{"id":5223,"date":"2019-03-15T03:22:32","date_gmt":"2019-03-14T20:22:32","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/kiem-soat-con-dau-cua-tre-sau-phau-thuat\/"},"modified":"2024-04-23T16:41:57","modified_gmt":"2024-04-23T09:41:57","slug":"kiem-soat-con-dau-cua-tre-sau-phau-thuat","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/kiem-soat-con-dau-cua-tre-sau-phau-thuat\/","title":{"rendered":"Ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a tr\u1ebb sau ph\u1eabu thu\u1eadt"},"content":{"rendered":"<p style=\"text-align: justify\">Sau ph\u1eabu thu\u1eadt, tr\u1ebb th\u01b0\u1eddng g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1edbi c\u00e1c c\u01a1n \u0111au nh\u01b0ng th\u1eadt may l\u00e0 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 l\u00e0m d\u1ecbu c\u00e1c c\u01a1n \u0111au n\u00e0y. Ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1ch th\u1ee9c ki\u1ec3m so\u00e1t c\u01a1n \u0111au sau khi tr\u1ebb \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt.<\/p>\n<h2 style=\"text-align: justify\"><strong>\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111au \u0111\u1edbn\u00a0c\u1ee7a tr\u1ebb sau ph\u1eabu thu\u1eadt\u00a0nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p style=\"text-align: justify\">\u0110\u1ec3 ch\u0103m s\u00f3c cho tr\u1ebb l\u00fac tr\u1ebb \u0111au sau ph\u1eabu thu\u1eadt, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a c\u00e1c c\u01a1n \u0111au. C\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u01a1n \u0111au c\u1ee7a tr\u1ebb.<\/p>\n<ul style=\"text-align: justify\">\n<li><strong>H\u1ecfi xem b\u00e9 \u0111au \u0111\u1ebfn m\u1ee9c n\u00e0o<\/strong>. \u0110\u00e2y l\u00e0 c\u00e1ch \u0111\u00e1ng tin nh\u1ea5t \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u01a1n \u0111au c\u1ee7a b\u00e9. Ph\u1ea3i s\u1eed d\u1ee5ng ph\u01b0\u01a1ng th\u1ee9c \u0111\u00e1nh gi\u00e1 theo c\u00e1ch b\u00e9 c\u00f3 th\u1ec3 hi\u1ec3u \u0111\u01b0\u1ee3c. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 c\u01a1n \u0111au th\u00edch h\u1ee3p v\u1edbi l\u1ee9a tu\u1ed5i theo thang \u0111i\u1ec3m FACES (thang \u0111i\u1ec3m t\u00ednh theo bi\u1ec3u hi\u1ec7n c\u01a1n \u0111au theo n\u00e9t m\u1eb7t). Tr\u1ebb em l\u1edbn tu\u1ed5i h\u01a1n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thang \u0111\u00e1nh gi\u00e1 t\u1eeb 0 \u0111\u1ebfn 10. M\u1eb7c d\u00f9 y\u00eau c\u1ea7u tr\u1ebb \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u01a1n \u0111au c\u1ee7a ch\u00fang th\u01b0\u1eddng r\u1ea5t kh\u00f3, nh\u01b0ng \u0111\u00f3 l\u00e0 c\u00e1ch \u0111\u00e1ng tin c\u1eady nh\u1ea5t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 \u0111au \u0111\u1edbn m\u00e0 b\u00e9 \u0111ang tr\u1ea3i qua.<\/li>\n<li><strong>C\u01a1n \u0111au bi\u1ec3u hi\u1ec7n qua s\u1ef1 thay \u0111\u1ed5i c\u00e1c c\u1eed ch\u1ec9 tr\u00ean c\u01a1 th\u1ec3 c\u0169ng nh\u01b0 h\u00e0nh vi c\u1ee7a tr\u1ebb<\/strong>.\u00a0V\u00ed d\u1ee5, v\u1ebb m\u1eb7t b\u00e9 c\u00f3 v\u1ebb &#8220;\u0111au \u0111\u1edbn&#8221; (nh\u0103n m\u0169i v\u00e0 m\u1eaft), \u00f4m ch\u1eb7t ho\u1eb7c xoa khu v\u1ef1c b\u1ecb \u0111au, kh\u00f3c b\u1ea5t th\u01b0\u1eddng, ho\u1eb7c ng\u1ee7 hay \u0103n \u00edt h\u01a1n th\u00f4ng th\u01b0\u1eddng. Cha m\u1eb9 th\u01b0\u1eddng l\u00e0 ng\u01b0\u1eddi c\u00f3 th\u1ec3 x\u00e9t \u0111o\u00e1n c\u00e1c bi\u1ec3u hi\u1ec7n n\u00e0y ch\u00ednh x\u00e1c nh\u1ea5t.<\/li>\n<li><strong>C\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a c\u01a1n \u0111au \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n qua s\u1ef1 thay \u0111\u1ed5i c\u00e1c th\u00f4ng s\u1ed1\u00a0 nh\u01b0 nh\u1ecbp tim, huy\u1ebft \u00e1p, v\u00e0 t\u1ea7n s\u1ed1 th\u1edf<\/strong>. C\u00e1c th\u00f4ng s\u1ed1 n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c ghi ch\u00fa v\u00e0o bi\u1ec3u \u0111\u1ed3 theo d\u00f5i c\u1ee7a tr\u1ebb theo c\u00e1c th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau, t\u1eeb \u0111\u00f3 \u0111\u01b0a ra s\u1ef1 \u0111\u00e1nh gi\u00e1 v\u1edbi c\u01a1n \u0111au c\u1ee7a tr\u1ebb.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>Thu\u1ed1c gi\u1ea3m \u0111au cho tr\u1ebb sau ph\u1eabu thu\u1eadt<\/strong><\/h2>\n<p style=\"text-align: justify\">C\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i thu\u1ed1c gi\u00fap ki\u1ec3m so\u00e1t c\u01a1n \u0111au sau ph\u1eabu thu\u1eadt. T\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 ki\u1ec3u \u0111au c\u1ee7a tr\u1ebb, b\u00e1c s\u0129 s\u1ebd quy\u1ebft \u0111\u1ecbnh cho d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au b\u1eb1ng c\u00e1ch n\u00e0o.<\/p>\n<p style=\"text-align: justify\">Thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo \u0111\u01b0\u1eddng d\u00f9ng h\u1ee3p l\u00fd \u0111\u1ec3 h\u1ea1n ch\u1ebf g\u00e2y \u0111au cho tr\u1ebb. H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u1edf d\u1ea1ng thu\u1ed1c vi\u00ean ho\u1eb7c d\u1ea1ng dung d\u1ecbch ho\u1eb7c \u0111\u01b0\u1ee3c truy\u1ec1n v\u00e0o t\u0129nh m\u1ea1ch qua d\u00e2y chuy\u1ec1n d\u1ecbch (IV). Ph\u1ea3i d\u00f9ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c c\u01a1n \u0111au. M\u1ed9t khi c\u01a1n \u0111au nghi\u00eam tr\u1ecdng h\u01a1n th\u00ec vi\u1ec7c gi\u1ea3m \u0111au cho tr\u1ebb tr\u1edf n\u00ean kh\u00f3 kh\u0103n h\u01a1n.<\/p>\n<p style=\"text-align: justify\">C\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au, bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong>Thu\u1ed1c kh\u00f4ng c\u00f3 thu\u1ed1c phi\u1ec7n (kh\u00f4ng c\u00f3 ch\u1ea5t g\u00e2y nghi\u1ec7n) <\/strong>nh\u01b0 acetaminophen v\u00e0 ibuprofen (Tylenol l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c c\u00f3 th\u01b0\u01a1ng hi\u1ec7u c\u1ee7a <a href=\"http:\/\/en.wikipedia.org\/wiki\/Paracetamol\" target=\"_blank\" rel=\"noopener\">acetaminophen<\/a>. Advil v\u00e0 Motrin l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 th\u01b0\u01a1ng hi\u1ec7u c\u1ee7a ibuprofen.)<\/li>\n<li><strong>Thu\u1ed1c c\u00f3 thu\u1ed1c phi\u1ec7n (ch\u1ea5t g\u00e2y nghi\u1ec7n) <\/strong>nh\u01b0 codeine v\u00e0 morphin<\/li>\n<li><strong>Thu\u1ed1c t\u00ea b\u00f4i v\u00e0 thu\u1ed1c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 <\/strong>nh\u01b0 lidocaine, v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kem b\u00f4i t\u00ea.<\/li>\n<li><strong>G\u00e2y t\u00ea (phong b\u1ebf) th\u1ea7n kinh <\/strong>: thu\u1ed1c t\u00ea \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o m\u1ed9t s\u1ed1 d\u00e2y th\u1ea7n kinh tr\u00ean c\u01a1 th\u1ec3<\/li>\n<li><strong>G\u00e2y t\u00ea t\u1ee7y s\u1ed1ng ho\u1eb7c khoang x\u01b0\u01a1ng c\u00f9ng <\/strong>: thu\u1ed1c t\u00ea \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o khu v\u1ef1c d\u01b0\u1edbi c\u1ed9t s\u1ed1ng \u0111\u1ec3 gi\u1ea3m \u0111au \u1edf \u0111o\u1ea1n gi\u1eefa c\u01a1 th\u1ec3 (ng\u1ef1c, b\u1ee5ng, hai ch\u00e2n)<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, khi tr\u1ebb c\u00f2n \u1edf b\u1ec7nh vi\u1ec7n, c\u00f3 th\u1ec3 d\u00f9ng m\u00e1y ti\u00eam thu\u1ed1c gi\u1ea3m \u0111au do b\u1ec7nh nh\u00e2n t\u1ef1 \u0111i\u1ec1u khi\u1ec3n (PCA). \u0110\u00e2y l\u00e0 m\u1ed9t thi\u1ebft b\u1ecb d\u1ec5 s\u1eed d\u1ee5ng, cho ph\u00e9p tr\u1ebb t\u1ef1 quy\u1ebft \u0111\u1ecbnh khi n\u00e0o c\u1ea7n th\u00eam thu\u1ed1c gi\u1ea3m \u0111au. N\u1ebfu tr\u1ebb c\u1ea3m th\u1ea5y \u0111au, ch\u1ec9 c\u1ea7n nh\u1ea5n n\u00fat l\u00e0 thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c t\u1ef1 \u0111\u1ed9ng truy\u1ec1n th\u00eam qua IV. M\u00e1y b\u01a1m \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1eadp tr\u00ecnh s\u1eb5n \u0111\u1ec3 ng\u0103n kh\u00f4ng cho tr\u1ebb d\u00f9ng qu\u00e1 nhi\u1ec1u thu\u1ed1c.<\/p>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 cha m\u1eb9 s\u1ee3 con m\u00ecnh s\u1ebd nghi\u1ec7n c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au. Tuy nhi\u00ean, vi\u1ec7c n\u00e0y r\u1ea5t hi\u1ebfm x\u1ea3y ra. M\u1ecdi b\u1ec7nh nh\u00e2n, bao g\u1ed3m tr\u1ebb em n\u00ean \u0111\u01b0\u1ee3c gi\u00fap \u0111\u1ee1 \u0111\u1ec3 c\u00e0ng \u00edt b\u1ecb \u0111au c\u00e0ng t\u1ed1t.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch, thu\u1ed1c gi\u1ea3m \u0111au r\u1ea5t an to\u00e0n v\u00e0 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho tr\u1ebb.<\/p>\n<h2 style=\"text-align: justify\"><strong>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au sau ph\u1eabu thu\u1eadt<\/strong><\/h2>\n<p style=\"text-align: justify\">Ngo\u00e0i thu\u1ed1c gi\u1ea3m \u0111au c\u00f2n c\u00f3 c\u00e1c c\u00e1ch kh\u00e1c \u0111\u1ec3 gi\u00fap tr\u1ebb gi\u1ea3m \u0111au sau ph\u1eabu thu\u1eadt.<\/p>\n<ul style=\"text-align: justify\">\n<li>C\u00e1c c\u00e1ch b\u1ed5 sung v\u00e0 thay th\u1ebf thu\u1ed1c kh\u00e1c nh\u01b0 ch\u00e2m c\u1ee9u, m\u00e1t-xa, v\u00e0 ph\u1ea3n h\u1ed3i sinh h\u1ecdc (biofeedback) c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au. Ph\u1ea3i trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf n\u00e0o cho b\u00e9 \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m kh\u00f4ng l\u00e0m \u1ea3nh h\u01b0\u1edfng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n<li>Th\u1ec3 d\u1ee5c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 th\u1ee7y tr\u1ecb li\u1ec7u (t\u1eafm v\u00e0 tr\u1ecb li\u1ec7u b\u1eb1ng n\u01b0\u1edbc) c\u00f3 th\u1ec3 gi\u00fap c\u01a1 th\u1ec3 th\u01b0 gi\u00e3n v\u00e0 xoa d\u1ecbu c\u01a1n \u0111au.<\/li>\n<li>H\u01b0\u1edbng s\u1ef1 ch\u00fa \u00fd c\u1ee7a tr\u1ebb v\u00e0o nh\u1eefng vi\u1ec7c kh\u00e1c nh\u01b0 nghe nh\u1ea1c, ch\u01a1i video game, ho\u1eb7c \u0111\u1ecdc s\u00e1ch c\u0169ng gi\u00fap gi\u1ea3m \u0111au.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\n","protected":false},"excerpt":{"rendered":"<p>Sau ph\u1eabu thu\u1eadt, tr\u1ebb th\u01b0\u1eddng g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1edbi c\u00e1c c\u01a1n \u0111au nh\u01b0ng th\u1eadt may l\u00e0 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 l\u00e0m d\u1ecbu c\u00e1c c\u01a1n \u0111au n\u00e0y. V\u1eady ph\u01b0\u01a1ng ph\u00e1p n\u00e0o l\u00e0 hi\u1ec7u qu\u1ea3, t\u1ed1t nh\u1ea5t cho tr\u1ebb<\/p>\n","protected":false},"author":251,"featured_media":5224,"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":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a tr\u1ebb sau ph\u1eabu thu\u1eadt - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Sau ph\u1eabu thu\u1eadt, tr\u1ebb th\u01b0\u1eddng g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1edbi c\u00e1c c\u01a1n \u0111au nh\u01b0ng th\u1eadt may l\u00e0 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 l\u00e0m d\u1ecbu c\u00e1c c\u01a1n \u0111au n\u00e0y.\" \/>\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\/kiem-soat-con-dau-cua-tre-sau-phau-thuat\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ki\u1ec3m so\u00e1t c\u01a1n \u0111au c\u1ee7a tr\u1ebb sau ph\u1eabu thu\u1eadt - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Sau ph\u1eabu thu\u1eadt, tr\u1ebb th\u01b0\u1eddng g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1edbi c\u00e1c c\u01a1n \u0111au nh\u01b0ng th\u1eadt may l\u00e0 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 l\u00e0m d\u1ecbu c\u00e1c c\u01a1n \u0111au n\u00e0y.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/kiem-soat-con-dau-cua-tre-sau-phau-thuat\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-14T20:22:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-23T09:41:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2014\/07\/kiem-soat-con-dau-cua-tre-sau-phau-thuat.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths. 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