{"id":3758,"date":"2018-08-20T15:42:32","date_gmt":"2018-08-20T08:42:32","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/20\/cham-soc-da-quy-dau-cho-tre-khi-nao-can-cat-bao-quy-dau\/"},"modified":"2024-03-04T13:50:10","modified_gmt":"2024-03-04T06:50:10","slug":"cham-soc-da-quy-dau-cho-tre-khi-nao-can-cat-bao-quy-dau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/cham-soc-da-quy-dau-cho-tre-khi-nao-can-cat-bao-quy-dau\/","title":{"rendered":"Ch\u0103m s\u00f3c da quy \u0111\u1ea7u cho tr\u1ebb &#8211; Khi n\u00e0o c\u1ea7n c\u1eaft bao quy \u0111\u1ea7u?"},"content":{"rendered":"<p>\u1ede h\u1ea7u h\u1ebft c\u00e1c n\u01a1i tr\u00ean th\u1ebf gi\u1edbi vi\u1ec7c c\u1eaft bao quy \u0111\u1ea7u l\u00e0 kh\u00f4ng ph\u1ed5 bi\u1ebfn.<\/p>\n<h2>S\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a da quy \u0111\u1ea7u<\/h2>\n<p>Da quy \u0111\u1ea7u l\u00e0 1 bao da d\u00e0i kho\u1ea3ng 1cm b\u1ecdc l\u1ea5y quy \u0111\u1ea7u \u1edf ph\u00eda sau \u0111\u1ec3 b\u1ea3o v\u1ec7 quy \u0111\u1ea7u v\u00e0 l\u1ed7 s\u00e1o (l\u1ed7 ni\u1ec7u \u0111\u1ea1o). V\u00e0o kho\u1ea3ng 8-9 tu\u1ea7n thai, da quy \u0111\u1ea7u xu\u1ea5t hi\u1ec7n v\u00e0 b\u00e1m v\u00e0o quy \u0111\u1ea7u ho\u00e0n to\u00e0n l\u00fac 4 &#8211; 4,5 th\u00e1ng c\u1ee7a thai k\u00ec.<\/p>\n<h2>S\u1ef1 co r\u00fat c\u1ee7a da quy \u0111\u1ea7u<\/h2>\n<p>L\u00e0 s\u1ef1 co l\u1ea1i v\u1ec1 ph\u00eda sau c\u1ee7a da bao quy \u0111\u1ea7u nh\u1eb1m l\u00e0m l\u1ed9 l\u1ed7 ti\u1ec3u v\u00e0 quy \u0111\u1ea7u ra, hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y b\u1eaft \u0111\u1ea7u v\u00e0o nh\u1eefng th\u00e1ng cu\u1ed1i thai k\u00ec, nh\u01b0ng h\u1ea7u h\u1ebft s\u1ef1 co r\u00fat n\u00e0y kh\u00f4ng ho\u00e0n to\u00e0n \u1edf tr\u1ebb m\u1edbi sinh:<\/p>\n<p>Ch\u1ec9 t\u1ea7m 4 % tr\u1ebb m\u1edbi sinh l\u00e0 c\u00f3 bao quy \u0111\u1ea7u co r\u00fat ho\u00e0n to\u00e0n \u0111\u1ec3 l\u1ed9 \u0111\u01b0\u1ee3c quy \u0111\u1ea7u ra v\u00e0 c\u00f3 \u0111\u1ebfn 50 % tr\u1ebb con m\u1edbi sinh s\u1ef1 co r\u00fat n\u00e0y kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y l\u1ed7 ti\u1ec3u 1 c\u00e1ch r\u00f5 r\u00e0ng. S\u1ef1 co r\u00fat n\u00e0y ti\u1ebfp t\u1ee5c di\u1ec5n ra. Cho \u0111\u1ebfn th\u1eddi k\u00ec thanh thi\u1ebfu ni\u00ean th\u00ec 99% quy \u0111\u1ea7u l\u1ed9 ra ho\u00e0n to\u00e0n.<\/p>\n<p>Sau khi sinh, s\u1ef1 l\u1edbn l\u00ean c\u1ee7a d\u01b0\u01a1ng v\u1eadt v\u00e0 s\u1ef1 c\u01b0\u01a1ng c\u1ee9ng gi\u00fap t\u00e1ch da quy \u0111\u1ea7u kh\u1ecfi quy \u0111\u1ea7u:<\/p>\n<ul>\n<li>50% quy \u0111\u1ea7u s\u1ebd l\u1ed9 ra ho\u00e0n to\u00e0n khi tr\u1ebb \u0111\u01b0\u1ee3c 3 tu\u1ed5i.<\/li>\n<li>95% quy \u0111\u1ea7u s\u1ebd l\u1ed9 ho\u00e0n to\u00e0n khi tr\u1ebb 5 tu\u1ed5i v\u00e0 99 % \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean.<\/li>\n<\/ul>\n<h2>H\u1eb9p bao quy \u0111\u1ea7u (PHIMOSIS)<\/h2>\n<p>H\u1eb9p bao quy \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 bao quy \u0111\u1ea7u kh\u00f4ng co kh\u1ea3 n\u0103ng co r\u00fat l\u1ea1i. S\u1ef1 co r\u00fat ho\u00e0n to\u00e0n c\u1ee7a bao quy \u0111\u1ea7u t\u0103ng d\u1ea7n theo \u0111\u1ed9 tu\u1ed5i v\u00e0 t\u1ec9 l\u1ec7 h\u1eb9p bao quy \u0111\u1ea7u c\u0169ng gi\u1ea3m d\u1ea7n.<\/p>\n<h3><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-21341 size-full\" src=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2018\/08\/hep-bao-quy-dau-o-tre.jpg\" alt=\"H\u1eb9p bao quy \u0111\u1ea7u \u1edf tr\u1ebb em\" width=\"660\" height=\"330\" \/><\/h3>\n<p>H\u1eb9p bao quy \u0111\u1ea7u chia l\u00e0m 2 lo\u1ea1i:<\/p>\n<ul>\n<li><strong>H\u1eb9p bao quy \u0111\u1ea7u sinh l\u00fd<\/strong>: G\u1eb7p \u1edf h\u1ea7u h\u1ebft tr\u1ebb nam m\u1edbi sinh, do s\u1ef1 d\u00ednh b\u1ea9m sinh c\u1ee7a l\u1edbp da quy \u0111\u1ea7u v\u00e0o quy \u0111\u1ea7u. Th\u0103m kh\u00e1m s\u1ebd th\u1ea5y c\u00f3 1 l\u1ed7 da m\u1ec1m m\u1ea1i \u1edf \u0111\u1ec9nh c\u1ee7a bao quy \u0111\u1ea7u qua \u0111\u00f3 th\u1ea5y \u0111\u01b0\u1ee3c l\u1ed7 ti\u1ec3u ho\u1eb7c 1 ph\u1ea7n d\u01b0\u01a1ng v\u1eadt.<\/li>\n<li><strong>H\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd:<\/strong>\u00a0\u0110\u01b0\u1ee3c b\u00e1o c\u00e1o t\u1eeb 0-16 % c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00f9y theo \u0111\u1ed9 tu\u1ed5i, t\u1eadp t\u00ednh v\u00e0 \u0111\u1ecbnh ngh\u0129a v\u1ec1 h\u1eb9p bao quy \u0111\u1ea7u. H\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 da bao quy \u0111\u1ea7u th\u1ef1c s\u1ef1 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng co r\u00fat l\u1ea1i \u0111\u01b0\u1ee3c do s\u1eb9o v\u00e0 x\u01a1 h\u00f3a \u0111\u1ea7u xa c\u1ee7a bao quy \u0111\u1ea7u quanh l\u1ed7 da quy \u0111\u1ea7u, th\u01b0\u1eddng do vi\u00eam hay nhi\u1ec5m tr\u00f9ng g\u00e2y ra. C\u00f3 th\u1ec3 th\u1ea5y l\u1ed7 da \u1edf ch\u00f3p bao quy \u0111\u1ea7u l\u00e0 1 v\u00f2ng s\u1eb9o x\u01a1 tr\u1eafng.<\/li>\n<\/ul>\n<p>Vi\u1ec7c ph\u00e2n bi\u1ec7t h\u1eb9p bao quy \u0111\u1ea7u sinh l\u00fd v\u00e0 b\u1ec7nh l\u00fd r\u1ea5t quan tr\u1ecdng v\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i t\u1edbi g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa ni\u1ec7u. C\u00e1c b\u00e1o c\u00e1o cho th\u1ea5y ch\u1ec9 c\u00f3 1 t\u1ec9 l\u1ec7 r\u1ea5t th\u1ea5p c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd l\u00e0 ph\u1ea3i can thi\u1ec7p.<\/p>\n<h2>Ch\u0103m s\u00f3c th\u01b0\u1eddng quy v\u00e0 v\u1ec7 sinh<\/h2>\n<p>\u1ede M\u0129 v\u00e0 Canada t\u1ec9 l\u1ec7 c\u1eaft bao quy \u0111\u1ea7u ng\u00e0y c\u00e0ng gi\u1ea3m, do v\u1eady c\u1ea7n thi\u1ebft ph\u1ea3i gi\u00e1o d\u1ee5c c\u00e1ch ch\u0103m s\u00f3c v\u00e0 v\u1ec7 sinh bao quy \u0111\u1ea7u cho nh\u1eefng tr\u1ebb kh\u00f4ng c\u1eaft bao quy \u0111\u1ea7u. \u1ede Vi\u1ec7t Nam d\u01b0\u1eddng nh\u01b0 c\u00f3 s\u1ef1 l\u1ea1m d\u1ee5ng trong vi\u1ec7c nong v\u00e0 c\u1eaft bao quy \u0111\u1ea7u cho tr\u1ebb em.<\/p>\n<p>Vi\u1ec7c cha m\u1eb9 t\u1ef1 tin ch\u0103m s\u00f3c da quy \u0111\u1ea7u cho con s\u1ebd h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y. Vi\u1ec7c ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch c\u0169ng gi\u1ea3m \u0111\u1ef1\u01a1c t\u00ecnh tr\u1ea1ng h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd.<\/p>\n<h3>\u0110\u1ed1i v\u1edbi tr\u1ebb s\u01a1 sinh v\u00e0 nh\u0169 nhi<\/h3>\n<ul>\n<li>Da quy \u0111\u1ea7u kh\u00f4ng c\u1ea7n ch\u0103m s\u00f3c g\u00ec \u0111\u1eb7c bi\u1ec7t so v\u1edbi c\u00e1c v\u00f9ng kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3, ch\u1ec9 c\u1ea7n r\u1eeda s\u1ea1ch d\u01b0\u01a1ng v\u1eadt m\u1ed7i khi t\u1eafm, c\u00f3 th\u1ec3 d\u00f9ng x\u00e0 b\u00f4ng mi\u1ec5n l\u00e0 lo\u1ea1i kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng v\u00e0 an to\u00e0n so v\u1edbi tu\u1ed5i c\u1ee7a tr\u1ebb.<\/li>\n<li>Thay t\u00e3 th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 gi\u1ea3m t\u1ec9 l\u1ec7 vi\u00eam da do t\u00e3 v\u00e0 k\u00edch \u1ee9ng da.<\/li>\n<li>Tr\u00e1nh k\u00e9o m\u1ea1nh bao quy \u0111\u1ea7u ra sau v\u00ec c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u cho tr\u1ebb v\u00e0 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi hi\u1ec7n t\u01b0\u1ee3ng x\u01a1 h\u00f3a da quy \u0111\u1ea7u l\u00e0m t\u0103ng nguy c\u01a1 t\u1ea1o n\u00ean h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00ed. K\u00e9o nh\u1eb9 nh\u00e0ng bao quy \u0111\u1ea7u ra sau<\/li>\n<\/ul>\n<p>Thay t\u00e3 th\u01b0\u1eddng xuy\u00ean v\u00e0 t\u1eafm r\u1eeda s\u1ea1ch s\u1ebd g\u00f3p ph\u00e2n h\u1ed7 tr\u1ee3 ti\u1ebfn tr\u00ecnh co r\u00fat t\u1ef1 nhi\u00ean c\u1ee7a bao quy \u0111\u1ea7u v\u00e0 gi\u1ea3i ph\u00f3ng quy \u0111\u1ea7u 1 c\u00e1ch t\u1ef1 nhi\u00ean, nh\u1eb9 nh\u00e0ng, an to\u00e0n. K\u00e9o nh\u1eb9 bao quy \u0111\u1ea7u ra sau, r\u1eeda s\u1ea1ch v\u00e0 l\u00e0m kh\u00f4, sau \u0111\u00f3 nh\u1edb k\u00e9o tr\u1ea3 l\u1ea1i v\u1ecb tr\u00ed c\u0169 \u0111\u1ec3 kh\u00f4ng d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng th\u1eaft ngh\u1eb9t quy \u0111\u1ea7u (paraphimosis).<\/p>\n<h3>Khi tr\u1ebb \u0111\u1ee7 l\u1edbn<\/h3>\n<p>B\u1ea1n c\u00f3 th\u1ec3 h\u01b0\u1edbng d\u1eabn tr\u1ebb t\u1ef1 k\u00e9o bao quy \u0111\u1ea7u xu\u1ed1ng, r\u1eeda s\u1ea1ch quy \u0111\u1ea7u d\u01b0\u1edbi l\u1edbp da, l\u00e0m kh\u00f4 v\u00e0 k\u00e9o tr\u1ea3 l\u1ea1i v\u1ecb tr\u00ed c\u0169.<\/p>\n<h3>Khi tr\u1ebb \u0111\u1ebfn kh\u00e1m s\u1ee9c kh\u1ecfe,\u00a0B\u00e1c s\u0129 Nhi khoa c\u1ea7n \u0111\u00e1nh gi\u00e1<\/h3>\n<ul>\n<li>D\u00f2ng ti\u1ec3u c\u00f3 m\u1ea1nh kh\u00f4ng?<\/li>\n<li>D\u00f2ng ti\u1ec3u c\u00f3 th\u1eb3ng (li\u00ean t\u1ee5c) kh\u00f4ng ?<\/li>\n<li>Bao quy \u0111\u1ea7u c\u00f3 ph\u1ed3ng l\u00ean khi ti\u1ec3u kh\u00f4ng?<\/li>\n<li>\u0110\u1ee9a b\u00e9 c\u00f3 c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu khi \u0111i ti\u1ec3u kh\u00f4ng?<\/li>\n<\/ul>\n<h2>M\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng c\u1ea7n ph\u1ea3i l\u01b0u \u00fd<\/h2>\n<h3>C\u00e1c t\u00ecnh tr\u1ea1ng l\u00e0nh t\u00ednh<\/h3>\n<p>Nh\u1eefng t\u00ecnh tr\u1ea1ng n\u00e0y kh\u00f4ng y\u00eau c\u1ea7u can thi\u1ec7p, c\u1ea7n gi\u1ea3i th\u00edch cho ph\u1ee5 huynh hi\u1ec3u:<\/p>\n<ul>\n<li>H\u1eb9p bao quy \u0111\u1ea7u sinh l\u00fd<\/li>\n<li>Nang bao quy \u0111\u1ea7u g\u00e2y ra do ch\u1ea5t c\u1eb7n<\/li>\n<li>S\u1ef1 ph\u1ed3ng l\u00ean tho\u00e1ng qua c\u1ee7a bao quy \u0111\u1ea7u.<\/li>\n<\/ul>\n<h4>H\u1eb9p bao quy \u0111\u1ea7u sinh l\u00fd<\/h4>\n<p>Nh\u01b0 \u0111\u00e3 n\u00f3i \u1edf tr\u00ean, hi\u1ec7n di\u1ec7n \u1edf h\u1ea7u h\u1ebft c\u00e1c b\u00e9 nam sau khi sinh v\u00e0 theo th\u1eddi gian bao quy \u0111\u1ea7u s\u1ebd co r\u00fat v\u00e0 gi\u1ea3i ph\u00f3ng quy \u0111\u1ea7u ho\u00e0n to\u00e0n 1 c\u00e1ch t\u1ef1 nhi\u00ean kh\u00f4ng c\u1ea7n can thi\u1ec7p g\u00ec c\u1ea3. Tuy nhi\u00ean kh\u00f4ng c\u00f3 1 \u0111\u1ed9 tu\u1ed5i c\u1ed1 \u0111\u1ecbnh cho s\u1ef1 co r\u00fat n\u00e0y. M\u1ed9t s\u1ed1 tr\u1ebb \u0111\u1ebfn tu\u1ed5i h\u1ecdc \u0111\u01b0\u1eddng m\u00e0 bao quy \u0111\u1ea7u ch\u01b0a co r\u00fat ho\u00e0n to\u00e0n, n\u00ean h\u01b0\u1edbng d\u1eabn cha m\u1eb9 v\u00e0 c\u1ea3 tr\u1ebb b\u00e0i t\u1eadp k\u00e9o da quy \u0111\u1ea7u nh\u01b0 \u0111\u00e3 h\u01b0\u1edbng d\u1eabn \u1edf tr\u00ean. C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 betamethasone 0.05 % thoa l\u00ean ch\u00f3p da quy \u0111\u1ea7u 2 l\u1ea7n 1 ng\u00e0y trong 4-8 tu\u1ea7n \u0111\u1ec3 \u0111\u1ea9y nhanh t\u1ed1c \u0111\u1ed9 co r\u00fat c\u1ee7a bao quy \u0111\u1ea7u.<\/p>\n<h4>U nang bao quy \u0111\u1ea7u<\/h4>\n<p>Ch\u1ea5t ti\u1ebft c\u1ee7a t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 b\u1ecb m\u1eafc k\u1eb9t gi\u1eefa bao quy \u0111\u1ea7u v\u00e0 quy \u0111\u1ea7u t\u1ea1o th\u00e0nh nh\u1eefng c\u1ee5c u m\u00e0u tr\u1eafng \u1edf d\u01b0\u1edbi l\u1edbp da bao quy \u0111\u1ea7u, c\u00f3 th\u1ec3 h\u01a1i ng\u00e0 v\u00e0ng &#8211; g\u1ecdi l\u00e0 b\u1ef1a (smegma) v\u00e0 t\u1ea1o th\u00e0nh 1 u nang bao quy \u0111\u1ea7u. T\u1ed5 ch\u1ee9c n\u00e0y l\u00e0nh t\u00ednh, v\u00e0 c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 cho qu\u00e1 tr\u00ecnh b\u00f3c t\u00e1ch t\u1ef1 nhi\u00ean da quy \u0111\u1ea7u kh\u1ecfi quy \u0111\u1ea7u. C\u1ee5c tr\u1eafng n\u00e0y s\u1ebd t\u1ef1 r\u01a1i ra khi bao quy \u0111\u1ea7u co r\u00fat t\u00e1ch ho\u00e0n to\u00e0n kh\u1ecfi quy \u0111\u1ea7u, kh\u00f4ng c\u1ea7n can thi\u1ec7p g\u00ec c\u1ea3.<\/p>\n<h4>Ph\u1ed3ng bao quy \u0111\u1ea7u tho\u00e1ng qua khi \u0111i ti\u1ec3u<\/h4>\n<p>Th\u01b0\u1eddng l\u00e0 l\u00e0nh t\u00ednh v\u00e0 kh\u00f4ng c\u1ea7n can thi\u1ec7p, tuy nhi\u00ean n\u1ebfu s\u1ef1 c\u0103ng ph\u1ed3ng ch\u1ec9 \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft khi d\u00f9ng tay n\u00e9n v\u00e0o \u0111\u1ec3 t\u1ed1ng h\u1ebft n\u01b0\u1edbc ti\u1ec3u ra th\u00ec c\u1ea7n \u0111i g\u1eb7p b\u00e1c s\u0129. C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c s\u1ebd \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft khi bao quy \u0111\u1ea7u co r\u00fat l\u1ea1i t\u1ed1t h\u01a1n.<\/p>\n<h3>C\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00ed c\u1ea7n can thi\u1ec7p<\/h3>\n<ul>\n<li>H\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00ed<\/li>\n<li>Th\u1eaft ngh\u1eb9t quy \u0111\u1ea7u (Paraphimosis)<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u nhi\u1ec1u l\u1ea7n<\/li>\n<li>Vi\u00eam bao quy \u0111\u1ea7u n\u1eb7ng ho\u1eb7c t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n<\/li>\n<li>Vi\u00eam ph\u00ec \u0111\u1ea1i da bao quy \u0111\u1ea7u m\u1ea1n t\u00ednh (BXO): Kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/li>\n<li>H\u00e3m d\u01b0\u01a1ng v\u1eadt ng\u1eafn: L\u00e0 v\u1ebft l\u1eb1n (gi\u1ed1ng d\u00e2y th\u1eafng) \u1edf m\u1eb7t d\u01b0\u1edbi quy \u0111\u1ea7u, n\u1ed1i quy \u0111\u1ea7u v\u1edbi bao quy \u0111\u1ea7u, n\u1ebfu d\u00e2y h\u00e3m n\u00e0y qu\u00e1 ng\u1eafn s\u1ebd l\u00e0m \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ef1 co r\u00fat c\u1ee7a bao quy \u0111\u1ea7u. C\u00f3 th\u1ec3 th\u1ea5y r\u00f5 khi d\u01b0\u01a1ng v\u1eadt c\u01b0\u01a1ng c\u1ee9ng, n\u00f3 l\u00e0m cho d\u01b0\u01a1ng v\u1eadt ch\u00fai xu\u1ed1ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y \u0111au .<\/li>\n<\/ul>\n<h4>\u0110\u1ecbnh ngh\u0129a h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd<\/h4>\n<p>L\u00e0 bao quy \u0111\u1ea7u th\u1ef1c s\u1ef1 kh\u00f4ng th\u1ec3 t\u1ee5t xu\u1ed1ng \u0111\u01b0\u1ee3c do c\u00f3 s\u1ef1 s\u1eb9o hay x\u01a1 h\u00f3a \u1edf \u0111\u1ea7u xa bao quy \u0111\u1ea7u (ch\u00f3p bao quy \u0111\u1ea7u), th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng, vi\u00eam, nhi\u1ec5m tr\u00f9ng, th\u1eadm ch\u00ed s\u1eb9o sau c\u1eaft bao quy \u0111\u1ea7u.<\/p>\n<h4>Bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd<\/h4>\n<ul>\n<li>\u1ede 1 l\u1ee9a tu\u1ed5i nh\u1ecf, l\u00fac \u0111\u1ea7u bao quy \u0111\u1ea7u c\u00f3 th\u1ec3 k\u00e9o xu\u1ed1ng \u0111\u01b0\u1ee3c nh\u01b0ng sau \u0111\u00f3 tr\u1edf n\u00ean x\u1ee9ng v\u00e0 kh\u00f4ng k\u00e9o xu\u1ed1ng \u0111\u01b0\u1ee3c nh\u01b0 tr\u01b0\u1edbc n\u1eefa (secondary nonretractability)<\/li>\n<li>K\u00edch \u1ee9ng ho\u1eb7c ch\u1ea3y m\u00e1u t\u1eeb \u1edf vi\u1ec1n ch\u00f3p bao quy \u0111\u1ea7u<\/li>\n<li>Kh\u00f3 ti\u1ec3u<\/li>\n<li>\u0110au khi c\u01b0\u01a1ng c\u1ee9ng<\/li>\n<li>Vi\u00eam bao quy \u0111\u1ea7u t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n<\/li>\n<li>N\u01b0\u1edbc ti\u1ec3u \u1ee9 l\u1ea1i c\u00f9ng v\u1edbi bao quy \u0111\u1ea7u c\u0103ng ph\u1ed3ng trong th\u1eddi gian \u0111\u00e3 l\u00e2u, th\u01b0\u1eddng xuy\u00ean ph\u1ea3i d\u00f9ng tay n\u00e9n cho n\u01b0\u1edbc ti\u1ec3u tho\u00e1t ra h\u1ebft.<\/li>\n<\/ul>\n<h4>\u0110i\u1ec1u tr\u1ecb h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd<\/h4>\n<p>Khi tr\u1ebb b\u1ecb h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd c\u1ea7n g\u1eb7p b\u00e1c s\u0129 ni\u1ec7u khoa \u0111\u1ec3 tham v\u1ea5n, kh\u00f4ng n\u00ean ngay l\u1eadp t\u1ee9c cho r\u1eb1ng c\u1ea7n ph\u1ea3i c\u1eaft bao quy \u0111\u1ea7u khi ch\u01b0a xem x\u00e9t c\u00e1c tr\u1ecb li\u1ec7u b\u1ea3o t\u1ed3n kh\u00e1c.<\/p>\n<p>Trong 1 nghi\u00ean c\u1ee9u so s\u00e1nh gi\u1eefa 1 nh\u00f3m k\u1ebft h\u1ee3p b\u00e0i t\u1eadp k\u00e9o c\u0103ng bao quy \u0111\u1ea7u v\u1edbi b\u00f4i cortisol t\u1ea1i ch\u1ed7 v\u1edbi 1 nh\u00f3m ch\u1ee9ng ch\u1ec9 d\u00f9ng b\u00e0i t\u1eadp k\u00e9o \u0111\u01a1n thu\u1ea7n, th\u1ea5y c\u00f3 60-90 % tr\u1ebb \u1edf nh\u00f3m ch\u1ee9ng n\u00e0y c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec7u ph\u00e1p k\u00e9o c\u0103ng (k\u00e9o bao quy \u0111\u1ea7u ra sau r\u1ed3i k\u00e9o tr\u1ea3 v\u1ec1 v\u1ecb tr\u00ed c\u0169 m\u1ed7i l\u1ea7n l\u00e0m trong 1 ph\u00fat v\u00e0 ng\u00e0y l\u00e0m 4 l\u1ea7n trong 1-3 th\u00e1ng).<\/p>\n<p>Cortisol b\u00f4i t\u1ea1i ch\u1ed7 ph\u1ed1i h\u1ee3p v\u1edbi li\u1ec7u ph\u00e1p k\u00e9o bao quy \u0111\u1ea7u t\u1ecf ra c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi h\u1ea7u h\u1ebft tr\u1ebb em b\u1ecb h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd. C\u00f3 th\u1ec3 d\u00f9ng betamethasol 0.05% ho\u1eb7c triamcinolon 0.01- 0.5% ho\u1eb7c fluticason 0.05% .<\/p>\n<p>D\u00f9ng betamethasone 0.05% trong \u00edt nh\u1ea5t 4 tu\u1ea7n gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c 90 % h\u1eb9p bao quy \u0111\u1ea7u b\u1ec7nh l\u00fd.<br \/>\nVi\u1ec7c c\u1eaft bao quy \u0111\u1ea7u ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t sau khi th\u1ea5t b\u1ea1i v\u1edbi li\u1ec7u ph\u00e1p k\u00e9o c\u0103ng ph\u1ed1i h\u1ee3p thoa betamethasone 2 l\u1ea7n\/ng\u00e0y trong 6 tu\u1ea7n.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/891901061007415\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/891901061007415<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1eb9p bao quy \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 bao quy \u0111\u1ea7u kh\u00f4ng co kh\u1ea3 n\u0103ng co r\u00fat l\u1ea1i. S\u1ef1 co r\u00fat ho\u00e0n to\u00e0n c\u1ee7a bao quy \u0111\u1ea7u t\u0103ng d\u1ea7n theo \u0111\u1ed9 tu\u1ed5i v\u00e0 t\u1ec9 l\u1ec7 h\u1eb9p bao quy \u0111\u1ea7u c\u0169ng gi\u1ea3m d\u1ea7n.<\/p>\n","protected":false},"author":14,"featured_media":3760,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[4397,4815,5521,5520],"series":[3454],"coauthors":[2652],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u0103m s\u00f3c da quy \u0111\u1ea7u cho tr\u1ebb - khi n\u00e0o c\u1ea7n c\u1eaft bao quy \u0111\u1ea7u - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"H\u1eb9p bao quy \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 bao quy \u0111\u1ea7u kh\u00f4ng co kh\u1ea3 n\u0103ng co r\u00fat l\u1ea1i. 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