{"id":7867,"date":"2018-04-29T13:56:41","date_gmt":"2018-04-29T06:56:41","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/tran-dich-mang-phoi-va-tran-dich-mang-phoi-ac-tinh\/"},"modified":"2024-04-29T16:27:22","modified_gmt":"2024-04-29T09:27:22","slug":"tran-dich-mang-phoi-va-tran-dich-mang-phoi-ac-tinh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/tran-dich-mang-phoi-va-tran-dich-mang-phoi-ac-tinh\/","title":{"rendered":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh"},"content":{"rendered":"<p style=\"text-align: justify\">Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 s\u1ef1 t\u00edch t\u1ee5 d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong kho\u1ea3ng gi\u1eefa nhu m\u00f4 ph\u1ed5i v\u00e0 th\u00e0nh ng\u1ef1c. Kho\u1ea3ng kh\u00f4ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 khoang m\u00e0ng ph\u1ed5i. Kho\u1ea3ng m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n ung th\u01b0 s\u1ebd b\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n<p style=\"text-align: justify\">Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh l\u00e0 khi t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n trong khoang m\u00e0ng ph\u1ed5i g\u00e2y tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i. T\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u cho th\u1ea5y ung th\u01b0 \u0111\u00e3 lan r\u1ed9ng, ho\u1eb7c di c\u0103n, \u0111\u1ebfn c\u00e1c khu v\u1ef1c kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. C\u00e1c nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh l\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-u-lympho-khong-hodgkin-va-nhung-phuong-phap-dieu-tri\/\" target=\"_blank\" rel=\"noopener\">u lymphoma<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 v\u00fa<\/a>, <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-phoi\/\" target=\"_blank\" rel=\"noopener\">ph\u1ed5i<\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cac-kien-thuc-co-ban-ve-ung-thu-buong-trung-danh-cho-cong-dong\/\" target=\"_blank\" rel=\"noopener\">bu\u1ed3ng tr\u1ee9ng<\/a>. M\u1eb7c d\u00f9 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c nh\u01b0ng tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i c\u00f3 th\u1ec3 g\u00e2y n\u00ean m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-25322 size-full\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/04\/tran-dich-mang-phoi-va-tran-dich-mang-phoi-ac-tinh.png\" alt=\"tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh\" width=\"660\" height=\"330\" \/><\/p>\n<h2 style=\"text-align: justify\"><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i <\/strong><\/h2>\n<p style=\"text-align: justify\">Gi\u1ea3m c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9. B\u1ec7nh nh\u00e2n n\u00ean trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng g\u1eb7p ph\u1ea3i v\u00e0 b\u1ea5t k\u1ef3 c\u00e1c thay \u0111\u1ed5i n\u00e0o c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00f3.<\/p>\n<p style=\"text-align: justify\">Nh\u1eefng ng\u01b0\u1eddi b\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n<ul style=\"text-align: justify\">\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>Ho khan<\/li>\n<li>\u0110au<\/li>\n<li>C\u1ea3m gi\u00e1c n\u1eb7ng ng\u1ef1c ho\u1eb7c th\u1eaft ng\u1ef1c<\/li>\n<li>Ph\u1ea3i n\u1eb1m \u0111\u1ea7u cao<\/li>\n<li>Kh\u00f4ng th\u1ec3 t\u1eadp th\u1ec3 d\u1ee5c<\/li>\n<li>C\u1ea3m gi\u00e1c kh\u00f4ng kh\u1ecfe n\u00f3i chung<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>Ch\u1ea9n \u0111o\u00e1n tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i <\/strong><\/h2>\n<p style=\"text-align: justify\">C\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ecbnh v\u1ecb, ch\u1ea9n \u0111o\u00e1n, ho\u1eb7c l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh:<\/p>\n<ul style=\"text-align: justify\">\n<li>Kh\u00e1m s\u1ee9c kho\u1ebb.<\/li>\n<li>X-quang ng\u1ef1c: gi\u00fap kh\u1ea3o s\u00e1t h\u00ecnh \u1ea3nh d\u1ecbch t\u00edch t\u1ee5 b\u00ean trong c\u01a1 th\u1ec3.<\/li>\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT ho\u1eb7c CAT): t\u1ea1o ra m\u1ed9t h\u00ecnh \u1ea3nh 3 chi\u1ec1u b\u00ean trong c\u01a1 th\u1ec3 b\u1eb1ng m\u00e1y X-quang.<\/li>\n<li>Si\u00eau \u00e2m: s\u1eed d\u1ee5ng s\u00f3ng \u00e2m t\u1ea1o ra h\u00ecnh \u1ea3nh b\u00ean trong c\u01a1 th\u1ec3.<\/li>\n<li>Ch\u1ecdc d\u1ecbch: s\u1eed d\u1ee5ng m\u1ed9t c\u00e2y kim \u0111\u1ec3 h\u00fat d\u1ecbch ra kh\u1ecfi khoang m\u00e0ng ph\u1ed5i \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>\u0110i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i <\/strong><\/h2>\n<p style=\"text-align: justify\">Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n ho\u1eb7c t\u1ea1i ph\u00f2ng kh\u00e1m. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 l\u00e0m d\u1eabn l\u01b0u d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u1eb1ng nhi\u1ec1u c\u00e1ch:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ch\u1ecdc d\u1ecbch (xem \u1edf tr\u00ean).<\/li>\n<li>D\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i: s\u1eed d\u1ee5ng \u1ed1ng d\u1eabn \u0111\u01b0a v\u00e0o trong khoang m\u00e0ng ph\u1ed5i \u0111\u1ec3 d\u1eabn l\u01b0u d\u1ecbch ra ngo\u00e0i v\u00e0 l\u01b0u l\u1ea1i trong 24 ti\u1ebfng. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 d\u1eabn l\u01b0u d\u1ecbch m\u00e0ng ph\u1ed5i. Sau qu\u00e1 tr\u00ecnh n\u00e0y c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t nh\u01b0 talc, \u0111\u1ec3 cho c\u1ea1nh c\u1ee7a ph\u1ed5i d\u00ednh v\u00e0o th\u00e0nh ng\u1ef1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 g\u00e2y d\u00ednh m\u00e0ng ph\u1ed5i. \u0110i\u1ec1u n\u00e0y l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng d\u1ecbch t\u00e1i ph\u00e1t.<\/li>\n<li>\u0110\u1eb7t t\u1ea1m th\u1eddi m\u1ed9t d\u1eabn l\u01b0u v\u00e0o khoang m\u00e0ng ph\u1ed5i. B\u1ec7nh nh\u00e2n ho\u1eb7c th\u00e0nh vi\u00ean gia \u0111\u00ecnh s\u1ebd \u0111\u1ec3 \u1ed1ng d\u1eabn l\u01b0u v\u1edbi m\u1ed9t chai \u0111\u1ec3 ch\u1ee9a d\u1ecbch b\u00ean ngo\u00e0i theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/li>\n<li>T\u1ea1o m\u1ed9t \u0111\u01b0\u1eddng d\u1eabn l\u01b0u d\u1ecbch \u0111\u1ebfn m\u1ed9t n\u01a1i kh\u00e1c ho\u1eb7c gi\u00fap h\u1ea5p thu d\u1ecbch (v\u00ed d\u1ee5: d\u1eabn l\u01b0u khoang m\u00e0ng ph\u1ed5i \u1ed5 b\u1ee5ng).<\/li>\n<li>H\u00f3a tr\u1ecb \u0111\u1ec3 ng\u0103n ng\u1eeba tr\u00e0n d\u1ecbch t\u00e1i ph\u00e1t.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<ol>\n<li style=\"text-align: justify\"><a href=\"http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/fluid-around-lungs-or-malignant-pleural-effusion\" target=\"_blank\" rel=\"noopener\">http:\/\/www.cancer.net\/navigating-cancer-care\/side-effects\/fluid-around-lungs-or-malignant-pleural-effusion<\/a><\/li>\n<li style=\"text-align: justify\"><a href=\"https:\/\/jamanetwork.com\/journals\/jamaoncology\/fullarticle\/2250349\" target=\"_blank\" rel=\"noopener\">https:\/\/jamanetwork.com\/journals\/jamaoncology\/fullarticle\/2250349<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 s\u1ef1 t\u00edch t\u1ee5 d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong kho\u1ea3ng gi\u1eefa nhu m\u00f4 ph\u1ed5i v\u00e0 th\u00e0nh ng\u1ef1c. Kho\u1ea3ng m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n ung th\u01b0 s\u1ebd b\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/p>\n","protected":false},"author":318,"featured_media":4700,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3752],"tags":[2796,2649,2673,2602,2569],"series":[1420],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u00e1c t\u00ednh - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 s\u1ef1 t\u00edch t\u1ee5 d\u1ecbch b\u1ea5t th\u01b0\u1eddng trong kho\u1ea3ng gi\u1eefa nhu m\u00f4 ph\u1ed5i v\u00e0 th\u00e0nh ng\u1ef1c. 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