{"id":4116,"date":"2018-09-05T12:15:48","date_gmt":"2018-09-05T05:15:48","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/08\/dieu-tri-tao-bon-man-chuc-nang-o-tre-em-2\/"},"modified":"2024-03-04T13:50:45","modified_gmt":"2024-03-04T06:50:45","slug":"dieu-tri-tao-bon-man-chuc-nang-o-tre-em-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/dieu-tri-tao-bon-man-chuc-nang-o-tre-em-2\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n m\u1ea1n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb em (Ph\u1ea7n 1)"},"content":{"rendered":"<h2 style=\"text-align: justify\">T\u00e1o b\u00f3n (TB) l\u00e0 g\u00ec?<\/h2>\n<p style=\"text-align: justify\">L\u00e0 t\u00ecnh tr\u1ea1ng \u0111i ti\u00eau kh\u00f4ng th\u01b0\u1eddng xuy\u00ean (&lt; 3 l\u1ea7n\/ tu\u1ea7n) v\u00e0 \u0111i c\u1ea7u \u0111au, kh\u00f3 kh\u0103n, c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 c\u0103ng th\u1eb3ng cho b\u1ec7nh nhi v\u00e0 gia \u0111\u00ecnh. L\u01b0u \u00fd ph\u00e2n b\u00f3n l\u00e0 ph\u00e2n c\u1ee9ng.<\/p>\n<h2 style=\"text-align: justify\">C\u00f3 m\u1ea5y lo\u1ea1i t\u00e1o b\u00f3n?<\/h2>\n<p style=\"text-align: justify\">Chia l\u00e0m 2 lo\u1ea1i t\u00e1o b\u00f3n<\/p>\n<h3 style=\"text-align: justify\">T\u00e1o b\u00f3n th\u1ef1c th\u1ec3<\/h3>\n<p style=\"text-align: justify\">L\u00e0 tr\u1ebb b\u1ecb t\u00e1o b\u00f3n nh\u01b0ng c\u00f3 nguy\u00ean nh\u00e2n b\u1ec7nh th\u1ef1c th\u1ec3 (c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac, ch\u1ee9c n\u0103ng) t\u1ea1i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1eb7c ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Khi can thi\u1ec7p v\u00e0o nguy\u00ean nh\u00e2n b\u1ec7nh th\u1ef1c th\u1ec3 th\u00ec t\u00ecnh tr\u1ea1ng t\u00e1o b\u00f3n \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.<\/p>\n<p style=\"text-align: justify\">V\u00ed d\u1ee5: b\u1ec7nh v\u00f4 h\u1ea1ch \u0111\u1ea1i tr\u1ef1c tr\u00e0ng b\u1ea9m sinh (Hirschprung, megacolon, ph\u00ecnh \u0111\u1ea1i tr\u00e0ng b\u1ea9m sinh), t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh v\u00f9ng \u0111u\u00f4i ng\u1ef1a, tho\u00e1t v\u1ecb m\u00e0ng n\u00e3o t\u1ee7y v\u00f9ng c\u00f9ng c\u1ee5t, ch\u00edt h\u1eb9p \u1ed1ng h\u1eadu m\u00f4n, u hay polyp h\u1eadu m\u00f4n- tr\u1ef1c tr\u00e0ng, ch\u1ee9ng \u0111\u1ea1i tr\u00e0ng d\u00e0i (c\u00f2n b\u00e0n c\u00e3i v\u1ec1 thu\u1eadt ng\u1eef n\u00e0y)&#8230;.<\/p>\n<h3 style=\"text-align: justify\">T\u00e1o b\u00f3n ch\u1ee9c n\u0103ng<\/h3>\n<p style=\"text-align: justify\">Chi\u1ebfm 95% c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00e1o b\u00f3n m\u1ea1n t\u00ednh \u1edf tr\u1ebb em: l\u00e0 do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng, do s\u1ef1 ch\u01b0a ho\u00e0n thi\u1ec7n c\u1ee7a h\u1ec7 ti\u00eau h\u00f3a hay ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 sinh ho\u1ea1t ch\u01b0a h\u1ee3p l\u00ed. Ch\u1ec9 ch\u1ea9n \u0111o\u00e1n t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng khi \u0111\u00e3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3 g\u00e2y t\u00e1o b\u00f3n.<\/p>\n<h2 style=\"text-align: justify\">S\u00f3n ph\u00e2n (\u1ec9a \u0111\u00f9n, fecal incontinence)<\/h2>\n<ul style=\"text-align: justify\">\n<li>L\u00e0 h\u00e0nh vi \u0111i ti\u00eau trong ho\u00e0n c\u1ea3nh kh\u00f4ng th\u00edch h\u1ee3p. S\u00f3n ph\u00e2n c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a:<\/li>\n<li>Do c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh hay b\u1ea5t th\u01b0\u1eddng c\u01a1 v\u00f2ng h\u1eadu m\u00f4n.<\/li>\n<li>S\u00f3n ph\u00e2n ch\u1ee9c n\u0103ng, c\u00f3 2 th\u1ec3 l\u00e0 s\u00f3n ph\u00e2n li\u00ean quan t\u1edbi t\u00e1o b\u00f3n v\u00e0 s\u00f3n ph\u00e2n kh\u00f4ng n\u00edn gi\u1eef ph\u00e2n (kh\u00f4ng li\u00ean quan t\u00e1o b\u00f3n).<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">\u1ee8 ph\u00e2n (Fecal impaction)<\/h2>\n<p style=\"text-align: justify\">C\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n 1 kh\u1ed1i ph\u00e2n l\u1edbn \u1edf tr\u1ef1c tr\u00e0ng ho\u1eb7c \u1ed5 b\u1ee5ng kh\u00f4ng th\u1ec3 t\u1ed1ng ra theo \u00fd mu\u1ed1n.<\/p>\n<h2 style=\"text-align: justify\">H\u00e0nh vi n\u00edn gi\u1eef ph\u00e2n<\/h2>\n<p style=\"text-align: justify\">C\u00f3 th\u1ec3 g\u1ee3i \u00fd qua c\u00e1c t\u01b0 th\u1ebf nh\u01b0 ch\u00e2n du\u1ed7i th\u1eb3ng, c\u0103ng c\u1ee9ng, ho\u1eb7c b\u1eaft ch\u00e9o 2 ch\u00e2n, ho\u1eb7c nh\u00edu c\u00e1c ng\u00f3n ch\u00e2n v\u00e0 nh\u00f3n g\u00f3t. Tr\u1ebb nh\u1ecf c\u00f3 th\u1ec3 kh\u00f3c \u0111\u1ecf m\u1eb7t, b\u1ea5u ch\u1eb7t v\u00e0o cha m\u1eb9 hay \u0111\u1ed3 v\u1eadt.<\/p>\n<h2 style=\"text-align: justify\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb &lt; 1 tu\u1ed5i<\/h2>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-22664 aligncenter\" src=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2018\/09\/bieu-do-phan-Bristol-230x300-1.jpg\" alt=\"Bi\u1ec3u \u0111\u1ed3 ph\u00e2n Bristol\" width=\"230\" height=\"300\" \/><\/p>\n<h3 style=\"text-align: justify\">V\u1ec1 t\u00ednh ch\u1ea5t ph\u00e2n<\/h3>\n<ul style=\"text-align: justify\">\n<li>C\u00f3 d\u01b0\u1edbi 3 l\u1ea7n \u0111i ti\u00eau tr\u1ecdn v\u1eb9n trong 1 tu\u1ea7n (ph\u00e2n type 3,4) trong bi\u1ec3u \u0111\u1ed3 ph\u00e2n Briston (xem bi\u1ec3u \u0111\u1ed3) kh\u00f4ng \u00e1p d\u1ee5ng cho tr\u1ebb b\u00fa m\u1eb9 ho\u00e0n to\u00e0n.<\/li>\n<li>Ph\u00e2n to, c\u1ee9ng.<\/li>\n<li>Ph\u00e2n d\u00ea (type 1 trong bi\u1ec3u \u0111\u1ed3ph\u00e2n Briston)<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">Tri\u1ec7u ch\u1ee9ng khi \u0111i ti\u00eau<\/h3>\n<ul style=\"text-align: justify\">\n<li>Kh\u00f3 ch\u1ecbu v\u00e0 c\u0103ng th\u1eb3ng khi \u0111i ti\u00eau.<\/li>\n<li>Ch\u1ea3y m\u00e1u h\u1eadu m\u00f4n do ph\u00e2n c\u1ee9ng.<\/li>\n<li>R\u1eb7n.<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">B\u1ec7nh s\u1eed<\/h3>\n<ul style=\"text-align: justify\">\n<li>\u0110\u00e3 c\u00f3 nh\u1eefng \u0111\u1ee3t t\u00e1o b\u00f3n tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<li>Ti\u1ec1n c\u0103n ho\u1eb7c hi\u1ec7n t\u1ea1i c\u00f3 n\u1ee9t h\u1eadu m\u00f4n.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n TBCN cho tr\u1ebb &gt; 1 tu\u1ed5i<\/h2>\n<p style=\"text-align: justify\">Khi th\u1ecfa m\u00e3n t\u1eeb 2 ti\u00eau ch\u00ed tr\u1edf l\u00ean (t\u00ednh ch\u1ea5t ph\u00e2n(1), tri\u1ec7u ch\u1ee9ng khi \u0111i ti\u00eau(2), b\u1ec7nh s\u1eed(3)<\/p>\n<h3 style=\"text-align: justify\">T\u00ednh ch\u1ea5t ph\u00e2n<\/h3>\n<ul style=\"text-align: justify\">\n<li>C\u00f3 d\u01b0\u1edbi 3 l\u1ea7n \u0111i ti\u00eau tr\u1ecdn v\u1eb9n trong 1 tu\u1ea7n (ph\u00e2n type 3,4) trong bi\u1ec3u \u0111\u1ed3 ph\u00e2n Briston (xem bi\u1ec3u \u0111\u1ed3)<\/li>\n<li>S\u00f3n ph\u00e2n<\/li>\n<li>Ph\u00e2n d\u00ea (type 1 trong bi\u1ec3u \u0111\u1ed3 ph\u00e2n Briston)<\/li>\n<li>Ph\u00e2n r\u1ea5t to, \u0111i kh\u00f4ng th\u01b0\u1eddng xuy\u00ean mu\u1ed1n l\u00e0m ng\u1eb9t toilet.<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">Tri\u1ec7u ch\u1ee9ng khi \u0111i ti\u00eau<\/h3>\n<ul style=\"text-align: justify\">\n<li>K\u00e9m \u0103n, \u0111i ti\u00eau \u0111\u01b0\u1ee3c th\u00ec \u0103n kh\u00e1 h\u01a1n.<\/li>\n<li>Gi\u1ea3m v\u00e0 h\u1ebft \u0111au b\u1ee5ng sau khi \u0111i ti\u00eau.<\/li>\n<li>H\u00e0nh vi n\u00edn gi\u1eef ph\u00e2n.<\/li>\n<li>R\u1eb7n..<\/li>\n<li>\u0110au h\u1eadu m\u00f4n.<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">B\u1ec7nh s\u1eed<\/h3>\n<ul style=\"text-align: justify\">\n<li>\u0110\u00e3 c\u00f3 nh\u1eefng \u0111\u1ee3t t\u00e1o b\u00f3n tr\u01b0\u1edbc \u0111\u00e2y.<\/li>\n<li>Ti\u1ec1n c\u0103n ho\u1eb7c hi\u1ec7n t\u1ea1i c\u00f3 n\u1ee9t h\u1eadu m\u00f4n.<\/li>\n<li>Ti\u1ec1n c\u0103n \u0111au khi \u0111i ti\u00eau v\u00e0 ch\u1ea3y m\u00e1u do ph\u00e2n c\u1ee9ng.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Nguy\u00ean nh\u00e2n c\u1ee7a t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng<\/h2>\n<p style=\"text-align: justify\">Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng (\u0103n \u00edt x\u01a1, u\u1ed1ng \u00edt n\u01b0\u1edbc), ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t, v\u1eadn \u0111\u1ed9ng, h\u00e0nh vi n\u00edn gi\u1eef ph\u00e2n&#8230;<\/p>\n<h2 style=\"text-align: justify\">Khi n\u00e0o c\u1ea7n ngh\u0129 t\u1edbi v\u00e0 \u0111i t\u00ecm t\u00e1o b\u00f3n th\u1ef1c th\u1ec3?<\/h2>\n<ul style=\"text-align: justify\">\n<li>Th\u1eddi \u0111i\u1ec3m kh\u1edfi ph\u00e1t t\u00e1o b\u00f3n t\u1eeb ngay khi m\u1edbi sinh hay trong v\u00f2ng v\u00e0i tu\u1ea7n \u0111\u1ea7u sau sinh.<\/li>\n<li>Ch\u1eadm ti\u00eau ph\u00e2n su: sau 48 gi\u1edd m\u1edbi th\u1ea5y ti\u00eau ph\u00e2n su.<\/li>\n<li>Ph\u00e2n c\u00f3 h\u00ecnh d\u1ea1ng b\u00fat ch\u00ec.<\/li>\n<li>Ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n k\u00e9m so v\u1edbi l\u1ee9a tu\u1ed5i.<\/li>\n<li>Y\u1ebfu ch\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, ch\u1eadm ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng.<\/li>\n<li>Ch\u01b0\u1edbng b\u1ee5ng, \u00f3i.<\/li>\n<li>H\u1eadu m\u00f4n v\u00e0 v\u00f9ng quanh h\u1eadu m\u00f4n c\u00f3 b\u1ea5t th\u01b0\u1eddng nh\u01b0: l\u1ed7 d\u00f2, b\u1ea7m, nhi\u1ec1u v\u1ebft n\u1ee9t, h\u1eadu m\u00f4n qu\u00e1 ch\u1eb7t ho\u1eb7c l\u1ecfng l\u1ebbo, h\u1eadu m\u00f4n \u0111\u00f3ng ph\u00eda tr\u01b0\u1edbc, m\u1ea5t ph\u1ea3n x\u1ea1 nh\u00edu h\u1eadu m\u00f4n.<\/li>\n<li>Kh\u00e1m v\u00f9ng c\u1ed9t s\u1ed1ng, c\u00f9ng c\u1ee5t, c\u01a1 m\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng: b\u1ea5t \u0111\u1ed1i x\u1ee9ng ho\u1eb7c c\u01a1 m\u00f4ng ph\u1eb3ng, c\u00f3 b\u1eb1ng ch\u1ee9ng c\u1ee7a b\u1ea5t s\u1ea3n x\u01b0\u01a1ng c\u00f9ng, m\u00e0u da b\u1ea5t th\u01b0\u1eddng, \u0111\u1ed1m s\u1eafc t\u1ed1 ho\u1eb7c \u0111\u1ecf, m\u1ea3ng l\u00f4ng, u m\u1ee1, h\u1ed1 l\u00f5m trung t\u00e2m, v\u1eb9o c\u1ed9t s\u1ed1ng&#8230;<\/li>\n<li>Bi\u1ebfn d\u1ea1ng chi d\u01b0\u1edbi nh\u01b0 v\u1eb9o b\u00e0n ch\u00e2n<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh c\u01a1 kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c b\u1edfi t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i, v\u00ed d\u1ee5 nh\u01b0 b\u1ea1i n\u00e3o ch\u1eb3ng h\u1ea1n.<\/li>\n<li>Ph\u1ea3n x\u1ea1 th\u1ea7n kinh c\u01a1 chi d\u01b0\u1edbi b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>Ti\u1ec1n c\u0103n gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb Hirschprung.<\/li>\n<li>C\u00f3 m\u00e1u trong ph\u00e2n m\u00e0 kh\u00f4ng c\u00f3 n\u1ee9t h\u1eadu m\u00f4n.<\/li>\n<li>\u00d3i d\u1ecbch nh\u01b0 m\u1eadt.<\/li>\n<li>Tuy\u1ebfn gi\u00e1p b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>S\u1eb9o v\u00f9ng h\u1eadu m\u00f4n.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Khi n\u00e0o c\u1ea7n l\u00e0m c\u1eadn l\u00e2m s\u00e0ng?<\/h2>\n<p style=\"text-align: justify\">\u0110a s\u1ed1 TBCN kh\u00f4ng c\u1ea7n l\u00e0m c\u1eadn l\u00e2m s\u00e0ng g\u00ec c\u1ea3 n\u1ebfu \u0111\u00e3 h\u1ecfi k\u0129 v\u00e0 th\u0103m kh\u00e1m k\u0129. Ch\u1ec9 l\u00e0m khi:<\/p>\n<ul style=\"text-align: justify\">\n<li>Xquang b\u1ee5ng kh\u00f4ng s\u1eeda so\u1ea1n t\u00ecm tri\u1ec7u ch\u1ee9ng \u1ee9 ph\u00e2n n\u1ebfu vi\u1ec7c th\u0103m h\u1eadu m\u00f4n v\u00e0 kh\u00e1m b\u1ee5ng kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c.<\/li>\n<li>Nghi ng\u1edd t\u00e1o b\u00f3n do nguy\u00ean nh\u00e2n th\u1ef1c th\u1ec3.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n ch\u01b0a n\u0103ng<\/h2>\n<p style=\"text-align: justify\">Tr\u1ebb b\u00fa m\u1eb9 ho\u00e0n to\u00e0n m\u00e0 ch\u1eadm \u0111i c\u1ea7u (v\u00e0i ng\u00e0y m\u1edbi \u0111i ti\u00eau, ph\u00e2n m\u1ec1m) h\u1ea7u h\u1ebft l\u00e0 b\u00ecnh th\u01b0\u1eddng. Ch\u1ec9 c\u1ea7n theo d\u00f5i.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu c\u00f3 \u1ee9 ph\u00e2n: ph\u1ea3i \u0111i\u1ec1u tr\u1ecb th\u00e1o\/ x\u1ed5 ph\u00e2n ngay. N\u1ebfu kh\u00f4ng c\u00f3 \u1ee9 ph\u00e2n th\u00ec b\u1eaft tay \u0111i\u1ec1u tr\u1ecb duy tr\u00ec ngay.<\/p>\n<h3 style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb th\u00e1o\/ x\u1ed5 ph\u00e2n (theo \u0111i\u1ec1u ki\u1ec7n VI\u1ec6T NAM)<\/h3>\n<h4 style=\"text-align: justify\">Tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i<\/h4>\n<ul style=\"text-align: justify\">\n<li>Glycerin \u0111\u1eb7t h\u1eadu m\u00f4n.<\/li>\n<li>Th\u1ee5t th\u00e1o b\u1eb1ng n\u01b0\u1edbc (6 ml \/ kg, t\u1ed1i \u0111a 135 ml)<\/li>\n<li>Lactulose ho\u1eb7c sorbitol: 4 ml \/ kg chia 2 l\u00e2n trong 7 ng\u00e0y.<\/li>\n<li>PEG 3350: 1\/2- 1 g\u00f3i \/ ng\u00e0y<\/li>\n<\/ul>\n<h4 style=\"text-align: justify\">Tr\u1ebb tr\u00ean 1 tu\u1ed5i:<\/h4>\n<ul style=\"text-align: justify\">\n<li>Th\u00e1o \/ x\u1ed5 ph\u00e2n nhanh:\n<ul>\n<li>Glycerin \u0111\u1eb7t h\u1eadu m\u00f4n.<\/li>\n<li>Th\u1ee5t th\u00e1o: 6 ml \/ kg (max 135 ml)\/ 12- 24 h * 1-3 l\u1ea7n<\/li>\n<li>Ph\u1ed1i h\u1ee3p Ng\u00e0y 1 th\u1ee5t th\u00e1o. Ng\u00e0y 2 Bisacodyl \u0111\u1eb7t h\u1eadu m\u00f4n 10 mg m\u1ed1i 12- 24 gi\u1edd. Ng\u00e0y 3: Bisacodyl 5 mg m\u1ed1i 12- 24 gi\u1edd.<\/li>\n<li>L\u1eadp l\u1ea1i li\u1ec7u tr\u00ecnh 3 ng\u00e0y 1-2 l\u1ea7n n\u1eefa n\u1ebfu c\u1ea7n.<\/li>\n<\/ul>\n<\/li>\n<li>Th\u00e1o x\u1ed5 ph\u00e2n ch\u1eadm:\n<ul>\n<li>Lactulose ho\u1eb7c sorbitol 4 ml\/ kg chia 2 l\u1ea7n m\u1ed7i ng\u00e0y trong 7 ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb duy tr\u00ec.<\/h3>\n<h4 style=\"text-align: justify\">Nhu\u1eadn tr\u01b0\u1eddng th\u1ea9m th\u1ea5u<\/h4>\n<ul style=\"text-align: justify\">\n<li>Lactulose 10 mg\/ 15 ml 1-3 ml \/ kg\/ ng\u00e0y chia l\u00e0m 2 l\u1ea7n.<\/li>\n<li>Sorbitol 1-3 ml \/ kg\/ ng\u00e0y chia l\u00e0m 2 l\u1ea7n<\/li>\n<li>PEG 3350 t\u1ed1t h\u01a1n c\u1ea3 nh\u01b0ng ch\u01b0a c\u00f3 \u1edf Vi\u1ec7t Nam<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Li\u1ec1u thu\u1ed1c nhu\u1eadn tr\u01b0\u1eddng s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh t\u0103ng hay gi\u1ea3m t\u00f9y theo t\u00ednh ch\u1ea5t ph\u00e2n. Cha m\u1eb9 c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 d\u00f2 \u0111\u01b0\u1ee3c li\u1ec1u ph\u00f9 h\u1ee3p cho tr\u1ebb.<\/p>\n<h4 style=\"text-align: justify\">Nhu\u1eadn tr\u01b0\u1eddng k\u00edch th\u00edch<\/h4>\n<ul style=\"text-align: justify\">\n<li>Bisacodyl 5 mg: 1-3 vi\u00ean\/ ng\u00e0y chia 1-2 l\u1ea7n<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Kh\u00f4ng n\u00ean ch\u1ecdn nhu\u1eadn tr\u01b0\u1eddng k\u00edch th\u00edch l\u00e0 \u0111\u1ea7u tay khi \u0111i\u1ec1u tr\u1ecb duy tr\u00ec, ch\u1ec9 d\u00f9ng nhu\u1eadn tr\u01b0\u1eddng k\u00edch th\u00edch khi t\u00e1o b\u00f3n tr\u01a1, th\u1ea5t b\u1ea1i v\u1edbi nhu\u1eadn tr\u01b0\u1eddng th\u1ea9m th\u1ea5u.<\/p>\n<h2 style=\"text-align: justify\">Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb bao l\u00e2u?<\/h2>\n<p style=\"text-align: justify\">Sau khi \u0111i\u1ec1u tr\u1ecb duy tr\u00ec \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00e0nh c\u00f4ng, t\u1ee9c tr\u1ebb \u0111i ti\u00eau \u2265 3 l\u1ea7n\/ tu\u1ea7n. Th\u00ec vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ph\u1ea3i \u0111\u01b0\u1ee3c duy tr\u00ec <strong>\u00edt nh\u1ea5t 6 th\u00e1ng<\/strong> (1 s\u1ed1 tr\u1ebb th\u1eadm ch\u00ed c\u1ea7n th\u1eddi gian nhi\u1ec1u h\u01a1n) v\u00e0 <strong>sau \u0111\u00f3 gi\u1ea3m li\u1ec1u ch\u1eadm. Kh\u00f4ng \u0111\u01b0\u1ee3c ng\u01b0ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t.<br \/>\n<\/strong><\/p>\n<h2 style=\"text-align: justify\">Tr\u1ebb b\u1ecb TBCN u\u1ed1ng bao nhi\u00eau n\u01b0\u1edbc l\u00e0 \u0111\u1ee7<\/h2>\n<p style=\"text-align: justify\">Ch\u1ec9 c\u1ea7n u\u1ed1ng \u0111\u1ee7 nhu c\u1ea7u h\u00e0ng ng\u00e0y. Ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng u\u1ed1ng th\u1eadt nhi\u1ec1u n\u01b0\u1edbc th\u00ec l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c TB<\/p>\n<h2 style=\"text-align: justify\">Ch\u1ea5t x\u01a1 th\u00ec sao?<\/h2>\n<p style=\"text-align: justify\">Tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p c\u00e1c th\u1ee9c \u0103n gi\u00e0u ch\u1ea5t x\u01a1: s\u1eefa m\u1eb9, rau, tr\u00e1i c\u00e2y, ng\u0169 c\u1ed1c nguy\u00ean c\u00e1m.<\/p>\n<h2 style=\"text-align: justify\">V\u1ea5n \u0111\u1ec1 t\u1eadp \u0111i ti\u00eau \u0111\u00fang<\/h2>\n<p style=\"text-align: justify\">Khuy\u1ebfn kh\u00edch tr\u1ebb \u0111i ti\u00eau m\u1ed7i ng\u00e0y, v\u00e0o kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh. Ch\u00fa \u00fd cho ch\u00e2n tr\u1ebb ch\u1ea1m l\u00ean 1 m\u1eb7t ph\u1eb3ng khi ng\u1ed3i \u0111i ti\u00eau. Kh\u00f4ng h\u1ed1i th\u00fac tr\u1ebb, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p xoa b\u1ee5ng \u1edf tr\u1ebb nh\u1ecf.<\/p>\n<h2 style=\"text-align: justify\">Kh\u00f4ng \u0111\u01b0\u1ee3c la r\u1ea7y khi tr\u1ebb s\u00f3n ph\u00e2n<\/h2>\n<p style=\"text-align: justify\">Ch\u00fa \u00fd ph\u00e1t hi\u1ec7n h\u00e0nh vi n\u00edn gi\u1eef ph\u00e2n \u0111\u1ec3 khuy\u1ebfn kh\u00edch tr\u1ebb \u0111i c\u1ea7u, kh\u00f4ng c\u1ea7n \u0111\u01b0a tr\u1ebb t\u1edbi chuy\u00ean gia t\u00e2m l\u00fd 1 c\u00e1ch th\u01b0\u1eddng quy.<\/p>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li style=\"text-align: justify\"><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/484759608388231\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/484759608388231<\/a><\/li>\n<li style=\"text-align: justify\">&#8220;B\u1ea3n \u0111\u1ed3ng thu\u1eadn ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb em&#8221;, H\u1ed9i nhi khoa VN.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>T\u00e1o b\u00f3n \u1edf tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng \u0111i ti\u00eau kh\u00f4ng th\u01b0\u1eddng xuy\u00ean (&lt; 3 l\u1ea7n\/ tu\u1ea7n) v\u00e0 \u0111i c\u1ea7u \u0111au, kh\u00f3 kh\u0103n g\u00e2y kh\u00f3 ch\u1ecbu cho tr\u1ebb v\u00e0 gia \u0111\u00ecnh<\/p>\n","protected":false},"author":14,"featured_media":4118,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5684,5682,5683],"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>\u0110i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n m\u1ea1n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb em (Ph\u1ea7n 1) - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"T\u00e1o b\u00f3n \u1edf tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng \u0111i ti\u00eau kh\u00f4ng th\u01b0\u1eddng xuy\u00ean (&lt; 3 l\u1ea7n\/ tu\u1ea7n) v\u00e0 \u0111i c\u1ea7u \u0111au, kh\u00f3 kh\u0103n g\u00e2y kh\u00f3 ch\u1ecbu cho tr\u1ebb v\u00e0 gia \u0111\u00ecnh\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/nhi-khoa\/dieu-tri-tao-bon-man-chuc-nang-o-tre-em-2\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n m\u1ea1n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb em (Ph\u1ea7n 1) - D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"og:description\" content=\"T\u00e1o b\u00f3n \u1edf tr\u1ebb em l\u00e0 t\u00ecnh tr\u1ea1ng \u0111i ti\u00eau kh\u00f4ng th\u01b0\u1eddng xuy\u00ean (&lt; 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