{"id":5216,"date":"2019-03-15T02:07:35","date_gmt":"2019-03-14T19:07:35","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/benh-trao-nguoc-bang-quang-nieu-quan-o-tre-em\/"},"modified":"2024-04-23T16:42:14","modified_gmt":"2024-04-23T09:42:14","slug":"benh-trao-nguoc-bang-quang-nieu-quan-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/benh-trao-nguoc-bang-quang-nieu-quan-o-tre-em\/","title":{"rendered":"B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang – ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em"},"content":{"rendered":"

Tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang ni\u1ec7u qu\u1ea3n l\u00e0 g\u00ec?<\/h2>\n

B\u00ecnh th\u01b0\u1eddng n\u01b0\u1edbc ti\u1ec3u ch\u1ec9 ch\u1ea3y m\u1ed9t chi\u1ec1u t\u1eeb th\u1eadn xu\u1ed1ng b\u00e0ng quang (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ecdng \u0111\u00e1i). N\u1ebfu n\u01b0\u1edbc ti\u1ec3u t\u1eeb b\u00e0ng quang ch\u1ea3y ng\u01b0\u1ee3c l\u00ean th\u1eadn th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang \u2013 ni\u1ec7u qu\u1ea3n. Khi x\u1ea3y ra t\u00ecnh tr\u1ea1ng n\u00e0y, vi tr\u00f9ng c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o th\u1eadn v\u00e0 g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u (c\u00f2n g\u1ecdi l\u00e0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u). N\u1ebfu hi\u1ec7n t\u01b0\u1ee3ng tr\u00e0o ng\u01b0\u1ee3c kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1ed9t th\u1eddi gian d\u00e0i s\u1ebd d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng v\u00e0 suy th\u1eadn. V\u1edbi tr\u1ebb em b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u (urinary tract infections \u2013 UTIs) c\u00f3 kho\u1ea3ng m\u1ed9t ph\u1ea7n ba l\u00e0 c\u00f3 tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang ni\u1ec7u qu\u1ea3n.<\/p>\n

\"B\u1ec7nh<\/p>\n

B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang – ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em (Ngu\u1ed3n \u1ea3nh:\u00a0www.bioathens.com) <\/em><\/p>\n

N\u1ebfu con t\u00f4i b\u1ecb nhi\u1ec5m tr\u00f9ng ti\u1ec3u, ngh\u0129a l\u00e0 c\u00f3 g\u00ec \u0111\u00f3 b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u?<\/h2>\n

H\u1ea7u h\u1ebft c\u00e1c b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng ti\u1ec3u th\u01b0\u1eddng c\u00f3 m\u1ed9t \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u b\u00ecnh th\u01b0\u1eddng. C\u0169ng nh\u01b0 b\u00e9 v\u1eabn b\u1ecb nhi\u1ec5m tr\u00f9ng tai m\u1eb7c d\u00f9 \u0111\u00f4i tai c\u1ee7a b\u00e9 l\u00e0 b\u00ecnh th\u01b0\u1eddng, v\u00ec th\u1ebf m\u1ed9t s\u1ed1 b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u m\u1eb7c d\u00f9 b\u00e9 c\u00f3 \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng ti\u1ec3u c\u00f3 th\u1ec3 do \u0111i\u1ec1u g\u00ec \u0111\u00f3 b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u1ee7a b\u00e9. B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c \u0111i\u1ec1u n\u00e0y. B\u00e1c s\u0129 s\u1ebd c\u1ea7n nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y h\u01a1n n\u1ebfu th\u1eddi \u0111i\u1ec3m nhi\u1ec5m tr\u00f9ng \u0111\u1ea7u ti\u00ean c\u1ee7a b\u00e9 \u1edf \u0111\u1ed9 tu\u1ed5i qu\u00e1 nh\u1ecf, ho\u1eb7c n\u1ebfu c\u00e1c b\u00e9 c\u1ee9 b\u1ecb t\u00e1i \u0111i t\u00e1i l\u1ea1i.<\/p>\n

Nh\u1eefng lo\u1ea1i x\u00e9t nghi\u1ec7m n\u00e0o b\u00e1c s\u0129 s\u1ebd th\u1ef1c hi\u1ec7n?<\/h2>\n

C\u00f3 m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m gi\u00fap b\u00e1c s\u0129 quan s\u00e1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u1ee7a b\u00e9. Si\u00eau \u00e2m l\u00e0 m\u1ed9t c\u00e1ch gi\u00fap cho b\u00e1c s\u0129 nh\u00ecn \u0111\u01b0\u1ee3c t\u1ed1t th\u1eadn v\u00e0 b\u00e0ng quang m\u00e0 kh\u00f4ng l\u00e0m cho c\u00e1c b\u00e9 b\u1ecb \u0111au.<\/p>\n

Ch\u1ee5p X-quang b\u00e0ng quang-ni\u1ec7u \u0111\u1ea1o khi ti\u1ec3u (voiding cystourethrogram \u2013 VCUG) c\u0169ng l\u00e0 m\u1ed9t c\u00e1ch t\u1ed1t \u0111\u1ec3 quan s\u00e1t b\u00e0ng quang, th\u1eadn v\u00e0 ni\u1ec7u qu\u1ea3n c\u1ee7a c\u00e1c b\u00e9. Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t \u1ed1ng nh\u1ecf v\u00e0o b\u00e0ng quang c\u1ee7a b\u00e9 r\u1ed3i truy\u1ec1n ch\u1ea5t l\u1ecfng qua \u1ed1ng v\u00e0o b\u00e0ng quang. Ch\u1ea5t l\u1ecfng n\u00e0y xu\u1ea5t hi\u1ec7n tr\u00ean X-quang khi b\u00e0ng quang \u0111\u01b0\u1ee3c l\u00e0m \u0111\u1ea7y v\u00e0 khi b\u00e9 ti\u1ec3u.<\/p>\n

M\u1ed9t li\u1ec7u ph\u00e1p kh\u00e1c \u0111\u01b0\u1ee3c g\u1ecdi ch\u1ee5p b\u00e0ng quang ni\u1ec7u \u0111\u1ea1o c\u00f3 ph\u00f3ng x\u1ea1 (radionuclide cystogram \u2013 RNC) \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ed1i v\u1edbi nh\u1eefng b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u. \u0110\u1ed1i v\u1edbi li\u1ec7u ph\u00e1p n\u00e0y, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf thu\u1ed1c ph\u00f3ng x\u1ea1 v\u00e0o d\u00f2ng m\u00e1u c\u1ee7a b\u00e9 b\u1eb1ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd ch\u1ee5p \u1ea3nh c\u1ee7a th\u1eadn v\u00e0 b\u00e0ng quang v\u1edbi m\u1ed9t m\u00e1y \u1ea3nh \u0111\u1eb7c bi\u1ec7t. \u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m r\u1ea5t t\u1ed1t cho vi\u1ec7c t\u00ecm ki\u1ebfm nh\u1eefng v\u1ebft s\u1eb9o \u1edf th\u1eadn. V\u00e0 li\u1ec7u ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e9 \u0111\u01b0\u1ee3c chu\u1ea9n \u0111o\u00e1n l\u00e0 m\u1eafc b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quan \u2013 ni\u1ec7u qu\u1ea3n.<\/p>\n

Ch\u1ee5p X quang b\u1ec3 th\u1eadn b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 xem x\u00e9t th\u1eadn v\u00e0 \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/p>\n

X\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i, gi\u1edbi t\u00ednh, s\u1ed1 l\u1ea7n b\u1ecb nhi\u1ec5m tr\u00f9ng ti\u1ec3u v\u00e0 \u0111\u1ed9 n\u1eb7ng c\u1ee7a nh\u1eefng l\u1ea7n \u0111\u00f3.<\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang-ni\u1ec7u qu\u1ea3n b\u1eb1ng c\u00e1ch n\u00e0o?<\/h2>\n

Tr\u00e0o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi. H\u1ea7u h\u1ebft c\u00e1c b\u00e9 b\u1ecb tr\u00e0o ng\u01b0\u1ee3c th\u01b0\u1eddng kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb g\u00ec \u0111\u1eb7c bi\u1ec7t ngo\u00e0i vi\u1ec7c th\u01b0\u1eddng xuy\u00ean kh\u00e1m b\u00e1c s\u0129. Tuy nhi\u00ean, \u1edf m\u1ed9t s\u1ed1 tr\u1ebb th\u00ec c\u1ea7n ph\u1ea3i d\u00f9ng kh\u00e1ng sinh m\u1ed7i ng\u00e0y \u0111\u1ec3 ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u.<\/p>\n

C\u00f3 c\u1ea7n ph\u1eabu thu\u1eadt kh\u00f4ng?<\/h2>\n

H\u1ea7u h\u1ebft c\u00e1c b\u00e9 b\u1ecb tr\u00e0o ng\u01b0\u1ee3c kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt. Nh\u1eefng b\u00e9 b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u li\u00ean t\u1ee5c trong khi \u0111ang u\u1ed1ng thu\u1ed1c kh\u00e1ng sinh, ho\u1eb7c c\u00e1c b\u00e9 ph\u00e1t tri\u1ec3n nh\u1eefng v\u1ebft s\u1eb9o m\u1edbi \u1edf th\u1eadn, ho\u1eb7c c\u00e1c b\u00e9 c\u00f3 c\u1ea5u tr\u00fac c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u00f3 tr\u00e0o ng\u01b0\u1ee3c nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt. N\u1ebfu con b\u1ea1n c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt, b\u00e1c s\u0129 s\u1ebd th\u1ea3o lu\u1eadn nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y v\u1edbi b\u1ea1n.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
    \n
  1. http:\/\/familydoctor.org\/familydoctor\/en\/kids\/toileting\/vesicoureteral-reflux-in-children.html\u00a0<\/a>Pediatric Urinary Tract Infection and Reflux\u00a0by JH Ross, M.D., and R Kay, M.D (American Family Physician\u00a0March 15, 1999, http:\/\/www.aafp.org\/afp\/990315ap\/1472.html <\/a> ) Voiding cystourethrogram. (MedlinePlus)<\/li>\n
  2. http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/003784.htm<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang – ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em l\u00e0 khi n\u01b0\u1edbc ti\u1ec3u t\u1eeb b\u00e0ng quang ch\u1ea3y ng\u01b0\u1ee3c l\u00ean th\u1eadn. Khi \u0111\u00f3, vi tr\u00f9ng c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o th\u1eadn v\u00e0 g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/p>\n","protected":false},"author":196,"featured_media":5219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6076],"tags":[],"series":[3912],"coauthors":[],"acf":[],"yoast_head":"\nB\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang - ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang - ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em l\u00e0 khi n\u01b0\u1edbc ti\u1ec3u t\u1eeb b\u00e0ng quang ch\u1ea3y ng\u01b0\u1ee3c l\u00ean th\u1eadn. Khi \u0111\u00f3 vi tr\u00f9ng c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp v\u00e0o th\u1eadn\" \/>\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\/benh-trao-nguoc-bang-quang-nieu-quan-o-tre-em\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang - ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c b\u00e0ng quang - ni\u1ec7u qu\u1ea3n \u1edf tr\u1ebb em l\u00e0 khi n\u01b0\u1edbc ti\u1ec3u t\u1eeb b\u00e0ng quang ch\u1ea3y ng\u01b0\u1ee3c l\u00ean th\u1eadn. 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