u00e0 \u1edf ng\u01b0\u1eddi tr\u1ebb, \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n sau khi ph\u1eabu thu\u1eadt. Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm u men l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. <\/span> <\/span><\/p>\n

NGUY\u00caN NH\u00c2N v\u00e0 Y\u1ebeU T\u1ed0 NGUY C\u01a0<\/strong><\/p>\n

L\u00e0m sao \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm sang th\u01b0\u01a1ng u men?<\/h2>\n

Th\u00f4ng th\u01b0\u1eddng sang th\u01b0\u01a1ng u \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi ch\u1ee5p phim X-quang<\/strong> th\u01b0\u1eddng quy (nh\u1eefng phim n\u00e0y \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p khi b\u1ec7nh nh\u00e2n kh\u00e1m ki\u1ec3m tra h\u00e0m m\u1eb7t \u0111\u1ecbnh k\u1ef3). <\/span> <\/span><\/p>\n

U men xu\u1ea5t hi\u1ec7n \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i. D<\/strong>o xu\u1ea5t ph\u00e1t t\u1eeb bi\u1ec3u m\u00f4 t\u1ea1o r\u0103ng, n\u00ean u men th\u01b0\u1eddng ch\u1ec9 li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m tr\u00ean, x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 th\u01b0\u1eddng n\u1eb1m \u1edf v\u00f9ng r\u0103ng sau x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi; g\u00e2y ph\u1ed3ng x\u01b0\u01a1ng v\u00e0 bi\u1ebfn d\u1ea1ng m\u1eb7t. <\/span> <\/span><\/p>\n

TRI\u1ec6U CH\u1ee8NG<\/strong><\/p>\n

Tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a u men<\/h2>\n

U men ngo\u1ea1i bi\u00ean<\/strong><\/span><\/span><\/h3>\n

Do s\u1ef1 sai bi\u1ec7t v\u1ec1 qu\u00e1 tr\u00ecnh bi\u1ec7t h\u00f3a c\u1ee7a bi\u1ec3u m\u00f4 t\u1ea1o r\u0103ng n\u1eb1m l\u1ea1c ch\u1ed7 \u1edf n\u01b0\u1edbu r\u0103ng hay x\u01b0\u01a1ng \u1ed5 r\u0103ng. Bi\u1ec3u hi\u1ec7n b\u1eb1ng m\u1ed9t kh\u1ed1i u v\u1edbi b\u1ec1 m\u1eb7t nh\u1eb5n l\u00e1ng m\u1ed9t thu\u1ef3 hay nhi\u1ec1u thu\u1ef3. <\/strong><\/span> <\/span><\/p>\n

\"U <\/span><\/p>\n

H\u00ecnh 1: U men ngo\u1ea1i bi\u00ean n\u1eb1m \u1edf n\u01b0\u1edbu r\u0103ng m\u1eb7t trong x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00f9ng r\u0103ng tr\u01b0\u1edbc ph\u1ea3i <\/span> <\/span> <\/em><\/p>\n

\"U <\/span> <\/span><\/p>\n

H\u00ecnh 2: U men ngo\u1ea1i bi\u00ean n\u1eb1m \u1edf n\u01b0\u1edbu r\u0103ng m\u1eb7t trong x\u01b0\u01a1ng h\u00e0m tr\u00ean v\u00f9ng r\u0103ng tr\u01b0\u1edbc tr\u00e1i <\/span> <\/em> <\/span><\/p>\n

U men trung<\/strong> t\u00e2m:<\/strong><\/span><\/span><\/h3>\n

X\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi:<\/strong><\/p>\n

    \n
  • Giai \u0111o\u1ea1n s\u1edbm <\/u> <\/em> : <\/em> <\/span> <\/span><\/li>\n<\/ul>\n

    U ph\u00e1t tri\u1ec3n ch\u1eadm, \u00e2m th\u1ea7m<\/strong> v\u00e0 h\u1ea7u nh\u01b0 nh\u01b0 kh\u00f4ng c\u00f3 d\u1ea5u ch\u1ee9ng n\u00e0o. <\/span> <\/span><\/p>\n

    Th\u01b0\u1eddng ch\u1ec9 ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd tr\u00ean phim X-quang ch\u1ee5p th\u01b0\u1eddng quy. <\/span> <\/span><\/p>\n

    Tuy nhi\u00ean, n\u1ebfu ch\u1ec9 d\u1ef1a v\u00e0o phim X- quang \u0111\u1ec3 k\u1ebft lu\u1eadn \u0111\u00f3 l\u00e0 u men giai \u0111o\u1ea1n s\u1edbm th\u00ec kh\u00f4ng ch\u00ednh x\u00e1c. C\u1ea7n k\u1ebft h\u1ee3p v\u1edbi k\u1ebft qu\u1ea3 gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00fd. <\/span> <\/span><\/p>\n

      \n
    • \u00a0Giai \u0111o\u1ea1n u men ph\u00e1t tri\u1ec3n <\/u> : <\/em> <\/span> <\/span><\/li>\n<\/ul>\n

      U men ph\u00e1t tri\u1ec3n theo m\u1ecdi h\u01b0\u1edbng<\/strong> g\u00e2y ph\u00e1 hu\u1ef7 x\u01b0\u01a1ng v\u00e0 c\u00e1c m\u00f4 xung quanh, l\u00e0m ti\u00eau ng\u00f3t ch\u00e2n r\u0103ng, t\u00ea m\u00f4i c\u1eb1m\u2026 <\/span> <\/span><\/p>\n

      Khi u c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, g\u00e2y ph\u1ed3ng x\u01b0\u01a1ng. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng than phi\u1ec1n bi\u1ebfn d\u1ea1ng m\u1eb7t, m\u1ea5t th\u1ea9m m\u1ef9. <\/span> <\/span><\/p>\n

      Trong mi\u1ec7ng, ng\u00e1ch l\u1ee3i s\u01b0ng ph\u1ed3ng, kh\u00f4ng \u0111au, b\u1ec1 m\u1eb7t nh\u1eb5n, ni\u00eam m\u1ea1c ph\u1ee7 b\u00ean tr\u00ean b\u00ecnh th\u01b0\u1eddng. R\u0103ng tr\u00ean u c\u00f3 th\u1ec3 lung lay ho\u1eb7c di l\u1ec7ch. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n than \u0111au, kh\u00f3 ch\u1ecbu v\u00e0 ch\u1ea3y m\u1ee7. <\/span> <\/span><\/p>\n

      \"U \"U <\/span> <\/span><\/p>\n

      H\u00ecnh 3&4: U men g\u00e2y bi\u1ebfn d\u1ea1ng m\u1eb7t, ph\u1ed3ng x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi b\u00ean ph\u1ea3i. <\/span> <\/em> <\/span><\/p>\n

      \"U \"U <\/span> <\/span><\/p>\n

      H\u00ecnh 5&6: U men g\u00e2y ph\u1ed3ng ng\u00e1ch l\u1ee3i h\u00e0m d\u01b0\u1edbi v\u00f9ng c\u1eb1m, ti\u00eau ng\u00f3t ch\u00e2n r\u0103ng. <\/span> <\/em> <\/span><\/p>\n

        \n
      • Giai \u0111o\u1ea1n n\u1eb7ng <\/u> <\/em> : <\/em> <\/span> <\/span><\/li>\n<\/ul>\n

        U c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn<\/strong>, g\u00e2y ph\u1ed3ng x\u01b0\u01a1ng nhi\u1ec1u, m\u1eb7t bi\u1ebfn d\u1ea1ng r\u00f5, x\u01b0\u01a1ng b\u1ecb ph\u00e1 h\u1ee7y. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u1ea3m th\u1ea5y \u0111au nh\u1ee9c nhi\u1ec1u, r\u0103ng lung lay nhi\u1ec1u hay b\u1ecb x\u00f4 l\u1ec7ch. <\/span> <\/span><\/p>\n

        Tr\u01b0\u1eddng h\u1ee3p u c\u00f3 k\u00edch th\u01b0\u1edbc l\u1edbn, x\u00e2m l\u1ea5n k\u00eanh r\u0103ng d\u01b0\u1edbi l\u00e0m t\u00ea m\u00f4i d\u01b0\u1edbi, n\u1ebfu b\u1edd d\u01b0\u1edbi x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi b\u1ecb ph\u00e1 h\u1ee7y, u c\u00f3 th\u1ec3 g\u00e2y g\u00e3y x\u01b0\u01a1ng b\u1ec7nh l\u00fd. <\/span> <\/span><\/p>\n

        \"U \"U <\/span> <\/span><\/p>\n

        H\u00ecnh 7&8: U men l\u1edbn x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi. <\/span> <\/em> <\/span><\/p>\n

         <\/p>\n

        X\u01b0\u01a1ng\u00a0h\u00e0m tr\u00ean : <\/strong> <\/span> <\/span><\/p>\n

        Tu\u1ef3 v\u00e0o m\u1ee9c \u0111\u1ed9 ph\u00e1t tri\u1ec3n, k\u00edch th\u01b0\u1edbc v\u00e0 kh\u1ea3 n\u0103ng x\u00e2m l\u1ea5n m\u00e0 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y: <\/span> <\/span><\/p>\n

        – Kh\u1ed1i s\u01b0ng \u1edf t\u1ea7ng gi\u1eefa m\u1eb7t, ph\u1ed3ng x\u01b0\u01a1ng ng\u00e1ch l\u1ee3i, kh\u1ea9u c\u00e1i. <\/span> <\/span><\/p>\n

        – Ngh\u1eb9t m\u0169i. <\/span> <\/span><\/p>\n

        – M\u1ea5t kh\u1ee9u. <\/span> <\/span><\/p>\n

        – T\u00ea m\u00f4i tr\u00ean, m\u00e1, c\u1ea1nh m\u0169i c\u00f9ng b\u00ean do \u1ea3nh h\u01b0\u1edfng d\u00e2y th\u1ea7n kinh V2. <\/span> <\/span><\/p>\n

        \"U \"U <\/span> <\/span><\/p>\n

        H\u00ecnh 9&10: U men x\u01b0\u01a1ng h\u00e0m tr\u00ean ph\u1ea3i <\/span> <\/em> <\/span><\/p>\n

         <\/p>\n

        \u0110I\u1ec0U TR\u1eca <\/strong> <\/span> <\/span><\/p>\n

        U men \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n

        Kh\u00f4ng c\u00f3 m\u1ed9t lo\u1ea1i \u0111i\u1ec1u tr\u1ecb chu\u1ea9n n\u00e0o c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng cho b\u1ec7nh nh\u00e2n u men. <\/span> <\/span><\/strong><\/p>\n

        * U men ngo\u1ea1i vi: C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t th\u1ea5p. <\/span> <\/span><\/p>\n

        * U men trung t\u00e2m: T\u00f9y v\u1ecb tr\u00ed, \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1ea1i th\u1ec3 v\u00e0 vi th\u1ec3 s\u1ebd c\u00f3 c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. <\/span> <\/span><\/p>\n

        * U men d\u1ea1ng nang: C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, nh\u01b0ng s\u1ef1 t\u00e1i ph\u00e1t th\u01b0\u1eddng x\u1ea3y ra khi ch\u1ec9 n\u1ea1o u \u0111\u01a1n thu\u1ea7n. <\/span> <\/span><\/p>\n

        * T\u1ed5n th\u01b0\u01a1ng u men d\u1ea1ng \u0111\u1eb7c:<\/strong> \u0110\u00f2i h\u1ecfi t\u1ed1i thi\u1ec3u ph\u1eabu thu\u1eadt c\u1eaft x\u01b0\u01a1ng, b\u1edfi v\u00ec t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t sau khi n\u1ea1o l\u00e0 50%-90% tr\u01b0\u1eddng h\u1ee3p. C\u1eaft nguy\u00ean kh\u1ed1i (block excision) hay c\u1eaft b\u1ecf (resection) th\u01b0\u1eddng d\u00e8 d\u1eb7t trong nh\u1eefng t\u1ed5n th\u01b0\u01a1ng l\u1edbn. C\u00e1c t\u1ed5n th\u01b0\u01a1ng u men l\u1edbn th\u01b0\u1eddng ph\u1ea3i c\u1eaft \u0111o\u1ea1n x\u01b0\u01a1ng h\u00e0m, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i th\u00e1o kh\u1edbp th\u00e1i d\u01b0\u01a1ng – h\u00e0m, \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng n\u1eb7ng n\u1ec1 sau ph\u1eabu thu\u1eadt. <\/span> <\/span><\/p>\n

        T\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh gi\u1ea3i quy\u1ebft nh\u01b0 t\u1ed5n th\u01b0\u01a1ng ung th\u01b0. <\/span> <\/span><\/p>\n

        U men h\u00e0m tr\u00ean kh\u00f3 \u0111i\u1ec1u tr\u1ecb h\u01a1n so v\u1edbi u men \u1edf h\u00e0m d\u01b0\u1edbi<\/strong> v\u00ec li\u00ean quan \u0111\u1ebfn c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu quan tr\u1ecdng xung quanh v\u00e0 kh\u1ea3 n\u0103ng ung th\u01b0 x\u01b0\u01a1ng h\u00e0m tr\u00ean kh\u00e1 cao. Nh\u01b0 th\u1ebf, u men h\u00e0m tr\u00ean trong x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u1eaft v\u1edbi l\u1ec1 b\u00ecnh th\u01b0\u1eddng r\u1ed9ng h\u01a1n u h\u00e0m d\u01b0\u1edbi. <\/span> <\/span><\/p>\n

        U men c\u00f3 t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao sau \u0111i\u1ec1u tr\u1ecb, th\u1eadm ch\u00ed sau 10 n\u0103m. Do \u0111\u00f3, c\u1ea7n ph\u1ea3i t\u00e1i kh\u00e1m theo d\u00f5i \u0111\u1ecbnh k\u1ef3 <\/strong> m\u1ed7i 6 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb u men. <\/span> <\/span><\/p>\n

        T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n

        1. Cawson R.A, Binnie W.H, Barrett A.W (2001), Oral Disease <\/em> , 3 rd <\/sup> Edition, Mosby. <\/span> <\/span><\/p>\n

        2. Coleman G.C, Nelson J F (1995), Principles of Oral Diagnosis <\/em> , Mosby Year Book, 404 \u2013 405. <\/span> <\/span><\/p>\n

        3. Neville, Damm, Allen Bouquot (2002), Oral & maxillofacial Pathology <\/em> , Second Edition, W.B. Saunders Company, 611-619. <\/span> <\/span><\/p>\n

        4. Rajendran R, Sivapathasundharam B (2006), Shafer\u2019s Textbook of Oral Pathology <\/em> , 5 th <\/sup> Edition, 381-391. <\/span> <\/span><\/p>\n

        5. Regezi J.A, Seiubba JJ, Richard C.K.Jordan, (2003), Oral Pathology, Clinical Pathologic Correlation <\/em> , 4 th <\/sup> Edition, Saunders, 267-274. <\/span> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

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